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To: <br />Re: <br />�o� C� [� � d[� D <br />DEC 0 7 1968 <br />.........._.._ <br />CITY OF EVERETT <br />Public Wwks Ucpl. <br />Ben Edwards, Plans Examiner <br />Date: l'z � s � <br />Owner's Name: � ��Gi05 <br />Project Address• /fi '.� <br />Attached are Repair Specifications for the above menti�nec3 <br />project. Please provide CHIP the following information by <br />initialing the proper box: <br />Plan Check Fee Required: <br />YES <br />Q <br />Please cetu�n this form to CHIP as soun possible. <br />�� <br />Thank y � <br />-� <br />CHIP Staff <br />cc: Baug--B�td�e�. Head Building Inspector <br />u <br />