2408 39TH ST T MOBILE ANTENNA 2021-11-08

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/permlts (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2408 39th St.,Everett,WA 98201 PROPERTY TAX#: 005760-032-000-11 LEGAL for new construction: Short Plat/subdivision J S Sines Acre Tracts Lot No. 2 SttchA d3e2s cDIA"LwOnT),BJACKr.S1H ENG BPTN OE CB 32 CONTACT INFORMATION OWNER NAME: Jack Sheeler TENANT NAME(If Commerciale f OWNER MAILING ADDRESS: STREET 8919 Eastview.Ave CRY Everett STATE WA zip 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS UCENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER(Please Specify) Authorized Agent CONTACT NAME: CONTACT PHONE: 206-336-3204 Sarah Baird,Crown Castle,on behalf of T-Mobile CONTACT EMAIL: sarah.baird@crowncastle.com BUILDING PERMIT APPLICATION Existing Use of Building: Wireless Communications Facility Contract Price of Work:$ $30,000 Proposed Use of Building: No change Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial ❑Industrial Type of Project: ❑New DAddition ORemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: T-Mobile proposes to remove(3)antennas,(6)RRUs,(3)TMAs,(1)COVP,and(1)hybrid cable;and install 13•)_antennas,(3)RRUs,(2) pendants,and(2)hybrid cables on existing tower.T-Mobile also proposes to remove(3)cabinets,and(2)COVP;relocate system/radio modules and airscale equipment;and install(2)cabinets and(3)junction boxes within existing compound. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project _New _ Addn Alteration Repair Type of Project: New Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of 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 I.SUPPRESSION 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 298.200A WAC. City of Everett Official Use Only 1/26/2021 P IT#� Ol ner/Authorized Ag Si nature Date (Revise 9/23/2018) IZ lam\ ii/