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CHIP( <br />CITY OF EVERETT <br />COMMUNITY HOUSING IMPROVEMENT PROGRAM <br />To Plans Examiner, Building Department <br />From B,Scs j,Pa�r . CHIP Staff <br />Date <br />RE. -Ak t G. c l) a N L- /%.I A N Owner's Name <br />iZ d ;?— I — % qA S % 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: <br />Please return this form to CHIP as soon as possible. j <br />Thank you. <br />CITY OF EVERETT <br />'vtn \\runnrc :\rcnuc. Suite Slln • I-wrcu. \\A 98201-404-1 <br />1-12i1257.8735 . Fax t4251 257-8h28 <br />