10825 EVERGREEN WAY LEGENDS APARTMENTS 2022-02-02

Approved Transaction page I of I pscleanair.org t Sound Clem Air AgerKy Notification Case #: 202000700 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 # AQOA682E458B Transaction Date 02/11/20 Owner's Name 3ohnson Family LLC Phone (425) 508-4670 Project Street Address 10825 Evergreen Way City Everett Zip 98204 Contact Person Scott 3ohnson Phone (425) 508-4670 Mailing Address PO Box 5253 Everett, WA 98206 This project includes a demolition. Demolition Start Date 02/24/20 Completion Date 02/28/20 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 project's 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 View History If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. Loa Out https://secure.pscleanair.org/Asbestos/Approved.aspx 2/11/2020