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DEPARTMEt ' TRAN;PGRTATION TO BE CO.'APLETED BY FAA
<br /> ,`EDERAL AVIh1ION ADMINISTRATION Arkw",:;IOAL STUDY NO. r
<br /> NOTICE OF PROPOSED CONSTRUCTION OR ALTERATI(
<br /> _ 1. NATURE OF STRUCTURE Crm'lon, Ault A m.dill, I FAN. Y,'L. COMPLETE AND 'RETURN THIS
<br /> p,(G7rerR on1) iJNN1 IF (:NE OR MORE OF THE FOLLOWING
<br /> 15 A+PLI CAOLC. OTHER:VISI SEPARATE AC-
<br /> QNEW CONSTRL'CTIOK ❑ALTERATI01 KNOYILCOGEM,CNT WILL bC ISSUED.
<br /> B•(Cln•cA UNI•J A. .A STUD• OF THIS FRCPOSAL HAS DIS-'
<br /> (SlJlc Iengd) :LOSCJTa Ai THE PRCPOSCO'S TRUCTURL:
<br /> E]PERMANENT ❑TEMP.'RARY of tiwu) —___M1lns.
<br /> 7. NAME AND ADDRESS OF INDIVIDUAL,CLMPANY, CORPORATION, ETC. PROPOSING L_,GOEs NOT HEO'4IHL A NOTICE TO,FAA.
<br /> THE CONSTRUCTION OR ALTERATION 1V..b...56111,ury.51,11..121P C.Aq
<br /> LLD NOT LXCECO ANY STANDARD
<br /> F
<br /> , F PANT 77 AND WOULD HOT Or A
<br /> / XAZAND TO AIR NAVIGAT,ON,
<br /> TO City of Everett SHOULD OE MARKED AND L14HYED PER
<br /> FA
<br /> KING AN
<br /> 3200 Cedar ❑LIG rTI%aBSTRUADV ,SOTIN R Y ARG RCDLAR
<br /> ` Everett, WA 98201 70:7460.1. '
<br /> REQUIRES SUPPLCNIENT AL NOTICE)
<br /> ❑ r /. I �. r 1 ❑NUTICt FORM' (FAA FORM I17-I) -- _
<br /> ` ENCLOSED.
<br /> D. CCPV SEMI TO FCCI , YE5 ❑ NO
<br /> / PJi (CwING FF F DAT -
<br /> �� - r°
<br /> .44
<br /> I TYPE AND COMPLETE DESCRIPTION OF STRUCTURE
<br /> 159 ft, guyed tower with 181 antenna. Adjacent to City of Everett
<br /> Water Tank (351 high) and within 801 of existing 100' antenna structure.
<br /> 80 to 1001 trees in immediate area, r
<br /> 4. LOCATION OF STr.UCTURE
<br /> A. COORO era,l.r..1 t1r..d1 B. NEAREST CITY OR TOWN, AND STATE
<br /> LAT . ETES LONGITUDE EVCletC WA
<br /> 0 0 (1) DISTANCE FROAI4B (2) DIRECTION FROM 4L
<br /> 47 Ee3w 47 1_22 14 15 Within city MILES {
<br /> C.NAME OF NEAREST AIh PORT, HELIPORT, OR SEAPLANE BASE (t)DI TANCE FROM NEAREST POINT OF(2)AIIRPORT N FROM
<br /> Paine Field 1 ' miles Ea9S_
<br /> D.IIIi S(.R111'I'IOS 1)11 LOGA'I ION or 171E 91111 NI.yPEC7 701116IIt1'IVT. $T REEL i, AIRPORTS, 11R0511%1:NI II:RR:I LC FEAT"Let:S, li A-
<br /> 1S7 IRL 5796C71/RCS, E7 :. IAllurb a IuWWu uY. aner4 .r eN) nrh.N,e,,proyrinu•.np ur waled drat,uu.'Ias uo;d•,-m/a 't,.Otp o/C....rurnor
<br /> dile lu n,wrfat Yirparl(.1. 1, .are q,,,r i..Negwvd. uNIu H,u.n .rpt NAlf ah"t al p1 r.ed ullnr A to IN, Nel1Cr'1 _A
<br /> Y6is datcrr'nin;;i;r, c':-' cs a 00 &1
<br /> 76th 6 Upper Ridge Road, Everett, WA unless a;.glicati;.7 is lx♦a tG itc F;,C to.
<br /> ConstrucUcn p'•... ,;Ia I:1 i d.(K, Or It
<br /> Is olheiW4c a tea._'. r_I_,'. ;r
<br /> o
<br /> 5. HEIGHT AND ELEVATION (Com detf .1r If rind C 1.IN, Aonrosl /out) 6. WORK SCHEDULE DATES
<br /> A. WILL START
<br /> A. ELEVATION OF SITE ABOVE MEAN SEA LEVEL 619 ft. .•,!_
<br /> 3/2/78
<br /> B HEIGHT OF STRUCTURE INCLUDING APPURTENANCES AND LIG�TING 168 ft. U. WILL COMPLETE t••r
<br /> b/--11 ABOVE GROUND,OR WATER IF 50 SITUATED _
<br /> C. OVERALL HEIGHT ABOVE MEAN SEA LEVEL rn+Nl
<br /> 787 ft 4/1/74
<br /> 7. OBSTRUCTION HARKINGS—The completed structure will be: YES NO
<br /> A. MARKED AS SPECIFIED IN THE FAA ADVISORY CIRCULAR 7(17460.1, OBSTRUCTION MARKING AND LIGHTING x
<br /> B. L•1GNTED AS SPECIFIED IN THE FAA ADVISORY CIRCULAR 70/746C•I, GBST=Ut:IXN MARKING AND UGa71N i, x
<br /> I HERIAIN, CERTIFY drat all of the above Ntatcmentr, mide by me are true, compirt_•, and Correa to the best of my knowledge.
<br /> B. NAME AND TITLE OF PERSON FILINC THIS NOTILL ITy,eo.P,uO 9. SIGNATURE R-..0 .
<br /> Jack Requa E
<br /> 0, DATE OFSIGNATUR 111. TEL' '
<br /> ONE59 IN N1.1cre.."A.r..lwlrl
<br /> r 11/29/74 206-2 -5796
<br /> t'elsout wIm Lnuwi'1Fly and willfully fail to comply with the Provi.iuns of the Federal Aviation Rel;ula[iuna Part 77 are little to• fine of
<br /> )500 for the fiat offense, with Increased Penalties theteaher as provided by Section 901(x)of the Federal Aviation All of 1956 as amended.
<br /> FAA Fotm 7460.1 (11.68)SUPLRSEDES FAA Form 117..
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