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BLD2024-0053+Application+1.12.2024_3.00.27_PM+3998062CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1427852 - Swedish Edmonds NUC Applicant First Name Last Name Company Name Rob Fix McKinstry Co Number Street Apartment or Suite Number E-mail Address 5005 3rd Ave S PO Box 24567 permits(Dmckinstry.com City State Zip Phone Number Extension Seattle WA 98134 (206) 790-1091 Contractor Company Name MCKINSTRY CO LLC Number Street Apartment or Suite Number 5005 3rd Ave S PO Box 24567 City State Zip Phone Number Extension Seattle WA 98134 (206) 762-3311 State License Number License Expiration Date UBI # E-mail Address MCKINCL793NG 9/3/2025 602569922 permits(aD_mckinstry.com Project Location Number Street Floor Number Suite or Room Number 7320 216TH ST SW 1 st N/A City Zip Code County Parcel Number EDMONDS 98026 00580700002901 Associated Building Permit Number Tenant Name Swedish NUC 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: 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: 1/12/2024 Submitted By: Rob Fix Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1427852 - Swedish Edmonds NUC Project Contact Company Name: McKinstry Co Name: Rob Fix Email: permits@mckinstry.com Address: 5005 3rd Ave S PO Box 24567 Phone #: (206) 790-1091 Seattle WA 98134 Project Type Nonresidential Activity Type Repair or Replacement Project Name: Swedish Edmonds NUC Description of Work: Replacement of one sink. Project Details Scope of Work Like for like equipment in the same location Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. Associated Building Permit? There is no other onsite work that requires a building permit. Additional Project Information Total number of fixtures being added or altered 1 Work Location Work Description/Location (example: 1 st floor, 1 st Floor Master Bath, Garage) Scope of Work Plumbing Page 2 of 2