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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBIN G/SIGN/SPRIN KLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - WwW everettwa org •� I z <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM % � t Y ` <br />1 hereby certify that I have read and examined this application and know the same to be true and correct All provisions of laws and ordinances governing <br />this type of work wit be complied with whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel <br />the pr ono ny other state or local law regulating construction a the performance of construction That I am authorized by the owner of this property <br />to rm me rk for �oh application is made and I comply with the State Contractors Law 18 27 RC W and 296 200 WAC <br />rlAuthor Ap Signature la (Revised 2/201f) <br />11Z <br />70ADDRESS: <br />DBT�TH :ST SW 000700 P ' ICU -O`0 <br />LEGAL for new construction Short PlaUsubd,wsion Lot No _ (attach copy Of long regal description/ <br />OWNER WILL JEANNE <br />Phone/E-mail <br />9225 60TH AVE W <br />Ciry/StaterL�MUKILTEO, WA 98275 <br />Address <br />CONTRACTOR TBDL�PERMIT ISSUANCE <br />L81Lic a <br />phonelEmad <br />nddress <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />SUNNY AUSINK 206-446-0448 <br />AT&T MOBILITY <br />Pnn�e:e�,al SAUSINK�F1'SWA.COM <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK a 15 , 000 <br />Existing Use of Building N/A - EXISTING TOWER HEAT SOURCE: <br />Gas N/�ledriC N Fbther N/A <br />Proposed Use or Building <br />Building type: Family _Duplex _Townhouse _ Multl•Family __Commercial <br />_Single <br />Type of project: _New _Addition _Remodel _Repair_ T.I. _Sign _Sprinkler _Demotition_Change or Use <br />prvtdpll0n Or Work (edddronal apace provided on fho beck <br />NEAIUS PROPOSES TO CONSTRUCT AN UNMANNED TELECOM UNICATIONS FACILTy CONSISTING OF AADDING I110MNI ANTENNA TO THE EXISTING 155'IATTu. <br />TOWER AND Ill EQUIPMENT CABINET MOUNTED ON H�FRAME WITHIN A 4'k4' LEASE AREA. <br />Have you started working without a permit? _YES _._ NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Prolecl'. _New -_Addn —Alteration _Repair <br />Type of Project: _Now __Atldn Alteration _ _Repair <br />Show Numf»r a d flrfuna <br />Show Number (a) o/ filatures <br />A/C — air handling units <br />Toilet <br />Forced air systems <br />Bathtub <br />Gas Piping <br />Lavatory (wash basin) <br />Water heater <br />Shower <br />Gas hr IBCe <br />Kitchen sink 8 disposal <br />Gas re a <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Rimme hood <br />Water heater <br />Exhaust fan <br />Sink serncei0arimopletc) <br />Heat puTR. <br />BackOow revenler <br />Unit heater <br />Urinal <br />Boiler <br />Drinkln Fountain <br />ReM erabon <br />Floor drain <br />WOadslove <br />Grease trap <br />Ductin <br />Rool drains <br />Other <br />Medical Gas <br />SPRINKLER /SUPPRESSION SYSTEM <br />Other <br />Number Of Heads <br />Other <br />