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. , <br /> , <br /> I <br /> � C� G [� OC� s (�� <br /> � ,tUN 2 1 19�0 L.'" <br /> ��� _............. <br /> �y CITY OF EVERETT <br /> C�H Public Works Dept. /__ z�— 9 � <br /> Date: <br /> G� <br /> 9 H(/� <br /> y �3 <br /> x <br /> �C f] <br /> �o H� To= Ben Edwards, Plans Examiner <br /> V1 H <br /> � pt� Re: Owner 's Name: �'�� - P'�'u �(C'��� <br /> oH� Project Address: Z/z9 ,�o� �r_�c�2 — pu.F�Fu <br /> H C�7t7 /�jG7 - � �,UO � 5[AJ6G.E Fitrf/GY �, <br /> L']� C7 ��g� '_ Z Z'u� — 'Jrl�Ll�� �ff/«�cY <br /> Attached are Repair SpeciPications �r the above mentioned <br /> �,>., y� project. Plea:,e provide CHIP the following information by _ i <br /> Hra initialing the [�roper box: � <br /> ti � <br /> c� t7 c�n � I <br /> 3 �� YES NO `� � <br /> y o y Plan Check Fee Required: ❑ � ��,1 <br /> �� � 9 � <br /> . � <br /> Please return this form to CHIP as soon possible. � y4ja `��5 ! <br /> V <br /> � ������i � �99� , �. <br /> Thank you � . 1/ ! <br /> � ��W ' <br /> '_� ` � r � �� <br /> CHIP Sta �Q_. � <br /> � v <br /> �.�. ;� cc: �n. Head Building Inspector � <br /> a� I <br /> o� — 2 <br /> �' � <br /> ' / J <br /> +�, �� � <br /> � I�' <br /> E �"'j I <br /> s�"1` I <br /> � <br />