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CHIP � °2 <br />CITY OF EVERETi J✓ O l I O� C�S U <br />,` � � � �� COIvIIViUNITY HOUSWG IMPROVEI�NT PROGRANt <br />o ��GadG� <br />To: Plans Examiner, Building Department � <br />sEP 1 a 200� <br />From: �C� %�l� , CHIP Staff ............................ <br />�� CITY OF EVERETT <br />Q — � d _O � EnpineerinqlPublic Services <br />Dete: 7 r <br />RE: �LS/E T/MBoE Owner's Name <br />� ._ �.. <br />/ . „_ �.� - <br />Attached are the Repair Specificetions for the above mentioned project. Please provide <br />CHIP the following iMormation by initialing the proper box. <br />Yes No <br />Plan check required: �y � <br />i v i � <br />U <br />���� <br />Please retum this form o C P as soon as possible. � I <br />� <br />Thank you. �� �"-� <br />C1Tl' UF E\'ERET'f <br />_�);u \\'rrn��re A�rnue. Suite S00 • E�erett. ��'A �)i+'01-aO�J <br />i-�'_�1�1i-ti%ii • F:1\I-:�SI'_��'�(1�S <br />