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w <br /> W( 066-0 2-a' <br /> Application for <br /> P'-'7- Public Works Permit <br /> Public Works Department <br /> ,. 3200 Cedar Street <br /> Everett, WA 98201 425-257-8810 <br /> / Date: 06-17-13 <br /> / <br /> t <br /> Owner Name: Anthem Self Storage LLC Applic. 't Name:ame: James Pontak <br /> Mailing Address:8115 Broadway, Suite 204 iling Address: 8115 Broadway, Suite 204 <br /> • <br /> Everett, WA 98203 Everett, WA 98203 <br /> Email Address: jpontak@integralnw.coj_ Email Address: jpontak@integralnw.com <br /> I <br /> Phone Number: 206-295-4869 hone Number: 206-295-4869 <br /> 11 <br /> Contact for Permit(Name/Phone E��\a'\• <br /> James Pontak 206-295-4869 <br /> / • jpontak@integralnw.com <br /> .....w.-s.. .----.4s VE <br /> Description of Work: Wat- main exte sion. <br /> I JUN' t7 2013 <br /> IT'''.../J FVLP,... . ..... <br /> .....0 <br /> Perm':trig <br /> (A drawing or plan ay be needed to illustrate work to be done) <br /> /G/a �j- t <br /> Site Address: %%%�,r Everett Mall Way <br /> Comments from Inspector during initi:t spectio : / <br /> A4.1; rr " fir.1-3.7z64-otartev,s- -ate7rec41 A--e-7, ,,64— <br /> �vA 6 rof off-- <br /> iv rray &pm 4'771- ' <br /> Approved for issuance by: - Date: <br />