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6"� <br />����on�� <br />JUN 10 1991 <br />.............................................. . <br />CITY OF EVERETT w <br />Public Works Dept. <br />To: Ben Edwards, Plans Examiner <br />� <br />Date: /-7-9 /- -- <br />Re: Owner's Name: /!�/�L/A���GI%/GGr1RD � � RoG (�f�_f_L�2 <br />Yroject Address: 59J(� Lo.�IBsheD <br />Attached are Repair Specifications far the above mentioned <br />project. Please provide CHIP the Eollowing information by <br />initialing the proper box: <br />Plan Check Fee Required: <br />YES <br />� <br />Please return this form to CHIP as soon possibl.e. <br />Thank you. , <br />CHIP Sta f <br />cc: <br />' <br />Head Building Inspector <br />NO <br />� <br />�� �� <br />� `�, <br />,y�.�.� �.� � <br />�a.�� -c+�-�,�i-'�'i . <br />