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Online Permit Request Form Revision 2.4 <br /> Prime Information <br /> Requesting Employee: Bill Krekling Submitted Date: 2/1/24 <br /> Job Name: Sound Transit Everett Required Date: 2/1/24 <br /> Job Address:13201 Smith Ave Job Number:11010396 <br /> City: Everett Zip:198201 <br /> Work Location: (Garage/Roof/3rd Floor) <br /> Parcel Number: Contact Name:I Mike Rider <br /> Property Owner: Contact Phone: 425-417-1774 <br /> Description: (1)20A circuits Final inspection from previous permit#E2204-185. Job#1010396. Prime Electric Contact <br /> for Permit is Bill Krekling Phone: (425)628-0543 Email: bill.krekling@primee.com <br /> Total Electrical Value $ 1=0 <br /> Job Information <br /> # of Connections # of Circuts Grounding <br /> Light Fixtures Commercial Dimmers Ufer Ground Including ❑Y ❑N <br /> Track Lighting Non-Electric Furnace <br /> Switches 15-25a Dedicated Circuit 1 Fire Alarm <br /> Receptacles 30-50a Dedicated Circuit Phone and Data Systems <br /> Multi-Outlet Assemblies Floodlights(Parking Lot/Pole Control Units <br /> Smoke Detectors Sign Circuts Devices El <br /> Service Installation Feeders Low Voltage <br /> Amperage Qty Amperage Voltage Qty Phone and Data Systems <br /> Control Units <br /> Devices <br /> Low Voltage Systems <br /> Control Units <br /> Devices E] <br /> Transformers Motors Electric Heat <br /> Amperage Qty Horsepower Qty Kilowatts Qty <br /> Renewable Energy Systems EV Charging Stations Subs Covered by Permit <br /> System Size Qty Type Amperage Qty <br /> E�_ EEd E=1 E] I <br /> Notes: <br /> Permit # <br />