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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: PROPERTY TAX# PE IT# <br /> 319 76th St. SW; Everett, WA 98203 003920-000-060-05 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER City of Everett Phone/E-mail <br /> Address QCD 478/356 3002 Wetmore Avenue City/State/Zip Everett,WA 98201 <br /> APPLICANT:_Owner _Owner's Agent _Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR MYCOM North America Inc state Lic.#602 080 603 City Bus. Lic.# <br /> Address Holcomb Bridge Rd;Roswell, GA 30076 Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Andi Spencer on behalf of <br /> T-Mobile Crown Castle; on behalf of T-Mobile <br /> Phone/E-mai 1206-336-2867 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 45,000 <br /> Existing Use of Building Existing 97 ft Monopole HEAT SOURCE: <br /> Proposed Use of Building Existing 97 ft Monopole Gas_ Electric Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family X Commercial <br /> Type of project: New Addition Remodel Repair T.1. Sin Sprinkler Demolition Chane of Use <br /> DESF�13P)TpION QF rQrAaddltponai mace nidegd gr the ba�lc�: ( ) <br /> swapl ane s for 11��11 ew anis; acQ1QQin l 1 t'tC s. swapexistingMW at 80 with 1 new MW. <br /> FINAL CONFIGURATION of- (6) panels, (6) coax cables, (1) hybrid cable, (3) FRLBs, (3) FRIG, (2) FXFB, <br /> (6) TMAs, (6) diplexers AND (1) COVP; (2) MWs and (2) MW lines. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> Forced airs stems Bathtub <br /> Gas piping Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink (service/bar/mop/etc.) <br /> Heat pump Backflow preventer inside bldg) <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be comp) <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That 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, <br /> ,Arccro.`` ert-6a�c��l eel t��urrL 07/22/2015 � <br /> Owner/Authorized Agent Signature Date (Revised 4/2015) �� <br />