BLD2022-0106+Application+1.26.2022_8.30.31_AM+2641954 (2)CITY OF
EDMONDS nn BtaildingPermit.com
Plumbing Application #1082191
- Swedish Edmonds Birthing Center Med Gas
Applicant
First Name Last Name
Company Name
Joseph Rockseth
UMC
Number Street
Apartment or Suite Number E-mail Address
11611 49th PI W
]rockseth(a-umci.com
City State Zip
Phone Number Extension
Mukilteo WA 98275
(206)499-2051
Contractor
Company Name
UNIVERSITY MECH CONTR INC
Number Street
Apartment or Suite Number
11611 49th Place West
City State Zip
Phone Number Extension
Mukilteo WA 98275
(206) 4992051
State License Number License Expiration Date
UBI # E-mail Address
UNIVMC*343N9 10/3/2022
578025176 Irockseth((�_)umci.com
Project Location
Number Street
Floor Number Suite or Room Number
21601 76TH AVE W
7 704 to 706
City Zip Code
County Parcel Number
EDMONDS 98026
00580700002500
Associated Building Permit Number
Tenant Name
Swedish Medical Edmonds
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
* PUBLIC HOSPITAL DISTRICT 2 SNOHOMISH CO
Number Street Apartment or Suite Number
4710 196TH ST SW
City State Zip
LYNNWOOD WA 98036-5517
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 1/26/2022 Submitted By: Joseph Rockseth
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CITY OF EDMONDS MyBuildingPerm t.com
Plumbing Application #1082191 - Swedish Edmonds Birthing Center Med Gas
Project Contact
Company Name: UMC
Name: Joseph Rockseth Email: jockseth@umci.com
Address: 11611 49th PI W Phone #: (206)499-2051
Mukilteo WA 98275
Project Type
Nonresidential
Activity Type
Repair or Replacement
Scope of Work
Plumbing
Project Name: Swedish Edmonds Birthing Center Med Gas
Description of Work: Demo existing med gas outlets into wall. Reinstall outlets into same location.
Project Details
Scope of Work
Like for like equipment in the same location
Type of Use
Work includes commercial kitchen, food svc, med
gas, lab, medical use, or dental use.
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Additional Project Information
Total number of fixtures being added or altered
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
15
Demo existing med gas outlets. Replace with new
concealed outlets located in existing service location.
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