6023 W BEECH ST 2023-07-14 - Laserfiche WebLink

CITY OF EVERETT PERMIT SERVICES E V E R E T T SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASWNGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425-257-88101(E)PermitServices@everettwa.gov I(IN)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 6023 W Beech St PARCEL#• 00600100600 cry Everett STATE WA aP 98203 SUITE/UNrr#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS,NAME(if non-residential):n/a LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Solar array Lot No.: (attach co of long ort9 legal description) CONTACT INFORMATION OWNER NAME:Eileen McCabe OWNER MAILING ADDRESS: STREET 6023 W Beech St cry Everett STATE WA nP 98203 OWNER PHONE 425-908-9597 1OWNER EMAIL:leenaree@xmission.com CONTRACTOR COMPANY NAME:Elet trical Systems Solutions, Inc A STATE CONTRACTOR LICENSE#(REQUIRED):ELECTSS902JN ICITY OF EVERE I I BUSINESS LICENSE#(REQUIRED):65809 CONTRACTOR ADDRESS: STREETPO BOX 16452 cry SEATTLE STATE WA Zlp 98116 CONTRACTOR PHONE:206-923-9378 CONTRACTOR EMAIL:riCh@elessinc.com PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:Jonathan Alindayu CONTACT PHONE:206-992-4891 CONTACT EMAIL.-jonathan@elessinc.com BUILDING INFORMATION PALUATION OF WORK:516,790 ASSOCIATED LAND USE PROJECT# if a licable : h mdude the pre "ing fair market value of aY labor.materials,and equipment needed tocompletethe work,whether a—sly Paid ornot.) USE OF BUILDING: PROPOSED USE OF BUILDING Solar array- rooftop installations HEAT SOURCE: ❑✓Gas ❑Electric []Other UILDING TYPE: ✓❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial []Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use []Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑✓Other.Solar array-rooftop installations DESCRIPTION OF WORK:Solar panel - rooftop installation ACKNOWLEDGEMENT:1 have reviewed this application and confirm the information contained herein is true and coned. K4Drk done pursuant to this current federal,state,and local law.The granting of a permit must comply with 9 g permit only authorizes approved work and no deviations therefrom-Deviations must first be authorized in writing from the Building Oftel before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and 1 Comply with the Staft Corifractors Law 18.27 RCW and 296.200A WAC. Q)�?W 4/25/2023 PERMIT# City of Everett OtTrcial Use only