8009 BEVERLY BLVD 2016-09-19 - Laserfiche WebLink

k� '=� '��:�, ��" ��I PUBLIG WORKS PERM17' City of Everett Public Works Department 3200 Cedar Street Everett, WA 98201 (425) 257-8810 Date: 3/19/2013 Public Works Permit #: PW1303-007 Building Permit #; Planning Reference #: Public Works Fee $: $ 25.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: PHIL RISTE SAME 8009 BEVERLY BLVD EVERETT Wq 98203 PHONE: 3608200112 PHONE: TAX PARCEL ID # SITE ADDRESS: 8009 BEVERLY BLVD DESCRIPTION OF PROPOSED WORK: FiX DRAIN PIPE (3/19/2013 2:44 PM BES) FIX DAMAGE DF�AIN 24" PIPE PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 4. NO DIRT, MUD, ROCKS OR DEBRIS TO BE TRACKED ONTO ROADWAY. 5. REPLACE PIPE WITH THE SAME MATERIAL. 5.CONTACT THE CITY INSPECTOR RANDY ALLEN 425-339-7403 PRIOR TO STARTING WORK. W � I--I � �� �%�� - �r�i='�"� �,��i/%�� ,�TTS� ,��cc�> /�"'�� " . � / �, �-�i� ��= ��r� � i � �i� � ��,�� - �c�i/� /�� ,. /�roved for Constr�n D�te / . a, � ._.---�:_". > . � _-•_-- _� --- FI ,' NSPECTION Date Approved as Constructed �'—�'�� �— �•OF CONDITIONS �� The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. � i�� '�..�..� 3 z-c-% � 3 Signature of Applicant Date NORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFT�ER IS TO BE DILIGENTLY 'URSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.