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Online Permit Request Form Revision2.4 <br /> Prime Information <br /> Requesting Employee: Steve Lovell Submitted Date: 3/21/2024 <br /> Job Name: Everett Community Transit Required Date: 3/27/2024 <br /> Job Address: Pecks Dr and Evergreen Way Job Number:11019223 <br /> City: Everett Zip:198203 <br /> Work Location: bus stop (Garage/Roof/3rd Floor) <br /> Parcel Number:1 1 Contact Name: Mike Kinney <br /> Property Owner: City of Everett Contact Phone:1425 429-4654 <br /> Description: remove panel and contactors until new sheetmetal housing can be replaced, repair damaged conduits and <br /> wire <br /> Total Electrical Value $ 4,780 <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 12 F 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 /> 100 120 1 Control Units B <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 /> LE <br /> Renewable Energy Systems EV Charging Stations Subs Covered by Permit <br /> System Size Qty Type Amperage Qty <br /> Notes: <br /> Permit # <br />