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CHiP <br />CITI' OF E�'FRETT <br />� '� � � CO�t�iL'tiIT1 HO�SI?`G ['�IPRO�"E;�tENT PROGR-��1 <br />To: <br />From: <br />Date: <br />Plans Fxaminer, Building Department <br />�� �,¢{�,GL�_�, CHIR Staff <br />/— 3l—Q� <br />RE: <br />�ErrN PE�s�„c( Owner's Name <br />�.�3z .��T �td� ProjectAddress <br />Attached are the Rep�ir Specifications for the above mentioned project. F'lease provide <br />CHIP the foilowing information by initialing ihe proper box. <br />Plan �heck required: <br />Yes <br />�J►� <br />'L/ �' �(o <br />Please retum this form to C IP soon as �oossible. <br />Thank you. � ��c <br />No <br />,❑ <br />CITY' OF EV[RETT <br />�93U �Vetmore Avenue. Suite IUl1 • E�erett. ��'� yn'-�I-;�'�'� <br />(�061'_j9-873i • Fas�'_06�'_,9-8626 <br />