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• • <br /> pscleanair.org <br /> Puget Sound Cher,Air Agency <br /> Single-Family Notification Case #: 201905095 <br /> This page must be printed.A printout of the notification,all amendments to the notification,and the asbestos survey shall be available for <br /> inspection at all times at the asbestos project or demolition site(Reg III,4.03(a)(6)). <br /> Fee Amount Paid $25.00 <br /> Credit Card Transaction#AA0A3B09E284 <br /> Transaction Date 10/04/19 <br /> Owner's Name Brent Sanders Phone (425)275-7568 <br /> Project Street Address 6533 Beverly Blvd. <br /> City Everett Zip 98203 <br /> Contact Person Brent Sanders Phone (425)275-7568 <br /> Mailing Address PO Box 1154 • <br /> Everett,WA 98203 <br /> This project includes asbestos removal. <br /> Project Size linear feet / 125 square feet • <br /> Project Start Date 10/14/19 Completion Date 10/14/19 <br /> Asbestos will be removed by a licensed asbestos abatement contractor <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 /> If you have questions,contact us at asbestos@pscleanairorg or 206.689.4058. <br />