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CI�IP <br />� � j� � CITY OF EVEItL-TT <br />� CO�IIvILNITY HOUSING IMPROVEMENT PROG2M4 <br />To <br />From: <br />Date: <br />RE: <br />Plans Examiner, Building Department <br />� • <br />../. .� � /' .�- <br />ro /ti/r� <br />Jpe� ky�i,�� Owner's Name <br />�y(j� /���,�,, ��, _ Project Address <br />Attached are the Repair Specifications for the above mentioned projer.t. Please provide <br />CHIP the foliowing information by initialing the proper box. <br />Plan check required: <br />Yes <br />[� � ,3 <br />6I51 <br />Please return this form t� CHIP as soon as possible. <br />Thank you. <br />J�i�; <br />� <br />�� <br />`j�,,� � yt,� ec� r'� Codr� praf �- r�-hra( � <br />�%. �co� tiash-tc��-,25� �u�c�, �us7-r��Ca��d � <br />%�`�j`�e— G3ir1�i! fii�.�- �i�� �S f'�'ry �- �-/2?9' f�-� � � o� /r� <br />iN��� 5�'�� �(= vc.�vj'Y��l,G�C� ,�7� 1�'� y�2 i'1l1-7� r���• <br />,n . <br />_ �ir�G�2� ciTi� c�r- E� r-.RErr <br />��);n �1�imur� .���nue. Swic �l)0 ° E�trcu. \�':1 �i`�UI-1OJ� <br />i.;';i �57 1 �li = Fa� iJ'_�� _'�7-:36_'S <br />A <br />