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EVERETT <br />WASHINGTON <br />Project Name <br />Location <br />INTERDEPARTMENTAL PERMIT REQUEST <br />For City of Everett Department use Only <br />Downtown Public Restrooms <br />Site #1 - EMB / 2912 Wetmore Avenue <br />PERMITTYPE CC GL ACCOUNT NUMBER <br />BUILDING B5 002-322-1101-831 <br />PLAN CHECK <br />a'y3c Dr Sca— <br />�s c l'�'w l>JXZ%9-- <br />t-5eccp-- <br />SEWER <br />PAVING <br />?U-) SITE INSPECTION <br />B c i :;�� Vz� <br />1Zfb5,,o/\ T <br />U, 2Ko5 -oZ� <br />-�)o -ZxAoq , cGq <br />62404-- 02 � <br />FEE <br />LA 2S <br />B1 <br />002-345-8300-831 <br />'j 3 . `\ `t <br />g c. <br />• o 0 <br />00- <br />-164LL OCR <br />�O <br />L�o� -7t 3 Z - 00 <br />B9 <br />401-343-5010-946-000 <br />1-O - 0 0 <br />BJ <br />L45.00 <br />BE <br />��102-322-4014-831 <br />�9H 2-342-4016-831 <br />20 - 0 0 ` - 35 .O O <br />g0 <br />�3o-311S-83c2-S3S <br />Zp.op <br />grn <br />c3o_3uS—$3cc-$3f <br />?� • CEO <br />SURCHARGE 67 670-389-3060-000 <br />�eG �C3Ft5-�1�2-102, <br />ACCOUNT(S) TO BE CHARGED (do not use objects 9xx) <br />342-537-0000-650 <br />04/11 /2024 <br />A T ORIZATIO SIGNATURE <br />DATE <br />anU� <br />MAY 0 9 2024 <br />CITY OF EVERETT <br />Permit Services <br />