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BLD2020-0779_Application_7.29.2020_2.00.31_PMCITY OF EDMONDS MyBuildingPermit.com Building Application #836152 - SN19 - 5G Applicant First Name Last Name Company Name Courtnee Gomez Smartlink Group Number Street Apartment or Suite Number E-mail Address 11232 120th Ave NE 204 courtnee.gomez@smartlinkgroup.com City State Zip Phone Number Extension Kirkland WA 98033 9165274157 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 410 MAIN ST Rooftop no suite number City Zip Code County Parcel Number EDMONDS 98020 00434401500700 Associated Building Permit Number Tenant Name BLD20171679 AT&T Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name BEESON PARTNERS THE Number Street Apartment or Suite Number 2003 Western Ave 555 City State Zip SEATTLE WA 98121 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: 7/29/2020 Submitted By: Courtnee Gomez Page 1 of 2 CITY OF EDMONDS MyBuitdingPermit.com Building Application #836152 - SN19 - 5G Project Contact Company Name: Smartlink Group Name: Courtnee Gomez Email: courtnee.gomez@smartlinkgroup.com Address: 20232 120th Ave NE Phone #: 9165274157 Kirkland WA 98033 Project Type Nonresidential Activity Type Remodel Project Name: SN19 - 5G Description of Work: Remove and replace (3) antennas, relocate (6) RRHs, install (3) new RRHs on a new dual mount, and install (6) diplexers. All within the existing lease space on the rooftop. Project Details Project Information Square Feet -Tenant 180 Valuation Fair Market Value of Construction Work $20,000 Exterior Changes? The work involves changes to the exterior Page 2 of 2