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psclean air.org <br />Puget Sound Clean Air Agency <br />Single -Family Residence Notification <br />Fee Information: <br />(Fees Last Revised 71112011) <br />Project Type <br />After payment, <br />when can I start my project? <br />Fee <br />Asbestos removal only <br />IToday <br />$25 <br />Demolition (with or without asbestos removal) <br />Asbestos Removal -Today <br />Demolition - In 10 Days <br />g65 <br />Emergency Demolition <br />Today <br />No Additional Fee <br />Please enter the following: <br />Owner's Name Phone ) <br />Project Street Address <br />city Zip <br />Contact Person Phone (�) <br />If your mailing address is different from the project street address, enter your mailing address: <br />Mailing Address <br />Mailing City I State I Washington Zip 0 <br />❑� Asbestos will be removed as part of this project. <br />If asbestos will be removed, complete the following section: <br />Quantity of friable asbestos to be removed: <br />0 linear feet Osquare feet <br />Project Start Date Completion Date <br />This asbestos removal will be completed by: <br />* me <br />O a licensed asbestos abatement contractor <br />❑.i A demolition will occur as part of this project. <br />If a demolition will occur, complete the following section: <br />Demolition Start Date Completion Date <br />