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CHIP � ` <br /> �� m ee CI't'Y OF FVERETT <br /> - � � r� COMMJNITY HOUSII�G IMPROVEMENT PROGRAM <br /> To: Plans Examiner, Building Department <br /> From: ��r � � fC� r.,T�- . CHIP Staff <br /> Date: _ � � �/ pr�_ � <br /> RE: /-�o n n� c� �• � , ��j�" Owner's Name <br /> 3 � � �� G�/ � _ Project Address <br /> �7 gzo� <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 /> �����a <br /> Please return this form to CHIP as soon as possible. <br /> Thankyou. <br /> � <br /> I <br /> cir� c�r t:� t.an.� <br /> _�I;il N:IIIIi�R• :\�CI1lIC. �UitC RUO • I:�CI"c•tl. 1\.\ �.,�_111-1i1-1a <br /> i.liil �li-\ �1 • �-.1\ I-���� '`'.\(1_'ti <br />