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pscleanalr.org <br /> Puget Sound Clean Air Agency <br /> Notification Case#: 201900997 <br /> This page must be printed.A printout of the notification,all amendments to the notification,and the asbestos survey shall be available for <br /> inspection at all times at the asbestos project or demolition site(Reg III,4.03(a)(6)). <br /> Fee Amount Paid $65.00 <br /> Credit Card Transaction#AI0F7F961707 <br /> Transaction Date 03/05/19 <br /> Owner's Name James Maxson Phone (425)478-9414 <br /> Project Street Address 3628 Wetmore Ave. <br /> City Everett Zip 98201 <br /> Contact Person James Phone (425)478-9414 <br /> Mailing Address PO Box 12306 <br /> Everett,WA 98206 <br /> This project includes a demolition. <br /> Demolition Start Date 03/15/19 Completion Date 03/31/19 <br /> Demolition will be completed by a demolition contractor <br /> Demo Contractor Property Owner Contractor Job# <br /> Contact Phone <br /> Mailing Address <br /> (1)I certify that the information I have provided is to the best of my knowledge true and accurate. <br /> (2)I understand that I must file an Amendment to this Notification if: <br /> • The type of project has changed.The project types are asbestos and demolition. <br /> • The quantity of friable asbestos to be removed meets a larger project category. <br /> • The project's start or completion date has changed. <br /> (3) I understand one Notification must be filed for each structure. The only exception is for <br /> a single-family residence that includes multiple ancillary structures, such as a detached <br /> garage or other outbuildings having the same street address. If there is no street address, I <br /> have used a building number. <br /> (4) I understand the fees for this Notification are nonrefundable. <br /> Create Another Notification View History Log Out <br /> If you have questions,contact us at asbestos@pscleanair.org or 206.689.4058. <br /> 11""0 <br /> MAR 0 7 2019 <br /> CITY OF EVERETT <br /> Permit Services <br /> ((6 <br />