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�HIP <br />r�'� � CITI OF E�"ERETi <br />�� �( � CO�L'�tUNIT�" HOI;SII�'G [tiiPROVEytENT PROGR,��1 <br />To: <br />From: <br />Date: <br />Plans Examiner, Building Department <br />To..,.�, N�uv,ra�v , CHIP Staff <br />tol�.�la� <br />RE: Q rTe So 1: e Owner's Name <br />�,q i 7 a 1 St S?, Project Address <br />Attached are the Reoair Specifications for the above mentioned project. Please prnvide <br />CHIP the followir.� information by initialing the proper box. <br />Plan check required: <br />Yes <br />� <br />Please return this form to CHIP as soon as possible. <br />Thank you. �Q�,,,� <br />No <br />dJ� <br />10�23�% <br />C[TY OF E�'ERETT <br />29?0 Wetmore .4venue. Suite 1110 • E��erett. WA 98'_01-SO4-1 <br />('_06)'_59-873� • Faxi'0613�9-8626 <br />