BLD2022-0302+Application+3.9.2022_3.56.57_PM+2728390CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1105159 - Crown Castle for T-Mobile, 826146
Applicant
First Name Last Name Company Name
Emilie Deschamps GMA Network Services
Number Street Apartment or Suite Number E-mail Address
PO Box 2006
City State
Bellevue WA
Contractor
Company Name
Contractor Unknown
Number Street
City
State License Number
Project Location
Emil ie(�D_gmanetworkservices.com
Zip Phone Number Extension
98009 8027773358
Number Street
10014 238TH ST SW
City
EDMONDS
Associated Building Permit Number
State Zip
License Expiration Date
Apartment or Suite Number
Phone Number Extension
UBI # E-mail Address
Floor Number Suite or Room Number
Ground - CELLULAR
Zip Code County Parcel Number
98020 00615800000100
Tenant Name
Crown Castle for T-Mobile
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Thomas & Phan Quyen Sawyer
Number Street Apartment or Suite Number
1005 196TH PL SW
City State Zip
LYNNWOOD WA 98036-7188
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: 3/9/2022 Submitted By: Emilie Deschamps
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CITY OF EDMONDS M BuildingPerrnit.com
Building Application #1105159 - Crown Castle for T-Mobile, 826146
Project Contact
Company Name: GMA Network Services
Name: Emilie Deschamps Email: Emilie@gmanetworkservices.com
Address: PO Box 2006 Phone #: 8027773358
Bellevue WA 98009
Project Type
Nonresidential
Project Name: Crown Castle for T-Mobile, 826146
Activity Type
Remodel
Minor modifications to the existing Wireless Facility. Tower Scope of Work: -Remove (3)
Antennas -Remove (12) Diplexers -Remove (6) TMAs -Remove (1) Concealment Shroud -Install
Description of (3) Antennas -Install (6) RRUs -Install (1) HCS 2.0 J-Box w/ Breakout Pendants -Install (1) 1-1/2"
Work: Hybrid Cable -Install (1) Expanded Concealment Shroud Ground Scope of Work: -Remove (1)
Indoor Rack -Remove (9) RRUs -Install (1) 19" Rack w/: (1) RAYCAP Voltage Booster w/ (3)
Amplifiers & (1) CSR IXRE V2 Router -Remove (E) Power Rack -Relocate (E) LEC Router to
Wall -Install Delta Elite Power Rack -Install (2) Ladder Racks -Install (2) Vertical Ladder Racks
Project Details
Valuation
Fair Market Value of Construction Work $25,000
Exterior Changes?
The work involves changes to the exterior
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