BLD2022-1431+Application+10.18.2022_12.07.27_PM+3171005CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1217591 - Edmonds MRI Suite E104.024
Applicant
First Name Last Name Company Name
Spenser Petherick P2S
Number Street Apartment or Suite Number E-mail Address
920 Fifth Avenue 2300 spenser.petherick@p2sinc.com
City State Zip Phone Number Extension
Seattle WA 98104 (206) 267-6920
Contractor
Company Name
MACDONALD MILLER FAC SOL INC
Number Street
17930 International Blvd.
City
SeaTac
State License Number
MACDOFS8080S
Project Location
State Zip
WA 98188
License Expiration Date
8/27/2024
Number Street
21601 76TH AVE W
City Zip Code
EDMONDS 98026
Associated Building Permit Number
BLD2022-1221
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Number Street
4710 196TH ST SW
City
LYNNWOOD
Apartment or Suite Number
Suite 120
Phone Number Extension
(206) 768-4062 2062256723
UBI # E-mail Address
602254260 Jake. BursteinCa)-macmiIler.com
Floor Number Suite or Room Number
1 E 104.024
County Parcel Number
00580700002500
Tenant Name
Swedish Edmonds
Last Name or Company Name
PUBLIC HOSPITAL DISTRICT 2 SNOHOMISH CO
Apartment or Suite Number
State Zip
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: 10/18/2022 Submitted By: Spenser Petherick
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CITY OF EDMONDS M BuildingPerrnit.com
Plumbing Application #1217591 - Edmonds MRI Suite E104.024
Project Contact
Company Name: P2S
Name: Spenser Petherick Email: spenser.petherick@p2sinc.com
Address: 920 Fifth Avenue 2300 Phone #: (206) 267-6920
Seattle WA 98104
Project Type
Nonresidential
Activity Type
Alteration
Scope of Work
Plumbing
Project Name: Edmonds MRI Suite E104.024
Description of A buildout of a shelled space for a new MRI suite. Plumbing work includes 2 new med air
Work: outlets, 2 new med vac inlets, a new handwash sink and a single pass cold water backup
system for the MRI Equipment.
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
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)
12
A new hand wash sink, 2 med air outlets, 2 med vac
inlets, and a cold water backup cooling system for a
new MRI buildout of shelled space at Swedish
edmonds
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