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"11" 0 PERMIT APPLICATIO. <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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only PNase) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1602 Hewitt Ave PROPERTY TAX#:00644968300300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: 1602 HEWITT LLC TENANT BUSINESS NAME(Commercial): Verizon Wireless <br /> OWNER MAILING ADDRESS: STREET PO BOX 5267 <br /> ciTY EVERETT STATE WA ZIP 98206 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: d "&o2..G e y-Z ' 4— C o r---c / ,r-rC <br /> CONTRACTOR ADDRESS: STREET Cc3 `•c -</ Sc--1 �-v 7E_ /CO <br /> CITY/✓.G/22 Ge/ STATE J4-. ZIP Cq2- <br /> CONTRACTOR PHONE: 42L ?�4{ 39 5'/ CONTRACTOR EMAIL: -J C S 2-(_c 7-C-••C'o ( <br /> CONTRACTOR LICENSE#(REQUIRED)$/0-9/7'- CjfC 5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 4 f) <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR D OTHER(Please Specify) Applicant on behalf of Verizon Wireless <br /> CONTACT NAME: CONTACT PHONE:425-346-0128 <br /> Madeline Chaney CONTACT EMAIL:madeline. ney campassoc.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:office with rooftop antennas Contract Price of Wor :$66,000 <br /> Proposed Use of Building:no change Heat Source: ❑Gas ❑EI tric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Remove 7 existing antennas; replace with 8 new antennas . 2 antennas per sector will face north, south <br /> and east on existing frames; west frame will have framing and an antenna added for a total of 2.Also replace 11 remote radio <br /> units (RRUS), with 8 new models. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System o.of Heads <br /> Chemical Suppression System I INo.of Heads <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 l 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 /> //i0kP 1/14/19 PERMIT# V-)kclO( D <br /> Owner/Authorized Age dature Date (Revised 10/10/2018) <br /> t <br />