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7/23/20204110 Approved Transaction <br /> plscieanair.arg <br /> Puget Sound Clean Air Agency <br /> Single-Family Notification Case #: 202003093 <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 $65.00 <br /> Credit Card Transaction # AQ1A6AFD3B98 <br /> Transaction Date 07/23/20 <br /> Owner's Name Jessica and Scott Holmgren Phone (425)367-7410 <br /> Project Street Address 712 33rd St. <br /> City Everett Zip 98201 <br /> Contact Person Jessica Holmgren Phone (425)367-7410 <br /> Mailing Address <br /> This project includes a demolition. <br /> Demolition Start Date 08/14/20 Completion Date 08/16/20 <br /> Demolition will be completed by the home owner <br /> I certify that: <br /> (1)This is a single-family residence project.The structure is used by one family who owns the property as their domicile. <br /> (2)The information I have provided is to the best of my knowledge accurate and complete. <br /> (3)I understand the fee for this Notification is nonrefundable. <br /> Create Another Notification <br /> If you have questions,contact us at asbestos@psdeanair.org or 206.689.4058. <br /> §8aL <br /> SEp 21.,, ar,$ )0 fill dik,,,,if---.. <br /> 6./S—: <br /> httpsJ/secure.psdeanair.org/Asbestos/Approved.aspx 1/1 <br />