BLD2022-1650+Application+12.5.2022_2.03.34_PM+3252523CITY OF EDMONDS MyBuildingPermit.com
Building Application #1238364 - Crown Castle for Verizon 855640
Applicant
First Name Last Name Company Name
Emilie Deschamps GMA Network Services
Number Street Apartment or Suite Number E-mail Address
2006 PO Box 2006 Emilie(cDgmanetworkservices.com
City State Zip Phone Number Extension
Bellevue WA 98009 (802) 777-3358
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date
Number Street
9920 EDMONDS WAY
City Zip Code
EDMONDS 98020
Associated Building Permit Number
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number
UBI # E-mail Address
Floor Number
0
County Parcel Number
27033600113900
Tenant Name
Crown Castle for Verizon
Extension
Suite or Room Number
0
First Name Last Name or Company Name
Jerri Eilert
Number Street Apartment or Suite Number
12521 226TH ST SE
City State Zip
SNOHOMISH WA 98296
Certification Statement - The applicant states:
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.
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: 12/5/2022 Submitted By: Emilie Deschamps
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1238364 - Crown Castle for Verizon 855640
Project Contact
Company Name: GMA Network Services
Name: Emilie Deschamps Email: Emilie@gmanetworkservices.com
Address: PO Box 2006 Phone #: (802) 777-3358
Bellevue WA 98009
Project Type Activity Type Scope of Work
Personal Wireless Service Facilities Modification Eligible Facilities Request
Project Name: Crown Castle for Verizon 855640
Verizon proposed minor modifications to the existing wireless tower. Tower Scope of Work:
Description of -Remove (6) Antennas -Install (6) Antennas -Install (6) Triplexers -Install (3) BIAS-TS -Install
Work: (3) OVPs -Install (3) Hybrid Cables -Install (1) Tower Extension Ground Scope of Work:
-Remove (6) RRHs -Remove (12) Diplexers -Install (6) RRHs -Install (1) OVP -Install (6)
Triplexers -Install (2) BBUs -Install (3) Upconverters -Install (1) Rectifier
Project Details
Type of Request
Eligible Facilities Request
Modification Type
Replacement of Transmission Equipment
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