REVIEWED RESUB 1 FIR2023-0068+SIGNED_LOPA+7.27.2023_8.11.31_AM+3691789a101141 G11111041:3
SNOHOMISH R E S U B
COUNTY
Jul 27 2023
911 Letter of Provisional Authorization DEVCITY
E O MFEN SOERVICES
DEPARTMENT
�y_( g
Authorization is granted to the Owner and/or Facility Manager as shown below, for the purpose of rebroadcasting the
Snohomish County 911 public safety frequencies using class "A" bi-directional amplifiers (BDA's) or Distributive Antenna
Systems (DAS). Class "B" BDA/DAS systems will not be granted authorization to retransmit on the Snohomish County 911 radio
system.
Facility Name: Anthology of Edmonds
Address: 21200 72nd Ave. West
City: Edmonds State: Wa JZip Code: 98026
Buisness Phone: 425-329-7152
Owner/Contact Name: lAnthology Senior Livin
Address: 2401 E. 2nd Ave. Ste. 500
City: Denver tate: co I Zip Code:
Phone: 248-266-2263
Email: information(cDanthologvseniorlivinq.com
TO BE FILLED OUT BY SN0911
SERS System Donor Site Assignment:
OWest Simulcast O Darrington Index IR
O East Simulcast 0Skykomish I
BDA/DAS Manufacturer: lComba
BDA/DAS Model: RX08V3-A3327P0-S1
Latitude of Donor Antenna: N 47 48 24
Longitude of Donor Antenna: W 122 19 50
Donor Antenna Height: 188ft ASL
TO BE FILLED OUT BY SN0911
SN0911 Site Name:lMountlake Terrace
Site Distance: 1 mile
Donor Antenna Heading: 11260
This form is authorization to rebroadcast on the Snohomish County 911 radio frequencies. This is not approval from the Fire
Marshall or Authority having Jurisdiction that the system meets necessary codes or coverage requirements. Snohomish
County 911 and the Fire Marshall reserve the right to make on -site inspections at any time. If problems are believed to exist,
the Owner and/or Facility Manager shall power -off their DAS or BDA equipment at Snohomish County 911's request.
Snohomish County 911 also reserves the right to suspend or terminate this agreement at its discretion.
rla"�Q' 07/27/2023
Snohomish County 61 Representative Date
Cabe Bartz
Print or Type Name
1121 SE Everett Mall Way, Suite 200 www.sno9ll.org Office: (425) 407-3911