Asbestos Abatement Permit Application
Project Name
Permit Number
Project Address / Location
City
ZIP Code
Property Owner Name
Owner Phone
Abatement Contractor
Contractor Phone
Contractor License #
Description of Work
Abatement Start Date
Abatement End Date
Type(s) of Asbestos-containing Material
Estimated Quantity of Material (sq. ft. / linear ft.)
Method of Abatement
Waste Disposal Site
Notification Date