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11/6/2020 • Confirmation • <br /> ! , <br /> ` Washington Sty Deprtment <br /> Asbestos Project Notification Form <br /> i Labor & IndustriesForm ID: 166903#986404695 !Completed by:Cody Chestnut <br /> ';Submitted: 11/06/2020 at 4:54pm <br /> Project dates and notice type I Work hours <br /> Notice date: 11/06/2020 You will work these times: <br /> :Notice type: Initial 7:00am to 3:30pm <br /> ...on these dates: , <br /> ';`Project dates: 11/16/2020 to Monday, Tuesday, Wednesday, Thursday, and Friday from 11/16/2020 to <br /> 12/31/2020 :12/31/2020 <br /> i Job site location i Contractor <br /> !Address: WRECKING BALL DEMOLITION, LLC (EVERETT) <br /> i <br /> 11921 Silver Lake Dr. UBI:601878379 <br /> Everett,WA 98206 i Certification:ABCN00001436 <br /> County:Snohomish `Phone:425-328-6682 <br /> Room: Exterior 'Contact Email:codyc@wreckingballdemo.com <br /> Supervisor: David Mancillas <br /> Certification:ABAS00028791 <br /> Phone:425-328-6682 <br /> Property owner Facility details <br /> Name: Daune Shireman Facility type: Residential <br /> Company:N/A i Construction year: 1933 <br /> i Owner's agent: N/A I Size: 1100 sq. feet <br /> Phone:425-275-6790 Prior use:Home <br /> Address: Construction type: <br /> t 11921 Silver Lake Dr. demolition <br /> Everett,WA 98206 <br /> ; <br /> s <br /> Project details <br /> Cement Asbestos Board (CAB)-2000 square feet <br /> Outdoors <br /> Removed <br /> Control measures: <br /> Hepa Vacuum <br /> Manual Methods <br /> Wet methods <br /> Respiratory protection: • <br /> 1/2 mask - Air purifying respirator <br /> 1/1 <br />