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Approved Transaction <br />pscleanair.org <br />Puqet Saund Clan Nr l.pmcy <br />Page l of 1 <br />Notification Case #: 200704276 <br />7TI5 page must be ptln[ed. A pdnmut W the notlfl�tlon, ali amenOmenLs W the notlficatlon, ard Che asGestus surcey chall be avallaClelw <br />InSpecUon at alf tlmes at the asbestos O�Ject or demollUon 51[e (Reg lil, 4.03(a)(ti)). <br />FeeAmoun[Paltl S6S0.00 <br />Uetll[ Card TransaClon x K]FiE2CE606 <br />Tronwction Date 32/30/W <br />Ownefs Name Buu Rodland <br />Site Address 915 Madlson Sc <br />S(te City NBruU <br />Cor.tdc[PelSoO BuzZRodlind <br />Mallinq Atl�ress 6816 Evergreen Way <br />EvereK� WA 98203 <br />P�one (425) 754-9707 <br />L�p L8203 <br />Phone (025) 754•9707 <br />proJect Ind�tles multlple s[ruc[ures. Each structare's number and street adtlress: <br />Madiwn St� 6931 CaEy Street, 6927 E Catly Strecq Everett, WA 90103 <br />Thlc proJeR Indudna as6estns nmoval. <br />ProJett Slze Ilnear (eM / 13040 square fee[ <br />Pro]ect5tart'Ja[t SI!=0/o7 CompletlonDate 01/18/08 <br />Asbestos wlll be remn: ed 6y a Ilcenned azbetW e abatemen[ [ontractor <br />ConVac[or Long Services <br />ConUc[ Deanna Hungarford <br />Maliln9 Adtlrcss 21414 6Eth 5 <br />I<ent� V/A 98032 <br />Thie proJect Inrlutle*. c tivnollHon. <br />Dertlolltlon Start Date 01/07/OB Completlon Datc 01/31/0@ <br />DemollUan wlll be completed by a demoll[lon con[ractor <br />Demo ConVaR�f SteMar Cn. LLC <br />fyntnc[ Sda Foredyce <br />Malling ACdreu 2312 106th PI SE <br />Evarett, WA 98200 <br />Cnntrac[orJob # L070373 <br />Phonc (�53} 234-8050 <br />Con[racYor]ab # <br />Pha1e (425)754-9707 <br />(1) I certlly thaf lhe Infartnation I have pravlGed :s lo Ihe best of my knawleAqe hue and accu2te. <br />(2) I antlerstand [ha[ 1 must Ble an AmenUmen[ � this N011fica[lon If: <br />• The type of DroJec[ has changed. The pro)ec[ types are acbestos an0 tlemolition. <br />• The qunnGty of frlabie asbestos tn be rnioved mee[s a larger proJect cate9ory. <br />• TheproJect'ssWrtarcompletlon�acehas<hanged. <br />(3) t unEerstand [haC [he pmJec['s sl:e atltlress caonot Ee matll0e4 antl addltlonal struc[ures may no[ be atlCeG [o a notlFlcatlon U� <br />AmenOmen[. <br />(4) I under5tand the fee5 for thls Natili�atlon are nonrcfunUaDle. <br />C[saS.G�eacher Notll:catior, y_isYt2listv[y <br />If you nave questlo�s, mntact us ac asbes[osOpsdeanalr.ory or 206.689.4058. <br />•�:;?::D;,:1,. <br />https://sewre.pscleanair.o: �JAsbesms/Apprnved.aspx 12/10/2007 <br />