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Online Permit Request Form Revision 2.4 <br /> Prime Information <br /> Requesting Employee:ISteve Lovell Submitted Date: 1/26/2024 <br /> Job Name: WSU statue lighting Required Date: 2/2/2024 <br /> Job Address:1915 N Broadway Job Number:11018773 <br /> City:I Everett Zip:F98201 <br /> Work Location:I Courtyard (Garage/Roof/3rd Floor) <br /> Parcel Number:1 Contact Name: <br /> Property Owner:jWSU Contact Phone: <br /> Description: add (6) landscape lights, fed and controlled from existing 120v bench lighting circuit. Job#1018773. <br /> Prime Electric contact for permit is Steve Lovell Phone: (425) 221-6658 Email: slovell@primee.com <br /> Total Electrical Value $ 8,465 <br /> Job Information <br /> # of Connections # of Circuts Grounding <br /> Light Fixtures 6 Commercial Dimmers Ufer Ground Including ❑Y ❑N <br /> Track Lighting Non-Electric Furnace <br /> Switches 15-25a Dedicated Circuit 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 <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 <br /> Transformers Motors Electric Heat <br /> Amperage Qty Horsepower Qty Kilowatts Qt <br /> Renewable Energy Systems EV Charging Stations Subs Covered by Permit <br /> System Size Qty Type Amperage Qty <br /> Notes: <br /> Permit # <br />