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CITY OF EV E R ETT OFFICE USE ONLY <br /> EVERETT permit Services Transmittal Date Received Stamp <br /> WASHINGTON <br /> PERMIT/PROJECT#: <br /> SITE ADDRESS: (0�i i (D �G�n►u/ i 1�F C `'V �� <br /> PROJECT NAME:FROM: �Q�Q,ur� COMPANY: CLVI l� &\,1"n <br /> fgg&� cQ J ❑Chronology—Permit Counter Transmittal <br /> _ (_ - E3 Plan Review Routing <br /> PHONE#: 26, •5��.Cb41 EMAIL:_���' 4(,J,It� a Location: pFile pReviewer Office <br /> . Date Logged: By: <br /> Route to: (Check all that apply) Name of Reviewer Type of Review <br /> jPublic <br /> Planning Reviewer Name: Re-Review <br /> Works Reviewer Name: ❑ Revisions After Approval <br /> Building Reviewer Name: ❑ 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 City Clay <br /> _ Architectural/Building Plans _ Geotechnical Report Correction Letter Responses <br /> _ Structural Plans Drainage Report Draft Easement <br /> Civil Plans _ SWPPP Report _ Recorded Easement <br /> 1 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 /> 4- Other C�A&A_ In���, �ZJD�, _ Other Other <br /> Other Other Other <br /> Items submitted are: <br /> El 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: 1 Z t0 I �?'� <br />