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• <br /> pscleaAlaIIr.o g <br /> Puget Sound Clean Air Agency <br /> Single-Family Notification Case #: 201903430 <br /> This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be <br /> available 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 # AG1F2F4A46CB <br /> Transaction Date 07/02/19 <br /> Owner's Name alex dovgalyuk Phone (425) 299-2191 <br /> Project Street Address 3618 shore ave <br /> City Everett Zip 98203 <br /> Contact Person Alex Phone (425) 299-2191 <br /> Mailing Address 3618 shore ave <br /> Everett,WA 98203 <br /> This project includes asbestos removal. <br /> Project Size linear feet / 19 square feet <br /> Project Start Date 07/08/19 Completion Date 07/19/19 <br /> Asbestos will be removed by the home owner <br /> This project includes a demolition. <br /> Demolition Start Date 07/12/19 Completion Date 07/19/19 <br /> Demolition will be completed by the home owner <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 View History Log Out <br /> If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. <br /> https://secure.pscleanair.org/Asbestos/Approved.aspx 7/2/19,8:29 PM <br /> Page 1 of 1 <br />