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ELECTRICA�. PER9I�IT APPLICATION <br />CITY OF EVERETT PF=RMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />7705 Evergreen Way, Suite G104 <br />PROJECT ADDRESS <br />Big 5 Corp. <br />Owner <br />2515 E. EI <br />Mail Address <br />ndo Blvd. EI Segundo <br />City <br />CA, 90245 <br />Stale/Zip Phone <br />Big 5 Sporting Goods 2525 E. EI Segundo Blvd. EI Segundo CA, 90245 <br />Tenanl Mail Address Cily State/Zip Phane <br />Kirbv Electrc Inc. 4826 B St NW, Suite 101 Auburn WA, 98001 253-859-2000 <br />Elecirical Contracmr Mail Address <br />KIRBYE10776N <br />State Li:ense Number (required) <br />Retail <br />Proposed Use of Bui�ding <br />Square Foolage (If residential new construction, remodel or addilion) <br />Number o( devices (If low vollage) <br />City <br />SlatelZip Phone <br />041110 <br />City of Everett Business License Numher (required) <br />$45 000.00 <br />ConUact Price of Work <br />Vitaly Kalchik <br />Contact PersonlContact Number/Email <br />�escription o( Work to Be Done: TBf18f1� Ifl'1pfOVEfilefit fOf 11EW f@f81� �8f18f1�. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily thaf I have read antl examined fhis application and know fhe same to be true and <br />correct. All provisions o! laws and ordinances goveming this type ol work �vill 6e complefed <br />whefher specilied herein or noL The granfing of a Fermit does not presume lo give authoriry lo <br />violafe or cancel fhe provir%ons o/ any olher sfate or local law regulaf�ng construcfion or fhe <br />per(ormance o/ consfruction. Thaf 1 am aufhorized by (he owner ol fhis propeAy to per(o�m fhe <br />work for ;vhich appliwtion is made and 1 comply wilh !he Stale Contracrors La�+� 18.27 RCW and <br />�qfi �on wac. <br />REVISEo cfl�06l1a1a <br />FEE <br />� �� p6 <br />PERMIT# <br />E l�oR�lZ� <br />