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CHIP <br />jL ne CITY OF EVERE-TT <br />® ® COMMUNITY HOUSING IMPROVEMENT PROGRAM <br />To: Plans Examiner, Building Department <br />From: Vie (f�APA-1AN , CHIP Staff <br />Date: &- / Z — 9 -7 <br />RE: LIuS �04SnN Owner's Name <br />330 - -72 'VP sr. s. 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 />Yes No <br />Plan check required: �i <br />y <br />Please return this form to,CHIP as soon s possible. <br />Thank you. <br />CITY OF EVERETT <br />2930 Wetmore Avenue. Suite 100 • Everett. \VA 98201-4044 <br />(206) 259-9735 • Fax (206) 259-8626 <br />