710 N BROADWAY T MOBILE ANTENNA 2021-12-16

• • 414-17 PERMIT APPLICATION BUILDING I 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: 710 N Broadway PROPERTY TAX#: 0049710000900 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: WHIDO ISLE LLC TENANT NAME(If Commercial): T-Mobile OWNER MAILING ADDRESS: STREET PO Box 448 CITY Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: TBD - OUT TO BID CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 41 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: OGas ❑Electric ❑Other N/A Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ZCommercial ❑Industrial Type of Project:_ ONew DAddition (Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use -_ DESCRIPTION OF WORK: T-Mobile is proposing to replace(3)antenna, replace(3)remote radio units,and replace and remove ancillary equipment from the existing SnoPud utility pole.Additionally,T-Mobile will be replacing existing cabinets. No increase in the number of cabinets. No increase in height and no ground disturbance. ASSOCIATED BUILDING PERMIT#(if applicable): B1706-001 MECHANICAL PERMIT APPLICATION IN/AI PLUMBING PERMIT APPLICATION Type of Project: New Addn Alteration Repa r Type of Project: New Addn Alteration Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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/SUPPRESSION SYSTEM 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 9/29/20 PERINIT 0 b31 Owner;Authorized Agem Signature Date (Revised 9/23/2016)