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, <br /> N. <br /> i is <br /> CITY OF EVERETT <br /> OFFICE USE ONLY <br /> EVERETT WASHINOTON Permit Services Transmittal Date Received Stamp <br /> PERMIT/PROJECT#: AA <br /> SITE ADDRESS: 21 (3 14014- Pi E EEvert4+ Wfrr -1 a <br /> 1P Zv I <br /> PROJECT NAME: <br /> FROM: IP SAG\ $pCalAGkNk COMPANY: ❑Chronology—Permit Counter Transmittal <br /> ❑Plan Review Routing <br /> PHONE#: 611S''3 b)-7773 EMAIL: 1^ k crtO ra4 COOQKr4, <br /> Location: ❑File ['Reviewer Office <br /> QYvotitI. eOArt Date Logged: By: <br /> Route to:(Check all that apply) Name of Reviewer Type of Review <br /> ❑Planning Reviewer Name: 0 Re-Review <br /> ❑Public Works Reviewer Name: ❑ Revisions After Approval <br /> ❑Building Reviewer Name: ❑Revisions After Issuance <br /> O Fire Reviewer Name: H <br /> Other <br /> ElOther 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 <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 /> 0 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 />