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CITY OF EVERETT <br /> OFFICE USE ONLY <br /> EVERETT Permit Services Transmittal Date Received Stamp <br /> WASHINGTON <br /> PERMIT/PROJECT#: <br /> SITE ADDRESS: 35th Avenue NE, approximate 3200 address number <br /> PROJECT NAME: Smith Island Property <br /> FROM: Dan Hatch COMPANY:13luestone Environmental NW Chronology—Permit Counter Transmittal <br /> U Plan Review Routing <br /> PHONE#: 253-951-2024 EMAIL:danh@bluestonenw.com_ <br /> Location: []File []Reviewer Office <br /> Date Logged: By: <br /> Route to: (Check all that apply) Name of Reviewer Type of Review <br /> ❑ Planning Reviewer Name: ❑ Re-Review <br /> 1X] Public Works Reviewer Name: Unknown ❑ Revisions After Approval <br /> ❑ Building Reviewer Name: ❑ Revisions After Issuance <br /> ❑ Fire Reviewer Name: JX] Other Application <br /> ❑ Other Reviewer Name: ❑ Other <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 /> X_ 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 IX]Additional Documents <br /> (Slip-sheeting not permitted) (To be added to file) <br /> CSite plan submitted to show the location we FOR CHANGES IN SCOPE: <br /> are proposing to install a permanent Revised Description of Work: <br /> groundwater monitoring well near the north <br /> end of 35th Ave NE. Specifically,the west <br /> shoulder at the end of the road. <br /> Revised Valuation: <br /> DN:c Dan Halch,c US,-Bluestone <br /> Dan Hatch .n 1-d h@b1W, <br /> mail-tlanh I, W,tonenw <br /> Signed: Reaaun:I a sdonmenl Date:-June 4, 2024 <br /> alon: enl,VR <br /> Dele:2024.00.04 11:40:41-07'00' <br />