BLD2023-0308+PSCAA+5.30.2023_9.57.37_AM+35744635/30/23, 9:46 AM Approved Transaction
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Clean Air Agency
Notification Case #: 202302350
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 $275.00
Credit Card Transaction # AEOA5B917AB6
Transaction Date
05/30/23
Owner's Name
City of Edmonds - Parks, Recreation and Human Sery Phone (425) 344-1505
Project Street Address 9309 Bowdoin Way
City
Edmonds Zip 98020
Contact Person
Kyle Woods Phone (425) 344-1505
Mailing Address
700 Main Street
Edmonds, WA 98020
This project includes asbestos removal.
Project Size linear feet / 523 square feet
Project Start Date 09/01/23 Completion Date 09/29/23
Asbestos will be removed by a licensed asbestos abatement contractor
Contractor Property Owner Contractor Job #
Contact Phone
Mailing Address
This project includes a demolition.
Demolition Start Date 10/01/23 Completion Date 10/31/23
Demolition will be completed by a demolition contractor
Demo Contractor Property Owner Contractor Job #
Contact Phone
Mailing Address
(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.gov or 206.689.4058.
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