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EVERETT <br /> WASHINGTON INTERDEPARTMENTAL PERMIT REQUEST <br /> For City of Everett Department use Only <br /> Project Name 2f4O Z' U 3 .f,w�i� <br /> Location tC(N1 <br /> PERMITTYPE CC GL ACCOUNT NUMBER FEE <br /> BUILDING 85 130-322-1101-831 <br /> PLAN CHECK B1 130-345-8300-831 <br /> 0 <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 <br /> MISCELLANEOUS BK 130-322-4017-831 <br /> WATER CONNECT BO 401-343-4011-947-102 <br /> SURCHARGE B7 670-389-3060-000 <br /> ACCOUNT(S)TO BE CHARGED(do not use objects 9xx) <br /> U <br /> [E <br /> MAR 01 2024 <br /> L" �2 _ CITYOF{ EVERETT[' <br /> 3' -2D2` it Services <br /> AUTHORISATION SIGNATURE DATE <br />