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� <br />� �� <br />ERMIT 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: <br />2930 Wetmore Ave Everett, WA 98201 <br />PROPERTY TAX # <br />00644968301801 <br />LEGAL for new construction: Short PlaUsubdivision BLOCK 683 BI,K 683 D-01 Lot No <br />OWNER Citv of Everett <br />Phone/E-mail <br />PERMIT # <br />0 <br />(attach copy of long legal description) LOTS 18 THRL.� 28 <br />Address 3200 Cedar S'1' City/State/Zip Evcrell, WA 98201 <br />� <br />APPLICANT: _ Owner _ Owner's Agent _ Contractor _ Contractor�S Ag@flt _ T0f18f1Y (must provide a letter of consent from the owner to do work in the space) <br />TBD ' � a-? , ' ,'"�,61s�, � � � �" ' �i �( ,� ! � �' --�� ,� � <br />CONTRACTOR ' tj "`' ` "'� State Lic. # ' � � s�F`'� �- 1 � k � Y City Bus. Lic. #C�' ��o� � <br />I � � Q 1 - v _ � . .i'; � ` j � �. ��-% �' =� C=� <br />,rfi�p �ie��'�/v'�Q�✓ �D �j(isOA/ �4`-:. ,���r � �:�,� ;i�„t;� Phone/Email �V -'�;,` a��_ <br />Address �J j J �;zi l: y���"i d o ��_'«;�;_ <br />TENANT BUSINESS NAME CONTACT FOR PERMITCoIin Robinson 360-561-3311 / 425-533-2665 <br />T-Mobile <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building Wireless Communications <br />colin.robinson@cascadiapm.com <br />NTRACT PRICE OF WORK $20,000 <br />HEAT SOURCE: <br />Wireless Communications Facility <br />Proposed Use of Buiiding , Gas_ Electri <br />�: <br />Building type: _ Single Family _ Duple�_Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition �Remodel Repair _ T.L _ Sign _Sprinkler _Demolition_ <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />On Building: remove 3 existing panel antennas, add 3 new panel antennas and add 3 new remote radio units with cabling <br />On Ground: add 1 new rectifier <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number # of fintures <br />A/C — air handlin units <br />Forced air s stems <br />Gas piping <br />Water heater <br />; Gas firepiace <br />' Gas ran e <br />Clothes d er <br />' Ran e hood <br />Exhaust fan <br />Heat pump <br />j Unit heater <br />� Boiler <br />W oodstove <br />; Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />none <br />of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteratian _Repair <br />Show Number (#) of fixtures <br />� Toilet <br />I Bathtub <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mopletc.; <br />Backflow preventer (inside <br />Urinat <br />Drinking Fountain <br />Floor drain <br />Grease tra� <br />Medical Gas <br />Other: <br />I hereby certify that I have read and examined this application and know the same to be Vue and cortect. All provisions of laws and ordinances goveming 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 perfortn the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />7-31-2015 yZ <br />ii/,� jZrr�^--- <br />Owner/Authorized Agent Signature Date (Revised 4/2015) <br />