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Online Permit Request <br />Form <br />Revision 2.4 <br />Prime <br />Information <br />Requesting Employee: <br />Steve Lovell <br />Submitted Date: <br />Job Name: <br />South Fork Baking company <br />Required Date: <br />Job Address: <br />1410 Seiner Dr <br />Job Number: <br />City: Everett zip: 98201 <br />Work Location: <br />FSuite 103 <br />(Garage/Roof/3rd Floor) <br />Parcel Number: <br />Contact Name: <br />Property Owner: <br />Port of Everett <br />Contact Phone: <br />Description] new cottee shop with baked goods: new space with 2UU amp, 3-phase service, new lights, and power <br />Total Electrical Value 1 $ 58,650 <br />Job Information <br />F# of Connections # of Circuts _ Grounding <br />Light Fixtures 36 Commercial Dimmers Ufer Ground Including [:]Y [:]N <br />Track Lighting Non -Electric Furnace <br />Switches 7 15-25a Dedicated Circuit F Fire Alarm <br />Receptacles 12 30-50a Dedicated Circuit 17 Phone and Data Systems <br />Multi -Outlet Assemblies Floodlights (Parking Lot/Pole Control Units ElSmoke Detectors Sign Circuts Devices <br />Service Installation Feeders Low Voltage <br />Amperage City Amperage Voltage City Phone and Data Systems <br />200 1 200 208 1 Control Units B <br />Devices <br />Low Voltage Systems <br />Control Units B <br />Devices <br />Transformers Motors Electric Heat <br />Amperage City Horsepower City Kilowatts City <br />Renewable Energy Systems EV Charging Stations Subs Covered by Permit <br />System Size City Type Amperage City <br />Notes: <br />Permit # <br />