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��^+P'qs G. cl o fd r.p...r <br /> 12/17/2018 Approved Transaction <br /> pscleanair.org <br /> Puget Sound Clean Air Agency <br /> Notification Case #: 201805667 <br /> This page must be printed.A printout of the notification, all amendments to the notification,and the asbestos survey shall be available <br /> for inspection at all times at the asbestos project or demolition site(Reg III,4.03(a)(6)). <br /> Fee Amount Paid $275.00 <br /> Credit Card Transaction # AG1F2B57EC3F <br /> Transaction Date 12/17/18 <br /> Owner's Name John Budd Phone (425) 258-6289 <br /> Project Street Address 925 112th St.SE <br /> City Everett Zip 98208 <br /> Contact Person - ris Anderson Phone (425)922-2066 <br /> Mailing Address 169 Hwy 99 100 /'7'19 <br /> Lynnwood,WA 98037 <br /> This project includes asbestos removal. <br /> Project Size linear feet I 180 square feet <br /> Project Start Date 12/27/18 Completion Date 01/11/19 <br /> Asbestos will be removed by a licensed asbestos abatement contractor <br /> Contractor wrecking ball demolition Contractor Job# <br /> Contact Cody Chestnut Phone (425)339-3111 <br /> Mailing Address 3310 Chestnut St <br /> Everett,WA 98201 <br /> This project includes a demolition. <br /> Demolition Start Date 01/07/19 Completion Date 01/18/19 <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, <br /> I 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 /> https://secure.pscleanair.org/Asbestos/Approved.aspx 1/1 <br />