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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425•257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />3200 20th St., Everetl, VJA 98207 <br />LOT NO. BLOCK <br />1 16 <br />Washinqion Department of Transportation <br />PARCEL TAX I.D. p <br />21222110000 <br />TRACT OR SUBDIVISION # <br />St. Nichols Addition to Everet[ <br />P.O. Box 330310, Seatlle WA 98133 <br />� I.�o6�' �� � <br />�PERMI7 # <br />�-�-�� <br />PHONE <br />360-705-7314 <br />TENANT NAME CONTACT FOR PERMIT PHONE 425•308•8710 <br />Venzon Wireless IKDC Architects.Engineers, Attn: Melissa Helland melissa.helland@kdcarchitects.com <br />N R�— E•MAIL <br />1BD ADDR S .I 21P H N <br />CONTR. LICENSE r; /i% � / � „ � <br />//�� VL'Yr� <br />USE OF BUIL�ING <br />Existing Wire'ess Facility <br />WORK UESCRIPTION <br />HEATSOURCE <br />_ Electric _ Gas _ Other <br />CONTRACT PRICE nF WORK <br />520k <br />VZW proposes to install 5 pad mounted equipment cabinels, alon� with an 8' high ice-bridge, utiliry rack and back up emeroency <br />generator ir.side of an existing wireless fenced compound. VZW also proposes to install a platform mount and 12 antennas al <br />approx. 11�1'. <br />NO. � TYPE OF FIxTURE OR ITEM <br />To�lel <br />Btdhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />�Nater heater <br />Sink (service/bar/mop/etc.) <br />Backtlow prevenier <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />O(her <br />N0. <br />� <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C – air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Retrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I he��eby ceritity ihat I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces goveming this type of work will be complied wiih whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision ot any other stat? or local law regulating construction or the perormance of <br />construclion. That I am authorized by the owner of Ihis properiy to pedorm the work for which application is made and � comply with �he <br />Siste Coniractors J.aw 18.27 RCW and 296.200 WAC. <br />3�3�'�O <br />� �7 <br />