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CHIP <br />� � , —�ii � CITI' OF E�'ERi.TT <br />� CO�L�tUNITI" HOUSING [I�SPROVE;�tENT PROGR��t <br />To: Plans Examiner, Building Department <br />�� ��L,�n_ ��ai,� , CHIP Staff <br />From: <br />Date: 3 /� /�` <br />� � � QLEp�(/}_ 5t� Owner's Name <br />RE: �-- <br />3Q�Q �uc�Q ProjectAddress <br />Attached are the Repair Specifications for the above mentioned project. Please provide <br />CHIP the following information by initialing the proper box. <br />Plan check required: <br />Yes No <br />0���� ❑ <br />Please return this form to CHIP as soon as possible. <br />Thank y <br />CITY Of E�ERETT <br />'_930 �L'etmore .4venue. Suite 100 • E�erett. �VA 98?0�--���� <br />('_061259-373� • Faxl'_061'_�9-8626 <br />