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Imo <br /> is <br /> CITY OF EVERETT OFFICE USE ONLY <br /> EVERETT wABHiNGTON Permit Services Transmittal Date Received Stamp <br /> PERMIT/PROJECT#: ,1 t ' <br /> SITE ADDRESS: i Z ��5--- jell), avf( 5 £- 05 13 <br /> PROJECT NAME: S L' V( Lam te 5 /3 k + it J. <br /> FROM: tic.-S(.c:./ COMPANY: (le"( 'II 5 ❑Chronology—Permit Counter Transmittal <br /> t (, , <:) „ - �4 4)i j n tL_c 4 Plan Review Routing <br /> PHONE#: �% L'CIOEMAIL: Location: ['File ['Reviewer Office <br /> i1,t4/i t) \,-(% Date Logged: By: <br /> Route to:(Check all that apply) Name of Reviewer Type of Review <br /> 0 Planning Reviewer Name: 0 Re-Review <br /> ❑ Public Works Reviewer Name: ❑ Revisions After Approval <br /> ❑ Building Reviewer Name: ❑ Revisions After Issuance <br /> ❑ Fire Reviewer Name: ®Other V1t(di S Cam-'"kJ 4r 't i 1 <br /> ❑Other Reviewer Name: ❑Other L.-S( jog $Gf <br /> Provide quantities for all items submitted <br /> PLANS REPORTS/CALCULATIONS OTHER DOCUMENTS <br /> Qty Qty Qty <br /> Architectural/Building Plans Geotechnical Report Correction Letter Responses <br /> Structural Plans Drainage Report Draft Easement <br /> Civil Plans SWPPP Report _ Recorded Easement <br /> Site Plan _ Wetland Report _ Height Survey <br /> Landscape Plan Critical Area Report _ Base Elevation Survey <br /> Survey Traffic Study/TDM Report Critical Area Covenant <br /> Elevations Structural Calculations Stormwater Covenant <br /> Floor Plans _ Height Calculations _ Covenant-Other <br /> Special Inspection Report _ Plumbing Calculations Performance Guarantee <br /> As-Builts Other — Warranty Bond <br /> Plat Maps _ Other Other <br /> Original City Redlines Returned Other — Other <br /> Other Other _ Other <br /> Other Other _ Other <br /> Items submitted are: <br /> ❑Complete Plan Set Replacement ❑Additional Documents <br /> (Slip-sheeting not permitted) (To be added to file) <br /> Comments to Reviewer: FOR CHANGES IN SCOPE: <br /> Revised Description of Work: <br /> Revised Valuation: <br /> Signed: Date: <br />