REVIEWED BLD2024-1204+PSCAA+8.29.2024_5.50.57_PM+44720008/29/24, 5:31 PM
Clean Air Agency
Notification Case #: 202403819
Owner:
April Cook, (206) 696-1200
Project Address:
510 Forsyth Lane #206
Edmonds, WA 98020
Contact:
April Cook, (206) 696-1200
Mailing Address:
510 Forsyth Lane #206
Edmonds, WA 98020
Project Includes ASBESTOS REMOVAL
Project Size:
500 square feet of drywall
Project Duration:
9/30/2024 - 10/9/2024
Asbestos Removed By:
Licensed Asbestos Abatement Contractor
Contractor:
Advanced Asbestos Company LLC
Contact:
Vicki Boser
Mailing Address:
917134th St SW, B2
Everett, WA 98204
Asbestos Certification Number:
ABCN00001666
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scan for current status
Contractor job #: 2850
Phone: (425) 742-0116
By submitting this notification:
• I certify that the information I have provided is to the best of my knowledge true and
accurate.
• I understand that I must file an amendment to this notification if:
o The type of project has changed. The project types are asbestos and demolition.
o The quantity of friable asbestos to be removed meets a larger project category.
o The project's start or completion date has changed.
• 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.
• I understand the fees for this notification are non-refundable and any charge disputes I file
that result in a refund of the fees will void this notification.
c. \
.UCII fOUMD
Cloan Air Agoncy
(206) 689-4058
asbestos@pscleanair.gov
RECEIVED
Sep 12 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
BLD2024-1204
................................................
REVIEWED
BY
CITY OF EDMONDS
BUILDING DEPARTMENT!!
https://secure. pscleanair.org/pscaa. u i/nl/notifications/asbestos/notification/202403819 1 /1