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� � N'reF'�1�'�� <br />CHIp � ' <br />�� � ee CIP' OF EVERETi' <br />�]O� s COMMUNITY HOUSWG IMPROVE:v�NT PROGRAP.4 <br />To: <br />From: <br />C�ate: <br />RE: <br />Plans Examinor, Building Department <br />�,— <br />,aM M��.a,r <br />5-3- <br />CHIP St�iif <br />����on�� <br />MAY 0 4 �9yg <br />.............. ..................................... <br />CITY OF EVERETT <br />Enq�nserinplPublic Services <br />f�h„�te KrN:S � Owners Name <br />{3�� M��eN a�l� ProjectAddress <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: <br />Yes <br />No <br />� �� <br />S�N�� <br />Please return this form to CHIP as soon as possible. <br />Thank you. G� <br />CITI' OF E�'ERETT <br />'�);n \1'cunurr .-��cnuc. Suirc S110 • E��fetl. �'.a 9R'_01-�10-1�1 <br />!�'i�?57-D73> • Fax��1_'?I?57-R6'_R <br />