CELLULAR TOWER PERMIT APPLICATION
SITE INFORMATION
Site Name: ____________________________________________________________
Site Address: __________________________________________________________
Tower Owner: _________________________________________________________
Representing Agent/Contact Person: _______________________________________
Phone Number: ________________________________________________________
SCOPE OF WORK
New Tower

Collocate

Upgrade

Description of Work: ____________________________________________________
______________________________________________________________________
______________________________________________________________________
Tower Height: _________________________________________________________
Modification Height(s): ___________________________________________________
CONTRACTOR INFORMATION
Contractor Business Name: _______________________________________________
NM License Number: ____________________________________________________
Contact Name: _________________________________________________________
Phone Number: ________________________________________________________
SUBMITTAL DOCUMENTS
Two (2) copies of General Construction Drawings stamped by New Mexico Licensed PE
Two (2) copies of Structural Analysis stamped by a New Mexico Licensed PE
Designed under 2009 IBC and 2014 NEC --- Reference Standard ANSI/TIA-222-G-05
08/01/2014