2408 39TH ST CINGULAR WIRELESS ANTENNA 2019-09-10

PERMIT APPLICATION ell110111111111°:"."-A'NftiBUILDING I MECHANICAL 1 PLUMBING / SIGN / SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2408 39th Street PROPERTY TAX#: 00576003200011 LEGAL for new construction Short Plat/subdivision see legal sheet A-1 dwgs Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Jack Sheeler TENANT NAME(If Commercial): New Cingular Wireless PCS, LLC. OWNER MAILING ADDRESS: STREET 8919 Eastview Avenue CIT, Everett STATE WA ZIP 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: General Dynamics Info Tech AT&T is proposing to swap three existing panel antennas with three new antennas, install nine RRH units at existing antenna level, and add one Surge Suppression until on the exiting monopole. Ancillary equipment will be added in the existing lease area. No increase in tower height or ground disturbance. CONTRACTOR PHONE: (CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): GENERDI927CG CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):054962 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ,i OTHER (Please Specify) Authorized Agent CONTACT NAME: CONTACT PHONE: 0: 206-523-1941 / M: 425.351.3392 Christine Contreras, on behalf of AT&T CONTACT EMAIL: ccontreras@rykaconsulting.com BUILDING PERMIT APPLICATION Existing Use of Building: Unmanned Wireless Communications Facility Contract Price of Work: $ 20,000.00 Proposed Use of Building: Unmanned Wireless Communications Facility Heat Source: ❑Gas ❑Electric ❑Other N/A Building Type: DSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: DCommercial ❑Industrial Type of Project: ❑New DAddition ORemodel DRepair ❑T.I. OSign ❑Sprinkler ❑Demolition ❑Change of Use Q) ( IPTION OF WORK: P. Is proposing to swap three existing panel antennas with three new antennas, install nine RRH units at existing antenna level, and add one Surge Suppression until on the exiting rnonopole. Ancillary equipment will be added in the existing lease area. No increase in tower height or ground disturbance. ASSOCIATED BUILDING PERMIT#(if applicable): R1601-009 MECHANICAL PERMIT APPLICATION N/A _ PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration Repair Type of Project: _New Addn _Alteration Repair I IA I #of #of #of #of t _ List of Fixtures List of Fixtures List of Fixtures List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater _ Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove _ Kitchen Sink& Disposal Grease Trap Gas Range Ducting _ Dishwasher Roof Drains Clothes Dryer Hookups Other: _ Clothes Washer Medical Gas Range Hood Water Heater Other Exhaust Fan Sink(Service/Bar/Mop/etc.) Other. SPRINKLER/ SUPPRESSION.._SYSTEM _ Number of Heads N/A _ ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct Work done pursuant to this permit must comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance. I am the owner.or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT,# ICJ) OwnerhkerttibriZextAgent Slifatufrit. Date (Revised 9/23/2016)