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� li <br />�i! i1�� ��; ,� .�... �- I <br />. . ................_.......,..... <br />...,........ <br />.......`�rr a= r_�<<:.r.��r <br />��u��ic w�i��s o�p�. <br />To: Ben Edwards, Plans Exami�er <br />�� c e- <br />------� <br />Date: � — �"-`�� <br />Re: owner's Narae: �i�,��/ ���/�� - Q'Q�L`f <br />Project Address: _,�,.,,� - ' <br />Attached a.re Repair Specifications for the above mentioned <br />project. Pleas� provide Cf3IP the following information by <br />initialing the proner box: <br />YES NO <br />Plan C:�eck Fee Required: � �� L� <br />� �Ty` <br />� i� <br />Please cetu[n this form to CHIP as soon possible. ���J�' <br />_ � x W f/ <br />_; �� � -1l � �., <br />Thank you. ;. �_ � � <br />, ,o �,� , <br />• % �Gt; a��,��`-.-= /_ i . . � � � <br />�{ <br />CHIP Staff �/ I���� � <br />cc: �T Aead Building Inspector %l� ,�,J?� � I <br />t� ��,.� �� <br />����n � c�� � �,� <br />� <br />I �AY '_ C' 1990 (�,,.�J/ <br />f�" <br />EVERETT BUILDING DEPT. D� <br />___.. ,_ ____... .. _ . .._�._... __.. _.., _ �_ .,. __ _ _ _ .. _. _. <br />_ <br />.. <br />