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CHIP <br />ii ee CITI"OF EVERETTI <br />®� L® COMMUNITY HOUSING IMPRO NT PROGRA j <br />JAN 1 9 2005 <br />To Plans Examiner, Building Department ....... <br />CITY OF EVERETT <br />Engineering/Public Services <br />From: CHIP Staff <br />Date <br />RE kJA4 Satn1NA6 Owner's Name <br />302- ?7 A/2 ST, �. E , 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 />Plan check required' <br />Please return this form to GH <br />Thank you <br />Yes <br />IM <br />' as soon as possible. <br />No <br />CITYOF EVERETT <br />2930 �V'etnumc A%rnuc. Suite 800 • E%ereu. %VA 98201-4044 <br />1425 1257-8715 • Fm 1425) 257-9628 <br />