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BLD2023-0511+Application+4.25.2023_9.32.35_AM+3503207CITY OF EDMONDS MyBuildingPermit.com Building Application #1304303 - WA6272/Harrison Applicant First Name Last Name Company Name Maqqie Barrinqer Mastec Network Solutions Number Street Apartment or Suite Number E-mail Address 1351 Irvinq Park Rd maggie.barringer(cD_mastec.com City State Zip Phone Number Extension Itasca IL 60143 (810) 874-8218 Contractor Company Name MASTEC NETWORK SOLUTIONS INC Number Street Apartment or Suite Number 22263 68th Ave S City State Zip Phone Number Extension Kent WA 98032 (253) 370-8961 State License Number License Expiration Date UBI # E-mail Address MASTENS876KN 5/14/2023 603235974 Mike.Sutherby(aD_mastec.com Project Location Number Street Floor Number Suite or Room Number 9617 FIRDALE AVE 1 None City Zip Code County Parcel Number EDMONDS 98020 00449900000100 Associated Building Permit Number Tenant Name AT&T WIRELESS Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name FIRDALE ASSOCIATES LLC Number Street Apartment or Suite Number 9500 ROOSEVELT WAY NE 100 City State Zip SEATTLE WA 98115 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: 4/25/2023 Submitted By: Maggie Barringer Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1304303 - WA6272/Harrison Project Contact Company Name: Mastec Network Solutions Name: Maggie Barringer Email: Address: 1351 Irving Park Rd Phone # Itasca IL 60143 Project Type Personal Wireless Service Facilities Project WA6272/Harrison Name: maggie.barringer@mastec.com (810) 874-8218 Activity Type Scope of Work Modification Eligible Facilities Request TOWER SCOPE OF WORKREMOVE A LL EXISTING MOUNTSINSTALL 3 N OKIA AEQK ANTENNAs INSTALL 6 KATHREIN 782 11288 DIPLEXERs INSTALL 3 NEW MOUNTS W/MOUNT PIPES INSTALL NEW FRP STEEPLE DESIGN BY TRYLON GROUND SCOPE OF WORK REMOVE 3 KAELUS DBC0135F3V921 DIPLEXERs REMOVE EXISTING ARGUS DC Description POWER PLANT CABINET REMOVE 20 EXISTING 145AH BATTERY CELLS INSTALL 1 of Work: DC124860025E OVP INSTALL 1 ASIK 1 ABIL IN EXISTING SUBRACK C2 INSTALL 1 AMIA 3 ABIA 1 ASIA IN EXISTING SUBRACK CIINSTALL NEW 48V VERTIV NETSURE 512 OUTDOOR DC POWER PLANT CABINET W 11 RECTIFIERS 2 CONVERTERSREUSE EXISTING BATTERY CABINET RECONFIGURE W 5 STRINGS OF 180AH BATTERIES 20 TOTAL BATTERIESPROPOSED N STEALTH CUPOLA AND MOUNTING FIXTURES DESIGNED BY OTHERS TO BE INSTALLED Project Details Valuation Fair Market Value of Remodeling Work $25,000 Type of Request Eligible Facilities Request Modification Type Collocation of New Transmission Equipment Page 2 of 2