BLD2024-0770+Application+6.11.2024_2.47.10_PM+4315453CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1499252 - SMC Edmonds Neptune Docking Station Install
Applicant
First Name Last Name Company Name
AMANDA MACGREGOR MacDonald Miller Facility Solutions
Number Street Apartment or Suite Number E-mail Address
PO Box 47983
City State
Zip
Seattle WA
98146
Contractor
Company Name
MACDONALD MILLER FAC SOL
INC
Number Street
17930 International Blvd.
City
State Zip
SeaTac
WA 98188
State License Number
License Expiration Date
MACDOFS798P9
10/25/2025
Project Location
Number Street
21601 76TH AVE W
City
Zip Code
EDMONDS
98026
Associated Building Permit Number
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
permits(D,macmiller.com
Phone Number Extension
(206) 768-3866
Apartment or Suite Number
Suite 120
Phone Number Extension
(206) 768-3866
UBI # E-mail Address
602254260 permits(a_macmiller.com
Floor Number Suite or Room Number
B-FLOOR NONE
County Parcel Number
00580700002500
Tenant Name
SWEDISH EDMONDS
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
Certification Statement - The applicant states:
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.
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: 6/11/2024 Submitted By: AMANDA MACGREGOR
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1499252 - SMC Edmonds Neptune Docking Station Install
Project Contact
Company Name: MacDonald Miller Facility Solutions
Name: AMANDA MACGREGOR Email: permits@macmiller.com
Address: PO Box 47983 Phone #: (206) 768-3866
Seattle WA 98146
Project Type
Nonresidential
Activity Type
Repair or Replacement
Scope of Work
Plumbing
Project Name: SMC Edmonds Neptune Docking Station Install
Description of Work: Install two (2) water supply and waste boxes for OR docking station equipment
(Neptune) and one (1) backflow to serve the two new boxes.
Project Details
Type of Use
Work includes commercial kitchen, food svc, med
gas, lab, medical use, or dental use.
Additional Project Information
Total number of fixtures being added or altered
Work Location
Work Description/Location (example: 1 st floor,
Master Bath, Garage)
9
Install two (2) water supply and waste boxes for OR
docking station equipment (Neptune) and one (1)
backflow to serve the two new boxes.
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