2520 MADISON ST SPRINT ANTENNA 2019-11-06

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION 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 )jj31r"e-ar 3j*t cfnk Ong Peas `i 4ito CT i E 1' M 3 i PROJECT SITE ADDRESS: 2520 Madison Street, Everett, WA 98203 PROPERTY TAX#: 002758634 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) .a .,.., .r... ,..,,,x.,. ...._ m`CONT4V19N 0i MAiT O n ..: i ., L,,�.�.<.. ,v,.�� a , a. F a .... ..#lf' .. An.aa�mP�&...�. �''�" ,< m,a, „Y �S, -i mu.n,r.+, irr$�<�»} OWNER NAME: American Tower Company TENANT NAME(If Commercial): Sprint OWNER MAILING ADDRESS: STREET 116 Huntington Avenue CITY Boston STATE MA ZIP 02116 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: MaSteC CONTRACTOR ADDRESS: STREET 22257 68th Ave. S CITY Kent STATE WA ZIP 98032 CONTRACTOR PHONE: 206-683-4992 CONTRACTOR EMAIL: Justin.brogi@mastec.com CONTRACTOR LICENSE#(REQUIRED): 603235974 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054443 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR lid OTHER(Please Specify) agent for Sprint CONTACT NAME: CONTACT PHONE: 858-754-2151 Lorelei Foronda CONTACT EMAIL: Iforondaamd7.com BUIILDING;PERMITAPPLICATION;;; Existing Use of Building:Unmanned telecommunication facility Contract Price of Work:$ 50,000 Proposed Use of Building: Unmanned telecommunication facility Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: 17Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Modify existing telecommunication facility as depicted on page T-1 of the construction drawings. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL.PEERMIT,APPLICATION : .,,,,;i PLUMBING,PERMIT,AP.PLICATION s` " , Type of Project: _New _ Addn _Alteration _Repair Type of Project: New _Addn _Alteration _Repair Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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: ` SPRIlI ,KILER,/;SUPPRES001 SYSTEM.; , :, !Chemical or Water I No.of Heads 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 PERMITJa in(6 i;71L 08/08/2019 Owner/Authorized Agent Sig ure Date (Revised 9/23/2016) i 7i