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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vnvw.everettwa.org <br />q05, Sig <br />43S-KEverett Mall Way <br />PROJECT ADDRESS <br />Target 1000 Nicollet Mall Minneapolis MN 55403 <br />Owner Mail Address City Stale/Zip Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />Kirby Electric Inc 4826 B St. NW Suite 101 Auburn WA 98001 253-859-2000 <br />Electrical Contractor Maii Address City State/Zip Phone <br />KIRBYE1077BN <br />State License Number (required) <br />Retail <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />041110 <br />City of Everett Business License Number (required) <br />$20,091 <br />Contract Price of Work <br />Vitaly Kalchik vita ly(a)kirbyelectric.corn <br />Contact Person/Contact Number/Email <br />Description of Work to Be Done: Provide connections to new food service equipment <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work w.11 be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancet the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18 27 RCW and <br />296.200 WAC <br />FEE <br />4Fo(•5v <br />PERMIT# <br />E i LF oq —C)cW <br />REVISEDOWW0 4 <br />