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9501 19TH AVE SE BLOOM COFFEE BAR 2025-08-20
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9501 19TH AVE SE BLOOM COFFEE BAR 2025-08-20
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Last modified
8/20/2025 11:24:05 AM
Creation date
7/22/2025 1:39:57 PM
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Template:
Address Document
Street Name
19TH AVE SE
Street Number
9501
Tenant Name
BLOOM COFFEE BAR
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CITY OF EV E R ETT OFFICE USE ONLY <br /> E V E R E T T Date Received Stamp <br /> WASHINGTON Permit Services Transmittal �� <br /> 0� S y D ECEUVE <br /> � Q <br /> PERMIT/PROJECT#: � �� �,,1 _ <br /> SITE ADDRESS: 1 � 'K / i`�i SF NOV 2 0 2023 <br /> PROJECT NAME: 1l Io_ C0 CITY OF EVERETT <br /> FROM Gl��,/�'h5s��►J.� COMPANY: Le k7 N C� ❑Ch 6�}}p� �i�ansmittal <br /> S , SS CkS 0 rr�y��� ❑Plan Review Routing <br /> PHONE#: EMAIL: U "1 ��ti Location: ❑File El Reviewer Office <br /> Date Logged: By: <br /> Route to:(check all that apply) Name of Reviewer Typ 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: l K (% ❑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 X 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 R"elturned _ Other _ Other <br /> Other Mi L i `�"' _ 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 />
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