7903 BEVERLY BLVD 2019-05-28 - Laserfiche WebLink

K. pcleattair.or Puget Sound`-Clean Air Agency Notification Case #. 201805614 ,4, This This page must be printed.A printout of the notification,all amendments to the notification,and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site(Reg III,4.03(a)(6)). Fee Amount Paid $65.00 Credit Card Transaction#AQOFFSAF486B Transaction Date 12/13/1,8 t Owner's Name Thunder ridge Ranch LLC Phone (360)805-0452 nProject Street Address 7903 Beverly Road City` Everett Zip 98203 Contact Person Robin Phone (360)805-0452 Mailing Address i This project includes a demolition. Demolition Start Date 12/23/18 Completion Date 12/31/18 Demolition will be completed by a demolition contractor i Demo Contractor Northend Excavating,Inc Contractor Job# Beverly EV Contact Todd Zuanich Phone (425)343-4976 i Mailing Address 10046 149th Ave NE i Granite Fails,WA 98252 r (1)I certify that the information I have provided is to the best of my knowledge true and accurate. (2)I understand that I must file an Amendment to this Notification if: The type of project has changed.The project types are asbestos and demolition. • The quantity of friable asbestos to be removed meets a larger project category. • The project's'start or completion date has changed. (3) I understand one Notification must be filed for each structure. The only exception is for a single-family residence that includes multiple ancillary structures, such as a detached garage or other outbuildings having the same street address. If there is no street address, I have used a building number. (4) I understand the fees for this Notification are nonrefundable. Create Another Notification View History j g Ou If you have questions,contact us at asbestos@pscieanair.org or 206.689.4058.