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Online Permit Request Form Revision 2.4 <br /> Prime Information <br /> Requesting Employee: Shawn Martin Submitted Date: 8/14/23 <br /> Job Name:VOE 40-31 PRIT PRAT Required Date: 8/21/23 <br /> Job Address:13003 West Casino Road Job Number:11016574 <br /> City: Everett Zip:198203 <br /> Work Location: 1st floor 40-31 Building, Grid 11-15/A-Bb (Garage/Roof/3rd Floor) <br /> Parcel Number: Contact Name:I Brad Telford <br /> Property Owner:1 Boeing Comercial Airplane Group Contact Phone:1425.266.285 <br /> Description: Relocate PRIT/PRAT tool to buidling 40-31 <br /> Total Electrical Value $ 211,847 <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 42 F Fire Alarm <br /> Receptacles 20 30-50a Dedicated Circuit 4 Phone and Data Systems <br /> Multi-Outlet Assemblies 8 Floodlights(Parking Lot/Pole Control Units B <br /> Smoke Detectors Sign Circuts Devices <br /> Service Installation Feeders Low Voltage <br /> Amperage Qty Amperage Voltage Qty Phone and Data Systems <br /> 250 208 1 Control Units <br /> 100 480 2 Devices <br /> 60 480 3 Low Voltage Systems <br /> Control Units <br /> Devices El <br /> Transformers Motors Electric Heat <br /> Amperage Qty Horsepower Qty Kilowatts Qty <br /> 200 1 <br /> Renewable Energy Systems EV Charging Stations Subs Covered by Permit <br /> System Size Qty Type Amperage Qty <br /> Notes: <br /> Permit # <br />