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CHII� �� �° <br />� � � � � CfCY OF EVERETT <br />� COMMUNITY HOUSING IIuIPROVEMENT PROGRAM <br />To: <br />From: <br />Date: <br />Plans Examiner, Building Depertment <br />I/l C- CH�P.vl� , CHIP Staff <br />. � <br />. <br />RE: �� L��dvfitK�1 LU#AG�J�( Owner's Name <br />J�J3 C(��� �qtrJ�tJ ._ 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 />Fian check required: <br />Yes <br />� <br />Please retum this form t CH as soon as possible. <br />Thank you. <br />CITY OF EVERETT <br />_'9?0 \�'ttmore A�enue, Suire 800 • Everett, WA 95301--30�3�3 <br />(d35J257-8735 • Fax(4'_'S)257-86?8 <br />