3710 TULALIP AVE 2024-06-13 - Laserfiche WebLink

iriE B!LDING PERMIT APPLICATIN CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3710 lip Avenue PARCEL#: 290530 003 008 00 CITY Everette O �I STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):SNO911 LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:City of Everett OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAM :TBD D Vti t(US 5 Sid S T vv'"5 WA STATE CONTRACTOR LICE EQUIRED):PAl WI54 U%OS(VI CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):Cj 1+41 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER III CONTRACTOR ❑✓ OTHER(Please Specify) Agent for SNO911 CONTACT NAME: CONTACT PHONE:206-523-3764 M i I Ai ppersbach CONTACT EMAIL:maipp@comcast.net BUILDING INFORMATION VALUATION OF WORK $59,750 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the preva ng fair m et value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:911 comunication facility PROPOSED USE OF BUILDING:911 communication facility HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Scope of project consists of removing (1) dipole antenna, (3) omni antennas and relocate one omni antenna. Add (5) omni antennas, (2) panel antennas and (2) microwave antennas to guyed tower. Inside existing shelter radio equipment will be updated and existing battery stack exchanged for newer version. 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. ` AAA'A ` City of Everett Official Use Only licx", .....cm s fi-r Owner/Authorized Agent Signature Date t (Revised 2/8/2021) /A