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CHIP <br /> � � � � CIT�' OF EVERETi <br /> CONiMUNITY HOUSING INiPRC)VEN�NT PROGRA.tit <br /> To: Plans Examiner, Building Department <br /> / <br /> From: Gic �N.4PM/��1 , C.41P Staff <br /> Dat�: _ /� - 2/- qb <br /> RE: F��1 b�W��� Owner's Name <br /> �6�Z.- 24� ST. Project Address <br /> � <br /> a <br /> Attached are the Repair Specifications for the above mentioned project. Please provide <br /> CHIP the following information by initialing the proper box. <br /> Yes No <br /> Plan check required: ❑ <br /> Ill"I� <br /> .� pK�v�o� J��N z��� c��e <br /> Please return this form CHIP as soon as possible. SPA�£ �u ��o� �F <br /> wAz�e e�osE7 -r7�o�. <br /> Thank you. — ,...�,r� <br /> �� <br /> CITY OF EVERETT <br /> 2y30 Wetmore Avenue. Suite 100 • Everett. WA 9R301-4044 <br /> (206) 259-8735 • F�xl'_06) '-�9-86?6 <br /> 1 <br />