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Antenna Structure Registration
Antenna Structure Registration
 
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Application A0817111
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Application Detail
File Number A0817111  Constructed 08/06/1999 
Registration Number 1064743   Dismantled  
NEPA No  EMI No 
Application Information
Status Granted  Date Received 01/15/2013 
Purpose Change Owner  Entered 01/15/2013 
Mode Interactive     
Antenna Structure
Structure Type  
Location (in NAD83 Coordinates - Convert to NAD27)
Lat/Long 46-31-50.0 N 121-46-36.4 W Address 213 BENNETT ROAD (Garrett Creek #75799) 
City, State RANDLE , WA  
Zip 98377  County LEWIS 
Center of AM Array   Position of Tower in Array  
Heights (meters)
Elevation of Site Above Mean Sea Level Overall Height Above Ground (AGL)
292.9  80.8 
Overall Height Above Mean Sea Level Overall Height Above Ground w/o Appurtenances
373.7  75.3 
Proposed Marking and/or Lighting
FAA Style E 
FAA Notification
FAA Study 2005-ANM-2172-OE  FAA Issue Date 09/16/2005 
Owner & Contact Information
FRN 0011498342  Owner Entity Type Limited Liability Company  
Assignor FRN 0005885231  Assignor ID L00008376 
Owner
American Towers, LLC.
Attention To: Regulatory Compliance FAA FCC
10 Presidential Way
Woburn , MA 01801 

P: (678)265-6730
F:
E: faa-fcc@americantower.com

Contact
Attention To: FAA FCC
10 Presidential Way
Woburn , MA 01801 

P: (678)265-6730
F:
E: faa-fcc@americantower.com

Certification
Authorized Party (Assignor)   Title  
Assignor Date Signed       
Authorized Party (Assignee) Carter, Bridget   Title Sr. Specialist 
Assignee Date Signed 01/15/2013      
Comments
Comments
None
History
Date Event
01/15/2013  Application Granted 
01/15/2013  Change of Ownership Received 
Trans Log
Date Description Existing Value Requested Value
01/15/2013  Application : The Assignor Tin (used for ownership change)  R00008376  X00455992 
01/15/2013  Application : The TIN to which this application is registered  X00455992  X00915283 
01/15/2013  Structure : The street address of the antenna structure  213 BENNETT ROAD (Garrett Creek #7  213 BENNETT ROAD (Garrett Creek #75799) 
All Trans Log (22)
Pleadings
Pleading Type Filer Name Description Date Entered
None
Automated Letters
Date Description
None
Attachments
Type Description Date Entered
None
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