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CHIP �� � � � ° n � D <br /> APR - 5 19�5 <br /> � CiW � ;ee CITI' OF EVERETT ............................................................... <br /> � CITY OF EVERETT <br /> � COI�IIvIUNITY' HOUSIIVG IMPROVEt�iF�3ya;��,g�,t <br /> To: Plans Examiner, Building Department <br /> From: �ov,� Mu,,,,,n„� , CHIP Staff <br /> Date: `t�3 /�i5 <br /> RE: _ Ao�: I coi b<...,, r <br /> Owner's Name <br /> 3 � � `a N orTo..� Project Address <br /> Attached are the Repair Specifications for the above mentioned project. Please provide <br /> CHIP the following information by initialing the proper box. <br /> Plan check required: Yes No <br /> ❑ L�J� <br /> Please return this form to CHIP as soon as possible. <br /> �� 6i�s <br /> Thank you. C� <br /> � N�w GuAftD/ta.Il.S ,oa6 (�EQviR�.eO 7v !3E 3`" �JiaN �l7iZueC <br /> �A'7 ��oM' Pu�tcµ� ��F QEQ�i�sr� �3Y SEc7�u� ���Z.� <br /> C[TY OF E\'ERETT <br /> 3930 Wetmore Avenue, Suitc II11) • E��erett, WA 9R201--404-F <br /> (?06) 'S9-373� • Faxl?061359-8636 <br />