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BLD2021-0074+Application+1.20.2021_3.03.51_PM+1998666CITY OF EDMONDS M BtaildingPermit.com Building Application #909712 - 414383 SEAQ LAKE BALLINGER WA SE01506A Applicant First Name Last Name Company Name Vinh Dinh Infinigy Number Street Apartment or Suite Number E-mail Address 21806 Poplar Way vdinh(�D_infinigy.com City State Zip Phone Number Extension Brier WA 98036 2062955926 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location State Zip License Expiration Date UBI # Number Street 24329 HIGHWAY 99 S City Zip Code County Parcel Number EDMONDS 98020 00491100001609 Associated Building Permit Number Tenant Name T-Mobile Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Phone Number Extension E-mail Address Floor Number Suite or Room Number 0 0 First Name Last Name or Company Name CAMNEL PROPERTIES LLC Number Street Apartment or Suite Number 24329 HWY 99 City State Zip EDMONDS WA 98026 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 1/20/2021 Submitted By: Vinh Dinh Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #909712 - 414383 SEAQ LAKE BALLINGER WA SE01506A Project Contact Company Name: Infinigy Name: Vinh Dinh Email: vdinh@infinigy.com Address: 21806 Poplar Way Phone #: 2062955926 Brier WA 98036 Project Type Nonresidential Activity Type Remodel Project Name: 414383 SEAQ LAKE BALLINGER WA SE01506A Tower Remove 6 antennas and 9 RRH and 1 COPV install 6 panel antennas install 6 RRUs Description of install 1 mount install 2 HCS hybrid cable. Ground remove 2 cabinets and 1 COVP Relocate 1 Work: FCOA cabinet install 2 cabinets. replace radios Install 2 HCS junction Box Replace existing Panel with 200A and install 6 Fiber splitters Project Details Valuation Fair Market Value of Construction Work $20,000 Exterior Changes? The work involves changes to the exterior Page 2 of 2