609 WOOD PL SPRINT ANTENNAS 2019-01-22

• PERMIT APPLICATIOO BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 609 Wood Place PROPERTY TAX#: 29043600400600 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) see attached CONTACT INFORMATION OWNER NAME: Olympic Park LLC TENANT NAME(If Commercial): Sprint OWNER MAILING ADDRESS: STREET 2910 Colby Ave CIT, Everett STATE WA ZIP 98201. OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: TED l`. L CONTRACTOR ADDRESS: STREET QL I L, b CITY STATE - ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: [[�� CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQ RED): J PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR M OTHER(Please Specify) applicant CONTACT NAME: Amanda Nations/TAEC for Sprint CONTACT PHONE: 206-778-1548 CONTACT EMAIL: amanda.nations@taec.net BUILDING PERMIT APPLICATION Existing Use of Building: unmanned telecom facility Contract Price of Worfic: $ 20,000 Proposed Use of Building: unmanned telecom facility Heat Source: ❑Gash, ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: INCommercial ❑Industrial Type of Project: ❑New 09Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: modification of existing Sprint telecommunication facility including the replacement of(3) panel antennas and addition of(6) radio units ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn _Alteration _Repair Type of Project: New Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Chemical or Water No.of Heads ACKNOWLEDGEMENT.1 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. 7 City of Everett Official Use Only '7T T CJ `S Owner/Authorized Agent Signature Date (Revised 9/23/2016) u