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r <br /> �ERMIT APP�.I�ATIO� <br /> BUILCIINGIMECNANICAL/PLUMBING/SIGNISPF:IiV4<LEFtiDEMOLITIt�N <br /> CITY OF EVERETT PERMIT SER�'ICt=S <br /> 3200 Cedar St , Everelt, WA 982J1 425-257-881 U FAX 425-257-8857 www everettwa org � <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM'.'0 4 PM �.�.� �I� <br /> SITE ADDRE55: 24ZO 39IF1 Stf@2f, Everett, WA 98201 PROPERTVTAXb OOJ76003200010 PERMIT# <br /> P�I �I'l0 - �2� <br /> LEGAL b�new censtruct�on Shen PlaVsuOtl�vis�cn Lot No lallacn r.opy ol long iegai tlescnpl�on� <br /> OWNER Crown Castle, Inc., Attn: Scoti Hanson Pno�ere-mau 360-568-0906 <br /> Anaress8432 154th Av2 NE, Bidg C cnY�s�aierz�oRedmond, WA 98052 <br /> APPLICANT: _Owner x Ovmei5A9eni _Conl�Bt�ot _ConlraGlCfSAgen� Tendn��m��sic�.��������"�'����n;eninvmmno.v.�a-•omw:s�ninesr��`I <br /> CONTRACTOR TB� Q� ��Y� T'e C�� L 8 I L,c # TB� COE Bus. Lic # T8D <br /> Aatlress PhonelEmad 0 5�/ �IC] <br /> TENANT BUSINESS NAM'c CONTACT FUR PERMIT <br /> Verzon S"lueless Frank Mandt, 425-941-0410, fmandt@vinculums.com <br /> PhonerE�mail <br /> BUILDING PERAl11T APPLICATION CONTRACT PRICE OF WORK 5311.800 <br /> Ewst�ng Use of Budding 'N��eless Fac�l�ty Tower HEAT SOURCE <br /> Proposed Use of Building�'"eiess Faaliry Tower Gas_ Electnc_ Ol�er N'^ <br /> putldmg type�. _S�ngle Family _Duplex_Townhouse _Multi•Fareily _Commercial <br /> T ve of pra ect Nev. x Addition Remodel Repair__T I Si n Sprmkler_Demohtion_Change of Use <br /> DESCRIPTION OF WORK�addaiona�spaca p�o��ded on tne aack) <br /> Ver¢cn Wireless to F�dd on 12 panel antennas on and an assoaatetl eqwpment to an exisfing 130'monopole. Antennas will be place at Ihe 70'levei <br /> M ea�st�ng concrete pad wJi be replaceo anA 4 equipmem cabinets antl a genera�or wAI be addetl io new concrete patls The eKisting height ot Ihe towcr <br /> will not be mcreased, and will the size of the site will not be expanded. No water or sewer services witl ne needed at ihis site. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of ProjecC _Now_Addn _Alteration_Repair Type oi Projoct: _New_Addn _Alteration_Repair <br /> Show Numbw(p)o!/�rtures Show Nomber(Jq oll/r(�res <br /> NC—air handlmg unils TOilet <br /> Forced air s stems Bathtub <br /> Gas p�ping Lavalo (wash basin) <br /> Water heater Shower <br /> Gas fireplace Kdchen sink & d�sposal <br /> Gas ran e Dishwasher <br /> Cl01he5 dr er Clothe5 washer <br /> Rangc hood Water heater <br /> Ezhaust fan Sink (service/badmop/etc ) <br /> Heal Dump Ba�kOow pre�ienter <br /> Unit heater Urinal <br /> Boder Dnnkm Fountain <br /> Retrigeralion Floor drain <br /> Woodslove Grease trap <br /> Dudmg Roof drains <br /> Other x Medical Gas <br /> SPRINKLER I SUPPRESSIOW SYSTEM Otner <br /> Number of Haads Oth2r <br /> I here�y cetl:����al I have�eaC anG ezam��neC f�is apphcation an0 knw+l�e same lo Ce Ime antl rorrect All pmns:ons ol laws antl orGinanurs goaermng I�rs lype of work vn'i be comf'�.,a <br /> wif11 wflcl�cr spccdie0 herem or not T�e granUng ol a perm�tloes nol pres�mc to grve aulnonfy lo violale or tdntel lne pmvision ol any olher slate or lo�'al lav�regulaeng cunsLuc:r� <br /> 7�at I am nuf�onzetl Ey Ihe owne�ol ims D�openy to perlorm i�e work loi wn¢n apo��cauo�i�s maUe ana I comoly wnh t�e Staie Conlracmrs�a.v i827 RC W anC 296 200F Wa� <br /> /U� ��• /f <br /> Ownar thp gentSignaturo Da�e (Revrsetl6R01:� <br /> � <br />