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2007, 12-07 Permit App 07004791 Notice of Intent, Site PlanDec 05 07 04:32p Rob's Demolition Jai I;-ins C"0.. DEC 05 2007 16:35 509 534 9404 PAGE.05 Dec 05 07 04:34p Rob's Uemolition _Moe� 4° SPOKANE CLEAN AIRt�yr bUy-,')J4-y4U4 P. i u No. 1416 P. 3 509-929=Ui 3hiC.AA l�IQ3 g % SPOIZANF- REGIONAL, CLP-4-14 ALR AGENCY (SRC.A,A) 99�20] D e k5RC � � VB J� e` Y% 1101 Wesi Cojlogv, Sbite 403, 9Po��WA �. OrHCE*OF+ INTE (1� 1) Agency vsdrt?rr{y For Asbestos Pluf ects and l?emolition Proj mis AN - l. ]Project Type: j I. U AsbwtosRi irioYal 2. AsbestosYdamodaL Dernotitlon 3. ®DemoTltlan,Ai®Aabesto5 Rtmaval Property Owner: ! -�7-� Inc, Phone: 059 " q 9 a�liablo Pax:3(K i Property owner's Site ° Addrress: 1,�01 1- 1 ci State: VIA tzi,pl99 Roslonsiplc S1tP ' Tt ' 101, Ino lob Site CoataetPman! a Phone:6y4 q 9 012 ). Asbestos Surwy or ifsurvvy peztofmed, team ■sbestns found? Dale Surt'cy No. of Struch[rc5; a Material Presumed Yea 0 If' NO" for =2 atructure attach survey Ceaducted° (see back if -:-I) AHED-k Building o Ccrt:licati Exp. cctor Nance: / Number: Date ?. AsbastoQ.F jest No. ofStnictsdres: Start' �/�y Campi�t! Wk. Das:9u. Sa lnforrnaUnnt saobacJ if>2 Date: `10 Date; 107 Horra; :Ain 'Will werksche''"e Yes Total quantity I;u: Sq. W0 ell �bootas mut rtel be Yee to boremvcd; cot �Jr Jr.� Feet I removed 6 to :ct otdon? ❑ No fix Pzm. be'ueed? V No -Ustiadividua! typeand gnam*yefirntelints to _Icslj r-VF Q G ` be rzrroved-orproyide am attachment-- AtWa,rent Phalan Abatemernt Services Inca >rontra-rqr: Phor o: 92t3 8656 Fax^ 928 8785 Address: P.D. Sox 30966 City. 9p-okane S[a;o, WA kp:9922-77' Dez>lolttlou 7nlarclatlou. No. ofStructwc3l (acc back if}'1 StartLJT7airing Date: ~� �irc (Y,istgi[o ®cpr. usdcmn, cnntrvctorbclow) ❑ Orde;cd De[nolition la'ttaoh cb' of order). Dornallcton (� 99 CCn4--CtA[:" Rc8 ncF t�i Znc-, p Phatc° ( '1 Fax; 53eq"ggc Aad<ene: aid. r ci zi ! �. A3beatoslDemoliticn ectCategortea: Notificatioa Waiting Period I�'on•I?cf�:d blc Projcc: Feb Does 11�ls ro <-" involyeaf ze-dams edst-attune? U Yes N No . 1, LJ Owca -i-0c"picd, Sing Ie-Fa.rnilyR=1doncc Asbestos &Detnalition Project } ❑ Ownnr-C)ecu ie Sin Is-Fwni1 RevldcnceAomolit�onFro'sct 8 1?rioll�lotive 130 2. .4 l Otaer Dc=btion9 With No .Aebege Removal Pro rat 10 1)e 9 $250 3. Ll 10 - 259 linear feat or 49 - 159 m uatc feet sae back of form for o tionm 3 Ua ¢ SO CS5061 4. 260 -999 linear feet or t 6a- 4 999 a erafeel 10 Days 5• Lj P! 1,000 Hofer foot os a 5;000 a usry feat 10 DsXL_ S.175C 6. Em c bestoslDamolitionPro act atmclL"ovmer's letter" PriorNofc.e cepro'eccFee 7. W A tcauto Moans of Co dance for Friable Matarisla attachplan) 10 Days Twico Pro ject Fee a. AIN=to McAsm of ComiMancc for Nonfriab v terials attachplan) lorrys Tevico Pre'eot Fee 9. 8xc ors !or Hazardous Conditions Ottachplan) Concurrent with PXo act Re lar Project Fee I 0:U DemolitioawlthNombriable Ro❑5ng Left in Place 10 Days Twice Pro;vc[ Fec " T'r.e two atoganice in Ct,! apply only to owner-QC.upicd, singlo-Emily mideaccs, which mans any [son -multiple unit bU;tding curtaining lk ing ep,wr Lhu Is camnlly oecupi ed (prlor to and efier renowticv+/demotition) by a" fam ly wbo c wm the property az their dcrr dells. Ono cf the ea:cjories roan bo oaed far all other Lsbwas!d Cmtttion prgJats. For more infuT alton• eant&V SRCAA ai (50,9) 4774727. i° C�t��neJi Llat a5ditiomJ pWilps.you would Like coplo ofthl X01 andlorrclUed notices ml to (list Hance & flx number and/or rn: iI ne addr:u); rdpletcnc3s Review ] eorti�° that tha &omaaden gontnined in flrls=Uloadan and any sgpplcmental data provided is, to the beat of NOZ complete NQY d6fi lent- raylmowledge, accu[ateedd ­ mpleteo. See Attached r a,Phalcm Ataatemen_t 8erv� �1" �-- •^�� m2wruw dtgMUdA04g mere of derrx7litionprDjccl$, US No] cxpirea 12 months from the earheatiistedasbestos/demolftionprojc0 start date, Ftrj ' ,teeny''✓ae Daly 51_ >ur advance notificationperiod s"i1) begin when a yoma N04 woluding requiredfees, is received by SRCA.A. r• - .�•�• av r-n.,�7etrdnot�' cation &nitemendWWI ust be avasbi t]c for irUpeCHOn et all times at the job sit .�1�0� 7lOT �FReG�-ived Timt�'�'oy, 29. 20Q� 3:33?M No. 1321 �� DEC 05 2007 16:39 509 534 9404 PPOE.10