BLD2022-0097+PSCAA#1/24/22, 3:03 PM Approved Transaction
pscIeana!r.org
Puget Sound Clean Air Agency
Notification Case #: 202200374
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 $210.00
Credit Card Transaction # AGOA5BCC422F
Transaction Date 01/24/22
Owner's Name Susan Dunn Phone (206) 819-8158
Project Street Address 315 8th Ave. North
City Edmonds Zip 98020
Contact Person Susan Dunn Phone (206) 819-8158
Mailing Address
This project includes asbestos removal.
Project Size linear feet / 450 square feet
Project Start Date 02/07/22 Completion Date 02/18/22
Asbestos will be removed by a licensed asbestos abatement contractor
Contractor wrecking ball demolition Contractor Job #
Contact Cody Chestnut Phone (425) 339-3111
Mailing Address 3310 Chestnut St
Everett, WA 98201
(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.
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If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058.
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