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BLD2022-1432+Application+10.18.2022_12.42.02_PM+3171143CITY OF EDMONDS nnysuilaingPermit.com Mechanical Application #1217521 - 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 Page 1 of 2 CITY OF EDMONDS M BuildingPerrntt.com Mechanical Application #1217521 - 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 Mechanical Project Name: Edmonds MRI Suite E104.024 Description of Finishing out a shelled space to be a new MRI suite, Mechanical work include new Work: tracking pair VAV boxes, an exhaust fan on the roof, and a new air cooled chiller to serve the MRI equipment Project Details Scope of Work Mech Equipment For Building Permit HVAC Systems HVAC - Roof Mounted 400 Ibs or over Associated Building Permit? There is or will be a building permit associated with this work at the project location. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Finishing out a shelled space as an MRI room on the First floor of Swedish Edmonds, including a new air-cooled chiller for cooling the MRI machine on the roof. Page 2 of 2