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CHIP ( r � <br /> _� � � � CITY OF EVERETT <br /> COI�IUNITY HOUSING IMPROVEMENT PROGFtAM <br /> To: Plans Examiner, Building Department <br /> From: � , CHIP Staff <br /> Date: �t,J . z . /y'4 j <br /> RE: �� IST��v� G,�4S7°� 0 Owner's Name <br /> G �-� � 1�1�1-R� s� /�V L Project Address <br /> Attached are the Repair Specifications for the above mentioned projed. Please provide <br /> CHIP the following information by initialing the proper box. <br /> Yes No <br /> Plan check required: � � <br /> Please return this form to CHIP as soon as possible. � <br /> ���1�� <br /> Thank you. � �I <br /> G����' <br /> �i��� or- ��,�r.R�.rr <br /> _��:u \1�urn,�_• .1.:iwr. Suilc S�0 • E��iclt. 11A 9ti'01 Jp�� <br /> �-1'ii ?$7-ti'�i • f:icil_'�r _'97•R6_'3 <br />