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10/18/2019 <br />p cIeanair,org <br />Pu" Sound Clean Air Agency <br />Approved Transaction 0 <br />Single -Family Notification Case #: 2019OS32S <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 $65.00 <br />Credit Card Transaction # AL1A65CD800E <br />Transaction Date <br />10/18/19 <br />Owner's Name <br />Shyvani Investments, LLC <br />Project Street Address 1820 Silver Lake Road <br />City <br />Everett <br />Contact Person <br />Shy GOunder <br />Mailing Address <br />2602 122nd PL SE <br />Everett, WA 98208 <br />This project includes asbestos removal. <br />Project Size linear feet / 50 square feet <br />Project Start Date 10/28/19 Completion Date 11/08/19 <br />Asbestos will be removed by a licensed asbestos abatement contractor <br />This project includes a demolition. <br />Demolition Start Date 10/28/19 Completion Date 11/08/19 <br />Demolition will be completed by a demolition contractor <br />Phone (206) 351-4245 <br />Zip 98208 <br />Phone (206) 351-4245 <br />I certify that: <br />(1) This is a single-family residence project. The structure is used by one family who owns the property as their domicile. <br />(2) The information I have provided is to the best of my knowledge accurate and complete. <br />(3) I understand the fee for this Notification is nonrefundable. <br />Create Another Notification <br />View History <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 />