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CHIP <br /> �t = � � CITY OF EVERETT <br /> 1� COIvIlvIUNITY HOUSIIVG IMPROVEMENT PROGRAM <br /> To: Plans Examin , Building Department � � � � O U � � <br /> D <br /> A P R 1 8 2 0 0 0 <br /> From: , CHIP Staff <br /> __ ..........................._.... <br /> ,v7 CITY OF EVERETT <br /> Date: <br /> 4�7,�vv Er.gineeringlPublic Servicae <br /> RE: �p5���D Owner's Name <br /> 1Q�j,/2 -� '+� �611t� L,IhGrS7� Project Address <br /> Attached are the 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 /> ��9�� <br /> Please retum this form to CHI a soon as possible. <br /> Thank you. �'"� <br /> l� 1�E/Z.�F�r �x�7,oti oF N-�.,� <br /> � Q�C.,v i iv� 7v P!�/�%Y [..�� . <br /> �" ( �./lIJD�WJ C4µtlT B�`. �•VCA�GJ� �F � <br /> G�� 7NAN 3'•0" F,eow� P,toP�?Y L�NG. <br /> CITI' OF E�'ERETT <br /> ,�)in \\'�unorr A�enue. Suiir 8(HI • E�crett. �'A 98?01-�Od�l <br /> i.i?5� ?i7•87ij • FaxIJ?$� 257-86'_'R <br />