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CHIP <br />� � � ;� CITI' OF EVERETT <br />CONiMUNITY' HOUSING INIPROVEMENT PROGRA�i <br />To: Plans �xaminer, Building Department <br />From: I o,�.. M�.,,,�,, , CHIP Staff <br />Date: 1 I-�'1 _ q y <br />RE: �1r.: b wl �- PGt�: c�„ �j o.,, Owner's Name <br />3 S��l Ru � k e-�a 11 e,� Project Address <br />Attached are t� :, Repair Specifications for the above mentioned project. Please provide <br />CHIP the following information by initialing the proper box. <br />Yes No <br />Plan check required: <br />I� 9�- ❑ <br />I Z�S�� <br />Please return this form to CHIP as soon as possible. <br />Thank you. �,� <br />CITI' OF [�'[REi-I� <br />?930 Wetmore Avenue. Suite 1011 • Everett. W� 95201--l0-7-1 <br />('_06)'_�9-S73j • Fa.�l'_061�i9-86?6 <br />