2930 WETMORE AVE DISH WIRELESS 2025-10-24

e WING PERMIT APPLICAT N CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2930 Wetmore Ave. PARCEL #: 00311968301801 ciTY Everett STATE WA zIP 98201 SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): City Of Everett LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: City of Everett OWNER MAILING ADDRESS: STREET 2930 Wetmore Ave. c,TY Everett STATE WA ziP 98201 OWNER PHONE: 425-257-7190 1OWNER EMAIL: dbyrd@everettwa.gov CONTRACTOR COMPANY NAME: �Q(\� WA STATE CONTRACTOR LICENSE #(REQUIRED) CITY OF EVERETT BUSINESS LICENSE #(REQUI ED): u 6 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) Applicant CONTACT NAME: John Scandola CONTACT PHONE:2O6-465-3935 CONTACT EMAIL:john.scandola@campassoc.com BUILDING INFORMATION VALUATION OF WORK: $57,750 ASSOCIATED LAND USE PROJECT # (if applicable): (Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF BUILDING: City Offices PROPOSED USE OF BUILDING: City offices HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑✓ Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re -roof El Exterior Alteration ❑Tank (above ground) ❑✓ Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: Proposal involves installing (6) fully screened panel antennas (2 antennas per Sector) to be flush mounted to the City building at 2930 Wetmore Ave for Dish Wireless. Each sector (2 antennas per sector) is to be screened by the City logo. The associated equipment cabinets are to be installed on a rooftop platform, adjacent to the penthouse located on the center of the roof. These cabinets will be screened by the roof parapet. 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. 1 am the owner, or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. re City of Everett Official Use Only 11 /10/22 PERMIT # O )ate (Revised 412112022) 01