2707 COLBY AVE CINGULAR WIRELESS ANTENNAS 2021-11-01

PERMIT APPLICATION _ '1.---"4 BUILDING/ MECHANICAL/PLUMBING /SIGN I 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:2707 Colby Avenue PROPERTY TAX#: 00439162500100 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: Skotdal Mutual LLC TENANT NAME(If Commercial): New Cingular Wireless PCS, LLC(AT&T) OWNER MAILING ADDRESS: STREET PO Box 5267 CITY Everett STATE WA ZIP 98206 OWNER PHONE: 425-252-5400 OWNER EMAIL: Unknown CONTRACTOR NAME: General Dynamics Info Tech CONTRACTOR ADDRESS: STREET 19240 Des Moines Memorial Drive, bldg. C CITY SeaTac STATE WA ZIP 98148 CONTRACTOR PHONE: 425-2014830 CONTRACTOR EMAIL:jay.kim@gdit.com S CONTRACTOR LICENSE#(REQUIRED): GENERDI927CG CITY OF EVERETT BUSINESS LICENSE#(REQUI ).1 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR V OTHER(Please Specify) Authorized Agent CONTACT NAME: CONTACT PHONE: 0:206-523- 5.351.3392 Christine Contreras, on behalf of AT&T CONTACT EMAIL:ccontrer aconsulting. om BUILDING PERMIT APPLICATI N Existing Use of Building: Unmanned Wireless Communications Facility Contract Price of Wo :$15,000.00 Proposed Use of Building:Unmanned Wireless Communications Facility Heat Source: ❑G ❑Electric her N/A Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Mufti-Family-#of Unit : Vl mmercial ❑Industrial Type of Project: ❑New ❑Addition I/7Remodel ❑Repair ❑T.I. ❑Sign ❑Sprin er ❑Demol''on ❑Change of Use DESCRIPTION OF WORK: AT&T is proposing to replace(4)existing RRH units and to add(2)diplexers on the existing rooftop facility. No increase in height or ground disturbance. ASSOCIATED BUILDING PERMIT#(if applicable): B1707-022 MECHANICAL PERMIT APPLICATION IN/AI PLUMBING PERMIT APPLICATION Type of Project: _New_ Addn _Alteration _Rep r Type of Project: _New _Addn _Alteration _Repair IN/A #of List of Fixtures #of List of Fixtures #°f List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—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/SUPPRESSIOtI SYSTEM (Number of Heads N/A I 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 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply wit the State Contractors Law 18.27 RCW and 296.200A WAC. / City of Everett Official Use Only Owner/ *gent Signature I Dat (Revised 9/23/2016) //z