BLD2021-1734+Application+12.23.2021_9.52.31_PM+2591513CITY OF EDMONDS
Building Application #1061965 - SESEA00426D
Applicant
First Name Last Name
Mike Slotemaker
Number Street Apartment or Suite Number
12303 434th Ave SE
City State Zip
North Bend WA 98045
Contractor
Company Name
Contractor Unknown
Number Street
City State Zip
State License Number License Expiration Date UBI #
Project Location
Number Street
410 4TH AVE N
City Zip Code
EDMONDS 98020
Associated Building Permit Number
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
MyBoildingPermit.com
Company Name
Grey Skies Wireless
E-mail Address
mike.slotemaker(aD_greyskieswireless.com
Phone Number Extension
2062148954
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
roof None
County Parcel Number
27032400207100
Tenant Name
DISH Wireless L.L.C.
First Name Last Name or Company Name
EDMONDS PUBLIC FACILITIES DISTRICT
Number Street Apartment or Suite Number
121 5TH AVE N
City State Zip
EDMONDS WA 98020
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: 12/23/2021 Submitted By: Mike Slotemaker
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CITY OF EDMONDS Mysu;laingPerrnit.com
Building Application #1061965 - SESEA00426D
Project Contact
Company Name: Grey Skies Wireless
Name: Mike Slotemaker Email: mike.slotemaker@greyskieswireless.com
Address: 12303 434th Ave SE Phone #: 2062148954
North Bend WA
98045
Project Type
Nonresidential
Activity Type
Remodel
Project Name: SESEA00426D
Description of Install six (6) antennas behind existing screening on north and south sides of upper roof,
Work: attach three (3) antennas, painted to match, to east wall of upper roof, mount support
cabinet and associated cables and cable covers to east wall, all painted to match.
Project Details
Project Information
Square Feet -Tenant 35
Valuation
Fair Market Value of Construction Work $90,000
Exterior Changes?
The work involves changes to the exterior
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