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psclean air.org <br />Puget Sound Clean Air Agency <br />Single -Family Notification Case #: 201903668 <br />This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for <br />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 # AG0F2F92DD99 <br />Transaction Date <br />07/16/19 <br />Owner's Name <br />Ran Nehara <br />Phone <br />(425) 445 9478 <br />Project Street Address <br />4735 eayview Ln. <br />city <br />Everett <br />Zip <br />98203 <br />Contact Person <br />Kesh Chavda <br />Phone <br />(425) 344 9906 <br />Mailing Address <br />This project includes asbestos removal. <br />Project Size linear feet / 400 square feet <br />Project Start Date 07/26/19 Completion Date 08/01/19 <br />Asbestos will be removed by the home owner <br />This project includes a demolition. <br />Demolition Start Date 07/26/29 Completion Date 08/01/19 <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@pscleanairorg or 206.689.4058. <br />ex�_,� 7 <br />JUL 16 2019 <br />P <br />CI CF' V"1vTT <br />