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CHIP <br /> � � � �� CIT1' OF E�'ERETT <br /> � CU1L�4UNITti' HOUSING [�iPROVEtitENT PROGR�:�I <br /> Ta; Plans Examiner, Building Department <br /> �� e�,�0,/�,�_, CHIP Staff <br /> From: <br /> Date: �`�2 �� <br /> RE: S""'`�� � �u��c ���5 O�"ner's Name <br /> c <br /> 5�,� �Ay�r��f., ProjectAddress <br /> Attached are the Repair Specifications for the above mentioned project. Piease provide <br /> CHIP the following infortnation by initialing the proper Gox. <br /> Yes No <br /> Plan check required: � � <br /> � G�rB/Y� <br /> Please retum this form to P as soon as possible. <br /> Thank you. <br /> CITY OF EVCRETT <br /> �y3p 1Vennore Avenue. Suite 100 • E�erett. WA 98=0�-a0d� <br /> 1_'06i259-R735 • Fasi'_06i '_;9-Rb?6 <br />