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FIR2024-0096+Application+10.1.2024_10.37.52_AM+4533673CITY OF EDMONDS MyBuitdingPermit.com Fire Application #1555397 - Kruger Medical Building TI Attic System 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 MCKINCL942DW 3/16/2026 602569922 permits(aD_mckinstry.com Project Location Number Street Floor Number Suite or Room Number 21600 HIGHWAY 99 Floor 1&2 Throughout City Zip Code County Parcel Number EDMONDS 98026 00580700002900 Associated Building Permit Number Tenant Name Kruqer Medical Building 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: 10/1/2024 Submitted By: Rob Fix Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #1555397 - Kruger Medical Building TI Attic System 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 Activity Type Scope of Work Nonresidential Alteration Fire Sprinkler Systems Project Name: Kruger Medical Building TI Attic System Description of Work: Tenant improvement involving 148 fire sprinkler heads. Project Details Fire System Type NFPA 13 Fire System Counts Number of Heads Added 148 Valuation Fair Market Value of Work $102,100 Contact Information Owner Email Address permits@mckinstry.com Page 2 of 2