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� <br />To: <br />Re: <br />�, <br />Date: 3 �� 8 <br />Ben Edwards. Plans Examiner <br />Owner's Name: �F��u � �7��� ���'�'� <br />Project Addreas: '��'/ �� S - <br />1lttached are Repair Specifications for the above mentioned <br />project. Please provide CHTP the following information by <br />initialing the proper box: <br />Plan Check Fee Required: <br />YES <br />� <br />Please retucn this form to CHIP as soon possible. <br />Zhank y�u. <br />CHIP Staff <br />cc: Doug Budden, Head Building inspectoc <br />DFFIG� SET <br />NO <br />� <br />r;TY OF EVERETT <br />.�.�';'��C�/ED FOR BUILDING PERMIT. <br />oate ¢'3'�l7 By_✓�_� <br />� <br />