319 76TH ST SW T MOBILE ANTENNA 2019-09-18

IFIECTRICAL PERMIT AP _ICATION -, CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 319 76th St. SW, Everett, WA 98203 BUILDING AREA(if residential, new construction, remodel, or addition) 150 SF BUILDING TYPE: ❑ SFR-DETACHED El SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Wireless Facility ON rI .. CONTRACT PRICE OF WORK: $ 20,000 NUMBER OF DEVICES (if low voltage): (1)APU 48VDC Generator 7.5KW FIRE ALARM? El YES l NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: T-Mobile proposes to install (1) APU 48VDC Generator 7.5kw and (1) ASME 120 gallon LP tank w/fill valve with integral manual shutoff valve. CONTACT INFORMATION OWNER NAME: City of Everett TENANT NAME(If Commercial): Tower Operator- Crown Castle OWNER MAILING ADDRESS: STREET 2930 Wetmore Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: El OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) Authorized Agent CONTACT NAME: CONTACT PHONE: 206-336-3204 Sarah Baird, Crown Castle, on behalf of T-Mobile CONTACT EMAIL: sarah.baird@crowncastle.com AGREEMENT.I 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 this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 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 296.200 WAC. City of Everett Official Use Only PERMIT# 11/30/2017 E Owner/Authorized Age nature Date (Revised 9/23/2016)