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EVERETT <br />WASHINGTON <br />INTERDEPARTMENTAL PERMIT REQUEST <br />For City of Everett Department use Only <br />e <br />Project Name <br />Location <br />l0 qu,111% <br />PERMIT TYPE <br />BUILDING <br />CC <br />B5 <br />GLACCOUNTNUMBER <br />002-322-1101-831 <br />FEE Q <br />3,6L�d <br />PLAN CHECK <br />B1 <br />002-345-8300-831 <br />SL� 1b2'2o3 -c;LA b <br />ELECTRICAL <br />B4 <br />002-322-1200-831 <br />C ,,.^ Z�� r� <br />MECHANICAL <br />B2 <br />002-322-1500-931 <br />J . �0 Y�' <br />PLUMBING <br />B3 <br />002-322-1300-831 <br />SEWER <br />B9 <br />401-343-5010-946-000 <br />PAVING <br />BJ <br />002-322-4014-831 <br />SITE INSPECTION <br />BE <br />002-342-4016-831 <br />MISCELLANEOUS <br />BK <br />002-322-4017-831 <br />WATER CONNECT <br />BO <br />401-343-4011-947-102 <br />.Q 2 0' t -E <br />SURCHARGE <br />B7 <br />670-389-3060-000 <br />2-5 .00 <br />Q�ng 31rQ 44 sue, C� 002-345-%112- <br />(02 (327-03-0L4 b <br />cn?--3Ft2-40co-0(L4 <br />LA (2 •oa 2203 -o�--ICE <br />ACCOUNT(S) TO BE CHARGED (do not use objects 9xx) <br />UZI°�- <br />'e�� �� =-' l <br />AUTHORIZATION SIGNATURE <br />