2401 TAYLOR DR 2021-02-25 - Laserfiche WebLink

3/4/2020 • Approved Transaction pscleana r.org Puget Sound!-Ian?.ir Agency Notification Case #: 202001126 This page must be printed. A printout of the notification,all amendments to the notification, and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site(Reg III, 4.03(a)(6)). Fee Amount Paid $65.00 Credit Card Transaction # AA0A3E209940 Transaction Date 03/04/20 Owner's Name Clay Erickson Phone (425) 346-6575 Project Street Address 2401 Taylor Dr. City Everett Zip 98203 Contact Person Clay Erickson Phone (425) 346-6575 Mailing Address 924 Goat Trail Loop Road Mukilteo,WA 98275 This project includes a demolition. Demolition Start Date 03/23/20 Completion Date 04/06/20 Demolition will be completed by a demolition contractor Demo Contractor Property Owner Contractor Job # Contact Phone Mailing Address (1) I certify that the information I have provided is to the best of my knowledge true and accurate. (2) I understand that I must file an Amendment to this Notification if: • The type of project has changed.The project types are asbestos and demolition. • The quantity of friable asbestos to be removed meets a larger project category. • The projects start or completion date has changed. (3) I understand one Notification must be filed for each structure. The only exception is for a single-family residence that includes multiple ancillary structures, such as a detached garage or other outbuildings having the same street address. If there is no street address, I have used a building number. (4) I understand the fees for this Notification are nonrefundable. Create Another Notification If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. https://secure.pscleanair.org/Asbestos/Approved.aspx 1/1