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{ <br />CHIP <br />CITY OF EVERETT <br />4-1 Jam-% COMMUNITY HOUSING IMPROVEMENT PROGRAM <br />To Plans Examiner, Building Department m. RUM <br />R 0 m R, 0 <br />Fro <br />/6 C.i _n..asr�_. CHIP Staff w OOSClT7 l2, 0 20005 �� <br />DO CITY OF EVERETT <br />Date. Ergineen ng'Public Services <br />Owner's Name <br />RE' - <br />/9/8r 7¢7* :57 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 <br />Plan check required. ❑ <br />Please return this form t CHI as soon as possible <br />Thank you. ` <br />No <br />a <br />CITY OF EVERETT <br />'gin \\eun rc A\enue. Suite S(H) • Eterelt. WA 9R201--t044 <br />i425l _57-M35 • Fax (425l ?57-Wg <br />