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To: Ben Edwards, plans Examiner <br />Re: Owner's Name: <br />Project Addres <br />�o f�6[��d�D <br />�uN o 2 �9ee <br />CITY OF EVERETT <br />PubUc Wwks Dept <br />Date: (O -1�88 <br />Attached are the Repair Specifications for the above mentioned <br />project. Please provide CAIP the following information by <br />initialing the proper box: <br />� YES 1N NO <br />Plan Check Required: � u� ❑ <br />� <br />Please return this form to CAIP as soon as possible. <br />Thank you. <br />CHIP taf�� <br />/� <br />/ <br />f �-�,"'' FS. <br />v���• <br />�� <br />�T � <br />l=� • <br />�', �, °� -t�o <br />�, K,+ SH (•uts�rt�f� <br />G�.► � - �-s'"'`� ''�°'' °�`1 1�°' �T: <br />� a,,u-K. e�,� '+'� <br />K �µ,�T, p`pl'�,^� <br />� <br />� �I� � t,,.�g �..� rnr.,r . <br />