2707 COLBY AVE A T AND T MOBILITY ANTENNA 2019-05-29

PERMIT APPLICATION BUILDING I MECHANICAL/PLUMBING/SIGN 1 SPRINKLER 1 DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION. PROJECT SITE ADDRESS:2707 Colby Avenue PROPERTY TAX#: 00439162500100 LEGAL for new construction: Short Plat/subdivision see legal sheet A-1 dwgs Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SkOtdal Mutual LLC TENANT NAME(If Commercial): New Cingular Wireless PCS, LLC(AT&T) OWNER MAILING ADDRESS: STREET PO Box 5267 CITY Everett STATE WA ZIP 98206 OWNER PHONE: 425-252-5400 OWNER EMAIL: N/A CONTRACTOR NAME: TBD - out to bid CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 4 OTHER(Please Specify)Authorized Agent CONTACT NAME: CONTACT PHONE: 0:206-523-1941 / M: 425.351.3392 Christine Contreras, on behalf of AT&T CONTACT EMAIL:ccontreras@ cons Iting.com BUILDING PERMIT APPLICA IO Existing Use of Building: Unmanned Wireless Communications Facility Contract Price of Wo .$20,000.00 Proposed Use of Building:Unmanned Wreless Communications Facility Heat Source: ❑Gas ❑Electric •Other N/A Building Type: ❑SFR-Detached ❑SFR-Attached ID Duplex ❑Multi-Family-#of Units: ❑^ommercial ❑Industrial Type of Project: ❑New DAddition Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler e i• on ❑Change of Use DESCRIPTION OF WORK: AT&T is proposing to replace(3)panel antennas,add(8)associ•e.RRH units,:nd(1)DC Surge Suppression unit on the existing rooftop facility.No increase in height or ground disturbance. ASSOCIATED BUILDING PERMIT#(if applicable): :1602-03- MECHANICAL PERMIT APPLICATI• m II PLUMBING PERMIT APPLICATION Type of Project: New_ Addn _Alteration _Rep. Type of Project: _New _Addn _Alteration _Repair IN/A _ #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures _ Fixtures Fixtures NC—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 Number of Heads I N/A I 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 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 Oft' ore--' • - horized 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, and I com y with the r.to Cont=ctors Law 18.27 RCW and 296.200A WAC. 1City of Everett Official Use Only 6 1 if )3 /1 PERMITS`eq ( 22 Owner/dytlt6TfZa gent Signature Date (Revised 9/2312016)