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• • <br /> CITY OF EVERETT <br /> EVERETT OFFICE USE ONLY <br /> WASHINGTON <br /> Permit Services Transmittal Date Received Stamp <br /> PERMIT/PROJECT#: 13 ^ °FS <br /> SITE ADDRESS: S 11— r�C." 1 c / E\f re3 t W !p 0p <br /> PROJECT NAME: <br /> FROM: COMPANY: ❑Chronology—Permit Counter Transmittal <br /> ❑Plan Review Routing <br /> PHONE#: EMAIL: 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 /> ❑ Public Works Reviewer Name: ❑ Revisions After Approval <br /> ❑ Building Reviewer Name: ❑ Revisions After Issuance <br /> ❑Fire Reviewer Name: ❑Other <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 /> 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 r <br /> Plat Maps Other _ Other i 1- j�u;4:"1 1-4\5'Pec�"��1 cL -( f <br /> Original City Redlines Returned Other Other t <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 /> LOvlver-tn SF{Z to iv.v_h <br /> Revised Valuation: <br /> Signed: �� Date: 2 — 7A>7-4 <br />