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( <br /> CHIP <br /> �:■� � � � CITY OF EVERETT <br /> `� COMMUNITY HOUSING IMPROVEMENT PROGRAM <br /> To: Plans Examiner, Building �epartment <br /> From: Y`e GI�I'1i1�� , CHIP Staff <br /> Date: �"Oz—a�i- <br /> RE: �14UC /�cG7CIf/A�.�o� Owner's Name <br /> �$'S 7 �KL��.� �'t�E. 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: ❑ �,{ �q, <br /> U � <br /> �.I b�� <br /> Please return this form to CHIP as soon as possible. <br /> � <br /> Thank you. <br /> CITl' OF G�'FRC-TT <br /> _�i;u \lctnx�rc :\�cnuc. Su��� SO(1 • [�crclt. \lA 9R'01-�Oa� <br /> �-1'_�r ';-.g?:; • 1=:n i•1?51 �57-R6'S <br />