REVIEWED BLD2024-1260+Waste_Diversion_Report+9.25.2024_11.56.02_AM+4522852BLD2024-1260 RECEIVED
Sep 27 2024
PLANNING & DEVELOPMENT
BUILDING
121 5th Avenue N
P: 425.771.0220
www.edmondswa.gov
Waste Diversion Report
REVIEWED
BY
CITY OF EDMONDS
Please complete this report for your construction or demolition project and submit to the inspector at the Final
Inspection or upload via mybuildingpermit.com under the permit number to the City of Edmonds prior to final
inspection.
Permit Number:
Project Address:
L s4'i
Applicant Name:
J e
Contact Phone Number:
�1
Contact Email Address:
``fi' E. CCU
Estim ted Project Square Footage:
15-66
Asbestos Abatement Performed?
Yes / o
Diversion Records
Unit of
Receiving
Material Type
yp
Diversion Method
Quantity
Measure
Hauler
Facility
Date
Typical Material Types, Haulers and Receiving Facilities are listed on the back of this form though other
entries will be accepted.
Diversion Methods includes 1) Reuse on site, 2) Salvage off site, 3) Recycle source separated,
4) Recycle commingled and 5) Landfill
. > Unit of Measure includes 1) Tons, 2) Pounds, 3) Cubic yards and 4) Number of items (for salvage)