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CHIP <br /> � .� � �� CITl' OF El'ERETI' <br /> � CONiMUNIT�' HOClSWG IMPRO�'EMENT PROGRA�t <br /> To: Plans Examiner, Building Department <br /> From: �� �,rfq�,�,t� , CHIR Staff <br /> Date: _ //— 2 7— �S <br /> RE: _ G/�R�2u �l�,Luus�-n� LL pN,ner's Name <br /> �3lg' ��3/9� DA�C� 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 /> Yes No <br /> Plan check requirod: <br /> ❑ � Z3 i9 <br /> Please retum this form to CHIP aa soon as possibfe: � Z 3�4��Z <br /> �� �z�¢j195 <br /> Thank you. <br /> � <br /> �� <br /> CITY OF EVERET'i' <br /> _'930 Wetmore Avenue. Suite I(Hl • Everett. WA 98301-�10�i.i <br /> (306) 259-8735 • Faxl_'061 ?59-86:6 <br />