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Home My WebLink AboutRAP9602 - RAP Permit / Conditions PERMIT Mason County Road Department Permit Number: q (0c) 411 North Fifth Road Name : shee-v.c:c-)C ld � P.O. Box 1850 Road Number co(.,5� ,�S(o Shelton, WA 98584 Road Location: Subject to all terms, conditions and provisions written or printed below or on any part of this form, Permission Is Hereby Granted To: ► �� T PC) —e�x 8� I To Install: p, � OcA Location: - ( j7 �j J sF4�PT- 1 VE8 Parcel Number: go z'Z�f Legal Description: (�o��f s+i ©�r' �e r°� o 17 1 IE� A bond in the amount of $ accompanies this permit. Receipt Number: Check Number: Contractor Address City/St/zip: Phone Lie. Number: 0 4 517-- --t3 Expires: Specifications: Access to be graveled to property line with 3"depth of dean 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 20'length. Access Installation shad 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 , Issued by: Title: