HomeMy WebLinkAboutRAP9655 - RAP Permit / Conditions _ PERMIT
Maso Cou Road Department Permit Number: 9655
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Road Name Lakeview North
.�. BoRoad Number 62590
Kelton,VA�l 84 Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is Gary Grodon
Hereby Granted To: 2916 Bucklin Hill Road - #294
Silverdale WA 98383
360-507-8104
To Install : single family access
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Location: Property is on left hand side of Lakeview North from its
intersection with Trails End Drive . There is a Shelton Land and Homes Real
Estate Sign. Access is off cul-de-sac at end of Lakeview North.
Parcel Number: 22223-51-05022-
Legal Description: Message # : (360) 871-9161
A bond in the amount of $ $25 . 00 accompanies this permit .
Receipt Number: 19969 Check Number: 2018
Contractor
Address
City/St/Zip:
Phone : 426-
Lic . Number: Expires:
Specifications :
Access to be graveled to property line with 3" depth of clean gravel. Culvert to be aluminum, concrete or polyethylene.
Access will be staked and flagged by Permittee for pre-inspection. Culvert will lay in line of ditch.
Access will be pre-inspected by this office prior to installation. Culvert to be minimum of 12" diameter by 30' length.
Access installation shall be in accordance with county specifications.
Commercial/Multi use access shall require STOP Signs,installed in conformance to the MUTCD manual, at intersection with county road.
No work shall be done under this permit until the party to whom it is
granted has communicated with and received instructions from the road
supervisor at : 360-427-9670 ext . 450 .
RESULTS OF SITE INSPECTION: See Attachment "A"
This permit shall be void and bond forfeited to Mason County unless the
work herein contemplated shall have been completed on or before :
Dated at Shelton, Washington, this day of
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Issued by:
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