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_ • • <br /> CITY OF EVERETT OFFICE USE ONLY <br /> EVERETT Permit Services TransmittalIEZIEOVE1)11 <br /> wABHINGTory <br /> [911 <br /> PERMIT/PROJECT#: i APR 1 0 7024 <br /> SITE ADDRESS: OA -v P S CITY OF fw'J._RETT <br /> PROJECT NAME: E �® IV AC 5.a( - rvEaerrPermit Services <br /> it/1.k OL( COMPANY: MO- k fju ' ❑Chronology-Permit Counter Transmittal <br /> PHONE#: p 6b ��$� J. EMAIL: f.1 � --�p� gala--�U'fec CI L Location: <br /> Renew Routing <br /> � � File❑ ['Reviewer Office <br /> •Cerv-)• 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: Ei Other <br /> ❑Other Reviewer Name: 0 Other <br /> Provide quantities for all items submitted <br /> PLANS REPORTS/CALCULATIONS OTHER DOCUMENTS <br /> Qty <br /> � Qty Qty <br /> Architectural/Building Plans _ Geotechnical Report Correction Letter Responses <br /> /tructural 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 /> Iteeit s 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: 'rv , Date: 04' A <br /> V <br />