11311 19TH AVE SE BLDG E 2025-09-30

ELECTRICAL PERMIT APPLICATION ti CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 (E)everetteps@everettwa.gov www.everettwa.gov/permits PREC '�1'>rE1NF PROJECT ADDRESS: 11311 19th Ave SE Everett, WA. 98208 Building E i BUILDING AREA(if residential,new construction, remodel, or addition) SIF BUILDING TYPE: El SFR-DETACHED El SFR-ATTACHED El DUPLEX 0 MULTI=FAMILY-#OF UNITS: 0 COMMERCIAL IUSE OF BUILDING: Apartments 1ON' ELECTIR....1..did NWCAT II. P WAT CONTRACT PRICE OF WORK: $ 480 NUMBER OF DEVICES(if low voltage): r. FIRE ALARM? El YES Z NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Extend (3) 20amp circuits and add (3) outside light fixtures CONTACT ............ OWNER NAME: Bluwater Apartments TENANT NAME If Commercial): Amber OWNER MAILING ADDRESS: STREET 11311 19th Ave SE ,,, Everett STATE WA 7.P 98208 OWNER PHONE: 425-357-8400 —FOWNER EMAIL: CONTRACTOR NAME: Active Engineering/Neighborhood Electric CONTRACTOR ADDRESS: ......6605 200th St SW ,,,y Lynnwood STATE WA 71P 98036if li CONTRACTOR PHONE: 425-776-8119 1CONTRACTOR EMAIL: admindeSk@activeenglneering.net CONTRACTOR LIC.#(REQUIRED): ACTIVE*088MS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 026248 PRIMARY CONTACT: 10 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-357-8400 /206-571-7965 [AMBER / LUCAS CONTACT EMAIL: AGREEMENT,I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and comply with the State Contractors Law 16.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# –L0 r, Owner/Authorized Agent Signature bate (Revised 9/23/2016)