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EVERETT <br /> WASHINGTON INTERDEPARTMENTAL PERMIT REQUEST <br /> For City of Everett Department use Only <br /> Project Name Phil Johnson Playground Replacement <br /> Location 400 Sievers-Duecy Blvd <br /> PERMIT TYPE CC GL ACCOUNT NUMBER FEE <br /> BUILDING B5 130-322-1101-831 <br /> PLAN CHECK B1 130-345-8300-831 <br /> ELECTRICAL B4 130-322-1200-831 <br /> MECHANICAL B2 130-322-1500-831 <br /> PLUMBING B3 130-322-1300-831 <br /> SEWER B9 401-343-5010-946-000 <br /> PAVING BJ 130-322-4014-831 <br /> SITE INSPECTION BE 130-342-4016-831 2-0 - 00 <br /> MISCELLANEOUS BK 130-322-4017-831 ZS • C 9 <br /> WATER CONNECT BO 401-343-4011-947-102 <br /> SURCHARGE B7 670-389-3060-000 <br /> 4b l30 - MS -8312-g3 . 00 <br /> �uc �Dt'1 p <br /> ACCOUNT(S)TO BE CHARGED(do not use objects 9xx) <br /> 354-500-0000-089-494 w ) D <br /> V <br /> JAN 0 3 2M <br /> Digitally signed by Katherine Phillips CITY OF E <br /> Katherine Phillips Date:2024.01.0215:33:34.08'00' 01/02/2024 Permit ERETT <br /> AUTHORIZATION SIGNATURE DATE Services <br />