4634 ALGER AVE VERIZON WIRELESS ANTENNA 2019-08-07

PERMIT APPLICATION BUILDING/ MECHANICAL/PLUMBING I SIGN/SPRINKLER/DEMOLITION "1"--A 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:4634 Alger Ave PROPERTY TAX#: 00412000101300 and ROW adjacent LEGAL for new construction: Short Plat/subdivision legal on Sheet Al site plan Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Public Utility Dist 1 Sn0 Co (SnoPud) TENANT NAME(If Commercial): Verizon Wireless OWNER MAILING ADDRESS: STREET PO Box 1107 CITY Everett STATE WA ZIP 98206 OWNER PHONE: 425-783-1000 OWNER EMAIL: MMNave@SNOPUD.com CONTRACTOR NAME: General Dynamics Info Tech CONTRACTOR ADDRESS: STREET 19240 Des Moines Memorial Drive South Suite 300 crrY SeaTac STATE WA ZIP 98148 CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): GENERDI927CG CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):054962 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 4E1 OTHER(Please Specify)Authorized Agent CONTACT NAME: CONTACT PHONE: 0:206-523-1941 /M:206.228.2127 Jennifer Taylor on behalf of Verizon Wireless CONTACT EMAIL:jtaylor@rykaconsulting.com BUILDING PERMIT APPLICATION Existing Use of Building: Unmanned Wireless Communications Facility Contract Price of Work:$20,000.00 _ Proposed Use of Building: Unmanned Wireless Communications Facility Heat Source: ❑Gas ❑Electric ❑Other N/A Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: El New ❑Addition (Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Verizon proposes to replace(6)antennas, add(6)diplexers, and replace coax cables within existing conduits on utility pole. Work on utility pole to be performed by SnoPUD. Ancillary equipment(RRHs and diplexers)to be added within existing fenced aniiinmant rmmnnunri nn nrivata nrnnPrty ASSOCIATED BUILDING PERMIT#(if applicable): BI605-051 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 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 I SUPPRESSION SYSTEM (Number of Heads 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 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 1 comply State Contractors Law 18.27 RCW and 296.200A WAC. /000 City of Everett Official Use Only OF 1.2/3jil_ Insin - 06 Owner,:air ized Agent Sign. 1 (Revised 9/23/2016) ``,, I\ .7.-- , .