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11921 SILVER LAKE DR 2022-04-05
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11921 SILVER LAKE DR 2022-04-05
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4/5/2022 1:37:24 PM
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4/5/2022 1:28:53 PM
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Address Document
Street Name
SILVER LAKE DR
Street Number
11921
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11/6/2020 Approved Transaction • <br /> pscleanair.org <br /> Puget Sound Clean Air Agency <br /> Notification Case #: 202005006 <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 $275.00 <br /> Credit Card Transaction # AG1A4BC9FAF0 <br /> Transaction Date 11/06/20 <br /> Owner's Name Daune Shireman Phone (425) 275-6790 <br /> Project Street Address 11921 Silver Lake Dr. <br /> City Everett Zip 98206 <br /> Contact Person Greg Romo Phone (425) 275-6780 <br /> Mailing Address <br /> This project includes asbestos removal. <br /> Project Size linear feet / 2000 square feet <br /> Project Start Date 11/16/20 Completion Date 12/31/20 <br /> Asbestos will be removed by a licensed asbestos abatement contractor <br /> Contractor wrecking ball demolition Contractor Job # <br /> Contact Cody Chestnut Phone (425) 339-3111 <br /> Mailing Address 3310 Chestnut St <br /> Everett,WA 98201 <br /> This project includes a demolition. <br /> Demolition Start Date 11/17/20 Completion Date 12/31/20 <br /> Demolition will be completed by a demolition contractor <br /> Demo Contractor wrecking ball demolition Contractor Job # <br /> Contact Cody Chestnut Phone (425) 339-3111 <br /> Mailing Address 3310 Chestnut St <br /> Everett,WA 98201 <br /> (1) I certify that the information I have provided is to the best of my knowledge true and accurate. <br /> (2) I understand that I must file an Amendment to this Notification if: <br /> ▪ The type of project has changed.The project types are asbestos and demolition. <br /> • The quantity of friable asbestos to be removed meets a larger project category. <br /> • The project's start or completion date has changed. <br /> (3) I understand one Notification must be filed for each structure. The only exception is for <br /> a single-family residence that includes multiple ancillary structures, such as a detached <br /> garage or other outbuildings having the same street address. If there is no street address, <br /> I have used a building number. <br /> (4) I understand the fees for this Notification are nonrefundable. <br /> Create Another Notification <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 />
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