6107 BERKSHIRE DR T MOBILE ANTENNA 2022-01-11

47r PERMIT APPLICATIO BUILDINPMECHANICAL / PLUMBING /SIGN I PRINKLER / 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:61 07 Berkshire Drive, Everett, WA 98203 PROPERTY TAX#:28050600400900 LEGAL for new construction: Short Plat/subdivision N/A Lot No._N/A (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: City of Everett TENANT BUSINESS NAME(Commercial): Tower Operator-Crown Castle OWNER MAILING ADDRESS: STREET2930 Wetmore Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Pioneer Communications Group CONTRACTOR ADDRESS: STREET 13430 NE 177th PI cm, Woodinville STATE WA ZIP 98072 CONTRACTOR PHONE:(425) 481-5500 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED):602-973-461 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 48878 PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER (Please Specify) Authorized Agent CONTACT NAME: CONTACT PHONE:425-622-7879 Amanda Imper, SAC Wireless on behalf of T-Mobile CONTACT EMAIL:amanda.imper@sacw.com BUILDING INFORMATION Existing Use of Building:Wireless Facility Contract Price of Work:$ .5,000 Proposed Use of Building ` Heat Source: ❑Gas tric ❑O'+ter- BUILDING USE: ■, nhouse - • plex !ha, ' Fa ' Uni s— ` •mmercial - cessory Structure Type of Project: w I S!dition e=model ■e:pair • n ❑Sprinkler nemolition ange of Use DESCRIPTION OF WORK: T-Mobile proposes to replace existing Powergen 7500 APU Generator with New Generac 25kW gas gas generator ASSOCIATED BUILDING PERMIT#(if applicable): t `0 t 'dad MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems 1 Other: Generator Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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 296.200A WAC. City of Everett Official Use Only PERMIT# Amanda Imper e vaned by Amanda a daImpr Dale 2019.0vt513250-onc 1/15/19 / 03-o 3g Owner/Authorized Agent Signature Date (Revised 10/10/2018)