7601 RIDGEWOOD DR A T AND T WIRELESS ANTENNAS 2022-03-01

PERMIT APPLICATION 0011111P--- BUILDING I MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES ' 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 j FAX 425-257-8857 1(E)evenstteps@everettwa.gov j wwureverettwa.gov/permits (Blue or Black ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:7601 Ridgewood Drive PROPERTY TAX#00603700000400 LEGAL for new construction: Short Plat/subdivision see legal sheet A-1 digs Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Valley View Property, LLC TENANT NAME(If Commercial): New Cingular Wireless PCS, LLC. OWNER MAILING ADDRESS: STREET 13300 Bothell-Everett Hwy Ste 303 city Mill Creek STATE WA ZIP 87012 OWNER PHONE: (OWNER EMAIL CONTRACTOR NAME: General Dynamics Info Tech CONTRACTOR ADDRESS: STREET 19240 Des Moines Memorial Drive South Suite 300 CITY SeaTac STATE WA zip 98148 CONTRACTOR PHONE: 'CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQURED): GENERD1927CG ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED):054962 PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR V]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@tykaconsulting.com BUILDING PERMIT APPLICATION Existing Use of Building: Unmanned Wireless Communications Facility Contract Price of Work:$20,000 Proposed Use of Building:Unmanned Wireless Communications Facility Heat Source: ❑Gas ❑Electric ❑Other N/A Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑lndustrial Type of Project: ❑New ❑Addition rd Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: AT&T is proposing to replace(2) antennas, add (1) antenna, and install (6) TMA.'s on existing utility pole. No increase in height or ground disturbance is proposed. Ancillary equipment to be removed. ,ASSOCIATED BUILDING PERMIT#(if applicable): 81605-041 MECHANICAL PERMIT APPLICATIONI N/A I PLUMBING PERMIT APPLICATION Type of Project: New Addn _Alteration _Repkt Type of Project: New Addn Alteration _Repair N/A #of List of Fixtures #of List of Fixtures #of List of Fixtures #of 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%SUPPRESSIO SYSTEM (Number of Heads IN/AI ACKNOWLEDGEMENT:1 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 am authorized by the owner of this property to perform the work for which application is made, and I comply ' the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only i/ " 0 r P #«t Owner/tftoTlzetAgent Signature Date (Revised 9/23/2016)