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CITY OF EVERETT <br /> EVERETT OFFICE USE ONLY <br /> WASHINGTON <br /> Permit Services Transmittal Date Received Stamp <br /> PERMIT/PROJECT#: � { \a <br /> SITE ADDRESS: -1n-)1- 7 M ;�� <br /> PROJECT NAME: <br /> Cj����, � <br /> FROM: J 1 COMPANY: 11y "\ ❑Chronofogy—Permit Counter Transmittal <br /> �` (�'(� ❑Plan Review Routing <br /> PHONE#: � ' `�� " v EMAIL: 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 /> Building Reviewer Name: ❑ Revisions After Issuance <br /> Fire Reviewer Name: ❑Other <br /> El 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:—.- <br />