20180389 2018111512254910/24/2018
M Gmail
Demolition Notification
1 message
permits@orcaa.org <permits@orcaa.org>
Reply -To: permits@orcaa.org
To: sesmithdmd@gmail.com
Gmail - Demolition Notification
Stephen Smith <sesmithdmd@gmail.com>
Wed, Oct 24, 2018 at 1:12 PM
Olympic Region Clean Air Agency
'ORCAA 2940 Limited Lane NW
homepage Olympia, WA 98502
360-539-7610
This is your OFFICIAL CONFIRMATION of NOTIFICATION to
ORCAA
of your planned DEMOLITION Project.
If required, present this Confirmation of Notification certificate, along with your receipt of
payment, to your local city or county permitting agency as evidence of completion of ORCAA's
Notification Process.
This Notification is not valid until fees are paid. Notification fees are non-refundable.
Name:
Mailing address:
City:
State:
ZIP:
Phone number:
Other phone number:
Email address:
Yelm Professional Park
718 W YMm Jive Ste 3
Yelm
Washington
98597
3604585606
3604814402
sesmithdmd@gmaii.com
Is the property owner also the Yes
demolition contractor?:
Project Size:
1000
https://mail.google.com/mail/u/1 ?ik=798904e442&view=pt&search=all&permthid=thread-f%3Al6l 5238985813779083&simpl=msg-f%3Al 6l 52389858... 1/2
10/24/2018
Gmail - Demolition Notification
Number of structures being
1
demolished?:
Is asbestos present?:
No
Start date:
11/17/2018
Site address:
209 Cullens Rd
City:
Yelm
ZIP:
98597
Upload your asbestos survey:
Inspection Report-201812598_lucgg8.pdf
Has all identified asbestos been Yes
removed?:
Category options:
Demolition
Fee:
Single family residence - Notification fee: $37.00 - 14 day waiting period -
Nonrefundable
What email address should we
sesmithdmd@gmail.com
send the application
confirmation to?:
Submitted On:
2018-10-24 13:12:10
IP Address:
73.11.232.5
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10/24/2018
M Gmail
Your Receipt
1 message
support@pointandpay.com <support@pointandpay.com>
To: sesmithdmd@gmail.com
Greetings,
Gmail - Your Receipt
Stephen Smith <sesmithdmd@gmaii.com>
Wed, Oct 24, 2018 at 1:21 PM
Olympic Region Clean Air Agency thanks you for your payment. For questions about your account, please call 360-539-
7610 Please note: This permit is not valid until fees are paid and permittee receives an approved permit from ORCAA.
Your payment ID is: 50081531
Items Paid For:
Description: Permits
Amount Paid: $37.00
Permit Type: Demolition
Site Address or Permit Number: 209 Cullens Rd
Customer Information:
First Name: Stephen
Last Name: Smith
Address Line 1: 14722 Lindsay Loop SE
Address Line 2:
City: Yelm
State: Washington
Zip Code: 98597
Phone Number: 3604814402
Email Address: sesmithdmd@gmail. corn
Payment Information:
Subtotal: $37.00
Fee Total: $2.00
Total: $39.00
Dateti m e: 10/24/2018 13:21:44
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