8215 BROADWAY CROWN CASTLE ANTENNA 2019-01-24

ELECTRICAL PERMIT APPLICATION I�►`, • CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits � E # PROJECT ADDRESS: 8215 Broadway Ave BUILDING AREA(if residential, new construction,remodel,or addition)Outdoor 80 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: m COMMERCIAL USE OF BUILDING: Outdoor Cellular compound 80 SF of lease space CONTRACT PRICE OF WORK: $ 15,000 NUMBER OF DEVICES(if low voltage): N/A FIRE ALARM? 0 YES m NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: New 200 amp service to feed new telecom equipment. 12 branch circuits. Approximately 300' of feeders out to SNOPUD pole mounted transformer. OWNER NAME:William C Feeley TENANT NAME(If Commercial): Crown Castle OWNER MAILING ADDRESS: STREET 8215 Broadway Ave CITY Everett STATE WA ZIP 98203 OWNER PHONE: 206-336-2870 OWNER EMAIL: Clinton.griffeth@crowncastle.com CONTRACTOR NAME: Mastec Network Solutions CONTRACTOR ADDRESS: STREET 22263 68th Ave S c,T,. Kent STATE WA ZIP 98032 CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): MASTENS863JS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 54443 PRIMARY CONTACT: 0 OWNER VI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-370-8961 Anthony Brubach CONTACT EMAIL:anthony.brubach@mastec.com AGREEMENT:1 hereby certify that/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 completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# rv, , thakrzi 10/2/2018 E 'SV)- 0Z9 Owner/Authorized Agent Signature Date (Revised 9/23/2016)