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BLD2021-0295+Application+2.24.2021_2.48.30_PM+2062619CITY OF EDMONDS nn BuildingPermit.com Building Application #926900 - T-Mobile @ SE01553E Perri nviIle/SnoPud/Witsma An Applicant First Name Last Name Company Name Christine Contreras Ryka Consultinq Number Street Apartment or Suite Number E-mail Address 5628 Airport Way South 330 ccontreras(�D_rykaconsultinq.com City State Zip Phone Number Extension Seattle WA 98108 2065231941 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 8307 188TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00567500002400 Associated Building Permit Number Tenant Name ENG2020-0495 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 1 None First Name Last Name or Company Name Mary Lynne Obyrne Number Street Apartment or Suite Number 8307 188TH ST SW City State Zip EDMONDS WA 98026-6025 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: 2/24/2021 Submitted By: Christine Contreras Page 1 of 2 CITY OF EDMONDS M BuildingPerrntt.com Building Application #926900 - T-Mobile @ SE01553E Perri nville/SnoPud/Witsma An Project Contact Company Name: Ryka Consulting Name: Christine Contreras Email: ccontreras@rykaconsulting.com Address: 5628 Airport Way South Phone #: 2065231941 330 Seattle WA 98108 Project Type Nonresidential Activity Type Remodel Project Name: T-Mobile @ SE01553E Perri nville/SnoPud/Witsma Anch T-Mobile is proposing to replace an existing rack and equipment cabinet inside of their existing Description of equipment shelter. A separate ROW permit was obtained for the work on the tower, located in Work: the ROW. No ground disturbance, footprint expansion, or addition of outdoor equipment cabinets proposed. Project Details Project Information Square Feet -Tenant 80 Valuation Fair Market Value of Construction Work $20,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2