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Online Permit Request Form Revision2.4 <br /> Prime Information <br /> Requesting Employee: Jeff Pfeiffer Submitted Date: 07/31/2024 <br /> Job Name: Helion Energy Cabling Required Date: 08/05/2024 <br /> Job Address:11415 75th St SW Job Number:15004328 <br /> City:I Everett Zip:198203 <br /> Work Location: Retail Ofice (Garage/Roof/3rd Floor) <br /> Parcel Number:1 Contact Name: <br /> Property Owner: Helion Energy Contact Phone: <br /> Description: Install 22 Data Cables <br /> Total Electrical Value $ 11,136 <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 Fire Alarm <br /> Receptacles 30-50a Dedicated Circuit Phone and Data Systems <br /> Multi-Outlet Assemblies 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 /> Control Units 12 <br /> Devices <br /> Low Voltage Systems <br /> Control Units <br /> Devices El <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 /> Notes: <br /> Permit # <br />