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BLD2022-1625+Application+11.27.2022_11.24.20_AM+3238039CITY OF EDMONDS Building Application #1234616 - FIRDALE Applicant First Name Last Name Linda Williams MyBuildingPermit.com Company Name Mastec Network Solutions Number Street Apartment or Suite Number E-mail Address 12672 Limonite Ave Ste 3E185 linda(cD-amwireco.com City State Zip Eastvale CA 92880 Contractor Company Name MASTEC NETWORK SOLUTIONS INC Number Street 12672 LIMONITE AVENUE City State Zip EASTVALE CA 92880 State License Number License Expiration Date UBI # MASTENS876KN 5/14/2023 603235974 Project Location Number Street 9620 EDMONDS WAY Phone Number Extension (949) 373-6377 Apartment or Suite Number 3E185 Phone Number Extension (949) 373-6377 E-mail Address linda@amwireco.com City Zip Code County Parcel Number EDMONDS 98026 27033600114000 Associated Building Permit Number Tenant Name Sprint / Tmobile Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number 1 None First Name Last Name or Company Name PUBLIC UTILITY DIST 1 SNO CO Number Street Apartment or Suite Number 2320 CALIFORNIA City State Zip EVERETT WA 98201 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: 11/27/2022 Submitted By: Linda Williams Page 1 of 2 CITY OF EDMONDS MyBuildingPerrnit.com Building Application #1234616 - FIRDALE Project Contact Company Name: Mastec Network Solutions Name: Linda Williams Email: linda@amwireco.com Address: 12672 Limonite Ave Ste 3E185 Phone #: (949) 373-6377 Eastvale CA 92880 Project Type Activity Type Scope of Work Personal Wireless Service Facilities Modification Eligible Facilities Request Project Name: FIRDALE SPRINT HAS CANCELED THIS TELECOM FACILITY. REMOVE ALL ANTENNAS & Description of ASSOCIATED EQUIPMENT, INCLUDING, BUT NOT LIMITED TO: REMOVE (6) PANEL Work: ANTENNAS, MOUNTS, LINES REMOVE (12) RRUS, MOUNTS LINES REMOVE (1) MW DISH, MOUNT, COAX REMOVE (3) FILTERS REMOVE CABINETS, PLATFORM, CABLE TRAYS, HYBRIFLEX, COAX. REMOVE DEBRIS AND CLEAR SITE. Project Details Type of Request Eligible Facilities Request Modification Type Removal of Transmission Equipment Page 2 of 2