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Notification Case #: 202303286 <br />Fee Amount Paid: <br />Credit Card Transaction #: <br />Transaction Date: <br />Owner: <br />Project Address: <br />Contact: <br />Mailing Address: <br />$640.00 <br />pi_3NYUrHDGj14r4eQKOHBTacR6 <br />7/27/2023 <br />SNOHOMISH COUNTY <br />3000 Rockefeller Ave <br />Everett, WA 98021 <br />TODD LARSON <br />3315 SOUTH PINE STREET <br />TACOMA, WA 98409 <br />Phone: (425) 388-3421 <br />Phone: (253) 472-4489 <br />Project Includes ASBESTOS REMOVAL <br />Project Size: <br />45700 square feet of FIREPROOFING <br />Project Duration: <br />8/7/2023 - 12/1/2023 <br />Asbestos Removed By: <br />Licensed Asbestos Abatement Contractor <br />Contractor: <br />DICKSON COMPANY Contractor job #: 23083 <br />Contact: <br />KRISTIAN MCCOLEMAN Phone: (253) 472-4489 <br />Mailing Address: <br />3315 SOUTH PINE STREET <br />TACOMA, WA 98409 <br />Asbestos Certification Number: <br />ABCN00001008 <br />By submitting this notification: <br />• I certify that the information I have provided is to the best of my knowledge true and <br />accurate. <br />• I understand that I must file an amendment to this notification if: <br />c The type of project has changed. The project types are asbestos and demolition. <br />(���V/J <br />CAN <br />o The quantity of friable asbestos to be removed meets a larger project category. <br />1^�1�/�^1,`\�� <br />o The project's start or completion date has changed. <br />won ruuNn <br />clean Air Agency <br />• I understand one notification must be filed for each structure. The only exception is for a <br />206.689.4058 <br />single-family residence that includes multiple ancillary structures, such as a detached <br />asbestos@pscleanair.gov <br />garage or other outbuildings having the same street address. If there is no street address, <br />I have used a building number. <br />• I understand the fees for this notification are non-refundable. <br />