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CITY OF EVERETT <br /> OFFICE USE ONLY <br /> EVERETT permit Services Transmittal Dat <br /> ECOVE�WASHINGTON <br /> 2308 -p5 3 D <br /> PERMIT/PROJECT#. 0 L �( ,, I p DEC 2 2023 <br /> SITE ADDRESS: 511 -7 J �'�� /�' L ye4--L ' AJA / RZC5 <br /> PROJECT NAME: CITY OF EVERETT <br /> FROM: —1 COMPANY: ❑Chronology—Permit Counter Transmittal <br /> ZS `7 7� � ❑Plan Review Routing <br /> PHONE#: EMAIL: �l.W"y� -a C0�` 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: yl V\ 1—" 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: ❑Other <br /> Provide quantities for all items submitted <br /> PLANS REPORTS/CALCULATIONS OTHER DOCUMENTS <br /> 4tY 2 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-Bui Its 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 />