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10/4/21,2:28 PM Approved Transaction411 <br /> . <br /> pscleanair.org <br /> Puget Sound Clean Air Agency <br /> Single-Family Notification Case #: 202105050 <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 # AR0A7A85089F <br /> Transaction Date 10/04/21 <br /> Owner's Name Robert&3o Schomer Phone (206) 501-6379 <br /> Project Street Address 1415 84th Street SE #141 <br /> City Everett Zip 98208 <br /> Contact Person Peter Krenzke Phone (206) 501-6379 <br /> Mailing Address 26828 Maple Valley Hwy#308 <br /> Maple Valley,WA 98038 <br /> This project includes a demolition. <br /> Demolition Start Date 10/04/21 Completion Date 08/04/22 <br /> Demolition will be completed by a demolition contractor <br /> This is an emergency project. The emergency reason: <br /> There was a sudden, unexpected event that resulted in a public health or safety hazard. <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@pscieanair.org or 206.689.4058. <br /> https://secure.pscieanair.org/Asbestos/Approved.aspx 1/1 <br />