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477 PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1 832 Walnut St. PROPERTY TAX#: 00556340601701 <br /> LEGAL for new construction: Short Plat/subdivision see legal sheet A-1 dwgs Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Child Evangelism Fellowship TENANT NAME(If Commercial): T-Mobile <br /> OWNER MAILING ADDRESS: STREET 2525 Broadway#4503 <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Mastec Network Solutions Inc <br /> CONTRACTOR ADDRESS: STREET 22263 68th Ave S <br /> CITY Kent STATE WA ZIP 98032 .,---- <br /> CONTRACTOR PHONE: 425-281-4896 CONTRACTOR EMAIL: raymond.porten@mastec.com <br /> CONTRACTOR LICENSE#(REQUIRED): MASTENS876KN CITY OF EVERETT BUSINESS LICENSE#(REQUIRE • sc_v_kik`5) <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR LI OTHER(Please Specify) Authorized Agent <br /> CONTACT NAME: CONTACT PHONE: 0: 206-523-1941 / M: 425.351.3392 <br /> Christine Contreras, on behalf of T-Mobile CONTACT EMAIL: ccontreras@rykaconsulting.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Unmanned Wireless Communications Facility Contract Price of Work: $20,000 <br /> Proposed Use of Building: Unmanned Wireless Communications Facility Heat Source: Gas ❑Electric ❑Other N/A <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: El Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ORemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> T-Mobile is proposing to replace the existing antenna mounts, replace (3)panel antennas, add (3)panel antennas, and remove(9) radios <br /> with (6)new radios. No height increase and no ground disturbance. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B1508-042 <br /> MECHANICAL PERMIT APPLICATION IN/A I PLUMBING PERMIT APPLICATION <br /> Type of Project: New _ Addn _Alteration _RepaltP Type of Project: _New _Addn _Alteration _Repair N/A L <br /> #of #of #of #of <br /> Fixtures List of Fixtures Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION_SYSTEM <br /> Number of Heads N/A <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> l�9/24/20 PERMIT ^ C) CID <br /> Owner*.uthorized Age .Signature Date (Revised 9/23/2016) <br />