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I <br />0 Sound 4 if5a n Aff Ago g <br />"'l ication Case 2020003,68 <br />►8 <br />pages must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for inspection at <br />es at the asbestos project or demolition site (Reg 111, 4.03(a)(6)). <br />-.Am-Ount Paid $210#00 <br />.lit Card Transaction * APOA64590068 <br />#is ;. i Date <br />Cif/24/20 <br />nif rrNName Joh nsons Family LL <br />jOet Street Address 10825 Evergreen way <br />y Everett <br />Out Person Saint Grigoryan <br />1liho Address <br />s Oroject includes asbestos ret0ov 1. <br />jest Size linear feet / 2406 square feet <br />jact Start bate 02/03/20 Completion Date 02/05/20 <br />ii will be removed by a licensed asbestos abatement contractor <br />Mraor Advanced Asbestos Company LI C <br />Matt earn <br />4110Q Address 15329 2nd Ave We Unit a <br />Lynnwood# WA 980is7 <br />Phone <br />(425) 312-8979 <br />98204 <br />(206) 919-0628 <br />Contractor Job <br />Phone (206) 919-0628 <br />f certify that the information 1 have provided is to the best of my knowledge true and accurate. <br />I tlrlderstand that l must file an Amendment to this Notification if; <br />lthe type of project has changed. The project types are asbestos and demolition, <br />The antity of friable asbestos to be removed meets a larger project category. <br />4 The project's start or completion date has changed. <br />I tintlerstand one Notification 'bust be filed for each structure. The only exception is for a single-family residence that includes multiple ancillary <br />cttif'es, such as a detached garage or ether outbuildings having the same street address. if there is no street address, I have used a building number. <br />f understand the fees for this Notification are nonrefundable. <br />