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EVERETT CITY OF E V E R ETT OFFICE USE ONLY <br /> WASHINGTON Permit Services Transmittal Date Received Stamp <br /> PERMIT/PROJECT#: � I O — G J / <br /> SITE ADDRESS: /q 170 VT hitf <br /> PROJECT NAME: CA ✓ a <br /> FROM: /"(Kv✓ A✓, COMPANY: / V ` V �C7(�I I`/CA.,I []Chronology-Permit Counter Transmittal <br /> y�� ���- o�3 b 1��co f, ❑Plan Review Routing <br /> PHONE#: <br /> EMAIL: �{/) // Location: []File []Reviewer Office <br /> la 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: I,y ❑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 <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 /> Signed: Date: �/ O�Y <br /> I <br />