Laserfiche WebLink
CHIP � <br />�se, � � ee C�TI'OF[VERETT <br />�f�' �� COMMUi`11TY HOUSiNG INIPROVE��ENT PROGRAM <br />To: Plans Examiner, Building Department <br />From: %J��� �+'1�'/"�"� � CHIP Staff <br />Date: �r'�� 3�� <br />RE: � �' - � �-��' � �Y��" S Owner's Name <br />��� � �P�h �,�_.,, �.�_�_ Project Address <br />Attached are the Repair Specifications for the above mentioned p�oject. Please provide <br />CHIP the following information by initialing the proper box. <br />Yes No � <br />Plan check required: � �' <br />U�2s�/Z <br />Please return this form to CHIP as soon as possible. <br />Thanlc you. <br />Cill ciF f�'GRC-l�l� <br />�i;u \\�un��rr:\�rnue. Suiie ti00 • L�crrlt. \1.� 9ti�01-J01S <br />�.��a�_'i?_��ji . 1=a�i-l'_Si'_'i7-tib_'S <br />