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iPERMIT APPLICATIONS <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />2t)q PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 2LJ9-East Casino Road <br />PROPERTY TAX #:00598700000101 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME:Crown Castle International TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: STREET 1505 Westlake Ave North Suite 800 <br />CITY Seattle STATE Seattle zip 98109 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME: General Dynamics <br />CONTRACTOR ADDRESS: STREET 296 SW 43rd Street, Building 4 <br />UTY Renton STATE WA ZIP 98057 <br />CONTRACTOR PHONE: 425-445-6777 <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): GENERD1927CG <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: AT&T SN91 Everett Highway <br />CONTACT PHONE: Sharon Snook, Camp+ & Assoc., 206-851-9909 <br />CONTACT EMAIL: sharon.snook@campassoc.com <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: Cell Tower <br />Contract Price of Work: $ 21,500 <br />Proposed Use of Building: No Change <br />I Heat Source: ❑Gas ❑Electric []Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi -Family-# of Units: ®Commercial ❑Industrial <br />Type of Project: ❑New ❑Addition ❑Remodel ®Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: Replace (3) Existing panel antennas with (3) new panel antennas, Add (3) new RRH units on the <br />existing rooftop. Add (3) AMP Breakers <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: New Addn Alteration Repair <br />Type of Project: New Addn Alteration Repair <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br />A/C — Air Handling Units <br />Heat Pump <br />Toilet <br />Backflow Preventer (Inside Bldg) <br />Forced Air Systems <br />Unit Heater <br />Bathtub <br />Urinal <br />Gas Piping <br />Boiler <br />Lavatory (Wash Basin) <br />Drinking Fountain <br />Water Heater <br />Refrigeration <br />Shower <br />Floor Drain <br />Gas Fireplace <br />Wood Stove <br />lKitchen Sink & Disposal <br />lGrease Trap <br />Gas Range <br />Ducting <br />IDishwasher <br />I Roof Drains <br />Clothes Dryer Hookups <br />Other: <br />Clothes Washer <br />Medical Gas <br />Range Hood <br />Water Heater <br />Other: <br />Exhaust Fan <br />Sink (Service/Bar/Mop/etc.) <br />Other: <br />SPRINKLER <br />/ SUPPRESSION <br />SYSTEM <br />Number of Heads <br />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 <br />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 <br />Building Official before being authorized under any circumstance. I am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, <br />and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERMIT 11 <br />i <br />(Revised 1011212015) <br />