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CITY OF EVERETT <br /> EVERETT OFFICE USE ONLY <br /> WASHINGTON Permit Services Transmittal Date Received Stamp <br /> PERMIT/PROJECT#: a -0(,-:,/ <br /> SITE ADDRESS: `' r - <br /> PROJECT NAME: <br /> FROM: + --f 06 a"- COMPANY: O !ZE (% ❑Chronology—Permit Counter Transmittal <br /> f ❑Plan Review Routing <br /> PHONE#: 2 �,— — j5 EMAIL: !� Cr'' <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 /> ❑ Public Works Reviewer Name: ❑ Revisions After Approval <br /> [2'81uilding Reviewer Name: ❑ Revisions After Issuance <br /> ❑Fire Reviewer Name: j r,1y�,�, ❑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 <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 ❑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 /> Signe ( Date: l0 ` ,4 L <br /> �/f <br />