1832 WALNUT ST 2021-09-10 - Laserfiche WebLink

• • #111IP* 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1 832 Walnut St. PROPERTY TAX#: 00556340601701 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: Child Evangelism Fellowship TENANT NAME(If Commercial): T-Mobile OWNER MAILING ADDRESS: STREET 2525 Broadway#4503 CITY Everett STATE WA ZIP 98201 OWNER PHONE: i ,� OWNER EMAIL: CONTRACTOR NAME: TBD- OUT TO BID 1,(�1 C9 T \' Lim I �/fj CONTRACTOR ADDRESS: STREET ______ 666 CITY STATE ZIP CONTRACTOR PHONE: / (CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED)Ll1 h �L/ll/?j i1 11/1/ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): U PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ZI OTHER(Please Specify)Authorized Agent CONTACT NAME: CONTACT PHONE: 0: 206-523-1941 /M: 425.351.3392 Christine Contreras, on behalf of T-Mobile CONTACT EMAIL:ccontreras@rykaconsulting.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: RlCommercial ❑Industrial Type of Project: ❑New ❑Addition EIRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: T-Mobile is proposing to replace the existing antenna mounts, replace(3)panel antennas, add(3)panel antennas, and remove(9)radios with(6)new radios.No height increase and no ground disturbance. ASSOCIATED BUILDING PERMIT#(if applicable): B1508-042 MECHANICAL PERMIT APPLICATION 1 IN/A PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Reps r I 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/SUPPRESSIONTEM lLSY1 !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 e_00,''�— 9/24/20 PERM( 2-0( 0.- 0 20 Owner uthorized Age Signature Date (Revised 9/23/2016) i/Z