BLD2021-0928_Application_7.2.2021_12.08.16_PM_2281718RECEIVED
SUBJECT TO FIELD INSPECTION.
BLD2021-0928 APPROVED OTC, 2 FIXTURES ONLY
Jul 02 2021
\ CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #986115 - 8422 - Swedish Edmonds Mammography
Applicant
First Name Last Name Company Name
Brittney Higgins University Mechanical Contractors
Number Street Apartment or Suite Number E-mail Address
11611 49th Place West bhiggins@umci.com
City State Zip Phone Number Extension
Mukilteo WA 98275 2067945703
Contractor
Company Name
UNIVERSITY MECH CONTR INC
Number Street Apartment or Suite Number
11611 49th Place West
City State Zip Phone Number Extension
Mukilteo WA 98275 (206) 7945703
State License Number License Expiration Date UBI # E-mail Address
UNIVMC*343N9 10/3/2022 57RD9517R bhiggins@umci.com
Project Location
Number Street Floor Number Suite or Room Number
7320 216TH ST SW 1 210
City Zip Code County Parcel Number
EDMONDS 98026 00580700002901
Associated Building Permit Number Tenant Name
Swedish Hospital
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:
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: 7/2/2021 Submitted By: Brittney Higgins
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #986115 - 8422 - Swedish Edmonds Mammography
Project Contact
Company Name: University Mechanical Contractors
Name: John Shine Email: jshine@umci.com
Address: 11611 49th Place West Phone #: (206) 391-3285
Mukilteo WA 98275
Project Type
Nonresidential
Activity Type
Alteration
Scope of Work
Plumbing
Project Name: 8422 - Swedish Edmonds Mammography
Description of Work: Demo one existing sink, cap plumbing in wall. Install new wall mounted sink and
goose -neck faucet.
Project Details
Scope of Work
Like for like equipment in the same location
Type of Use
Work includes commercial kitchen, food svc, med
gas, lab, medical use, 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
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Suite 120 - Mammography
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