Laserfiche WebLink
W27=1 Approved Tiansamon <br />psclean air.org <br />Pugn Sound Clean Air Agway <br />Notification Case *: 202104321 <br />This page must be printed A printout of Me notification, all amendments to me notification, and the asbestos survey shall be available <br />for inspection at all times at Me asbestos project or demolition site (Reg III, 4.03(a)(6)). <br />Fee Amount Pald j215 0 <br />Credit CCarolTana n f A 6C99J413 <br />Transaction Date /27/21 <br />Owner's Name Rockefeller Square,LLC <br />Phone <br />(425)28)-)946 <br />Project Street Address 2617 Rockefeller Ave <br />cry Everett <br />Zip <br />98201 <br />Contact Person Joe 2lab <br />Phone <br />(429)2"-?9 <br />Malting Address 52055.2nd Ave.,STE-C <br />LVentq WA 98203 <br />This project includes asbestos removal. <br />Project Star linear9/0 feet / Completion <br />square feet <br />Project stare Date o9/os/21 completion Date o9/17/21 Q <br />Asbestos will be removed by a licensed asbesWs abxemmd comtractor <br />Contractor One Rep Environmental Abatement LLC Contactor Jab 1767 <br />C Ud Turbo Phone 2284290 <br />Mailing Address 18412 4th Ave 5. <br />seaMe, INA 981419 <br />This project includes a derialtlon. <br />tRmolltionstarc Date 09/18/21 Completlorl 12/25/21 <br />Demolnum will be completed by a demolition contractor <br />hemp Contractor property Owner Contractor ]ob # <br />Contact Phone <br />Mailing Address <br />(1) I cerray that The information I have provided is n the best of my knowledge tr a and accurate. <br />(2)1 understand mat I must file an Amendment m this Notification if. <br />• The type a project has changed. The project types are asbestos and demolition. <br />• The quantity of Margie asbestos to be removed meets a larger project otegary. <br />• The pmject's start or Completion data 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 />Crean Annear Notification <br />If you have questions, contact us at asbestos@pstleanaicorg or 206.689.4059. <br />