PSCAA.pdfApproved Transaction Page 1 of 1
pscleanair.org
Puget Sound Clean Air Agency
Single -Family Notification Case #: 201705643
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 $25.00
Credit Card Transaction # APOFEFF6CE59
Transaction Date 11/28/17
Owner's Name Charlie Laughtland Phone (425) 773-8835
Project Street Address 926 Walnut Street AEC Job#17707
City Edmonds Zip 98020
Contact Person Charlie Laughtland Phone (425) 773-8835
Mailing Address
This project includes asbestos removal.
Project Size linear feet / 3966 square feet
Project Start Date 12/11/17 Completion Date 12/29/17
Asbestos will be removed by a licensed asbestos abatement contractor
I certify that:
(1) This is a single-family residence project. The structure is used by one family who owns the property as their domicile.
(2) The information I have provided is to the best of my knowledge accurate and complete.
(3) I understand the fee for this Notification is nonrefundable.
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If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058.
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https:Hsecure.pscleanair.org/Asbestos/Approved.aspx 11/28/2017