8932 CORBIN DR 2016-01-01 MF Import

PUBLIC WORKS PERMIT Date: 8/14l2009 Public Works Permit#: PW0908-037 City of Everett Pubiic Works Department �;��3,� 3200 Cedar Street Buildinq Pern it #; Everett, WA 98201 Planninp Reference#: (425) 257-8810 Public Works Fee $: $ 25.00 Other$: OIVNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: BLAKESLEE GE01=F 8 KIM 8932 CORBIN DR EVERETT WA 98204 PHONE: 4254185408 PHONE: TAX PARCEL ID# 00392300000913 SITE ADDRESS: 8932 CORBIN DR DESCRIPTION OF PROPOSED WORK: 12"CULVERT AT REAR OF PROPERTY (75' LONG) PERMIT CONDITIONS 1. All calls for inspeclion 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 NIIMBER 811 4. No dirt, mud, rocks or debris to be tracked onto roadway. T, ,,; G� ,;W Call Cliff Lindman at 425-339-7404 for inspection or if you have any questions. � =; x` �� C']�� -•_ C/� z � �. rn r • M i �`6' MWq � -r. -.O f+1 ` O (.-) I� + � 1--� _�� I] VJ i'O L� �'F" .� - v� ,�� '°�� :a `:o�� -. - -.�-� n4 ,-. �� ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees�o hold and save harmless�he City of Evere�t from any and all claims tor damages, cosls, expenses,or causes o1 action thal may arise , because of ins�allation and maintenance of the improvement y/ 4'�� {T�� or other right-oi-way use herelo applied for and further agrees C2�f to remove same upon nolice from the City and lo replace Appr 6 f0��Onstr lion DatO public property damaged thereby. INAcINSPF�TION p t zb -D Cr '/ �; ��i�<'J, ) ( <', v��;; i � , L Approved as Constructed SignaWre o(Applicant Date WORK AUTHORIZED BY TIi15 PERMff h1U5T BE STARTED VJI7HIN I80 DAYS Of DATE PERMIT IS ISSUED AND THEREAFfER 15 TO BE DIUGENTLY PURSUED TO COM1iPLL?ION. THIS PERMIT P1AY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF VJORK ON THIS PROIECT OVER 90 DAYS DURATION.