HomeMy WebLinkAboutRAP9036 - RAP Permit / Conditions - 5/10/1999 r �
Mason C u Road Department Permit Nvmober:
Road Name :L I n �La (�
.O �11 Box 1 Road Wu mber , ' J
Shekon, W 8684 Road Location:
Subject to all terms conditions and provisions written or printed below
or on any part of the a form,
Hereby Granted
Is G L G C1� : c u(9 Bald u)i+'1
Hereby Granted To: $ELFJRIR. C.SM� �
17 3w Lc 16r)s Dr, i(C (76W) 37(o— 3776
CO�rtme►�Cia (,tom Abr-{ Or(hat d, WA- 1 8-7o& (o
To metal l: eofe�,D A'PPROA L N PEP- A t&jEo PLAAS i # C7 RD`n-ooO Z
Location: - FAST 51D�E of CG/olAN "Alc -2/0 "AivO 44o A/oJeVj of SRI 3.
Parcel Number:
Legal Description: PARe s -L 2, Pug& 98-3-8/AF0&'7►493
A bond in the amount of $ accompanies this permit.
Receipt Number: Check Number:
Contractor : AgGIF- ?AV i iJrA GO. ,'Z'nG r
Address : .O. f3 a� 4S2o
Phonost/Zip= ervti.hn t W* 4t31% .
9t:o�s*7R-4t o0
Lie. Number: Expires: s jg/r
Specifications:
Aoosse m ba draysisd to praparV 9"with i-depth of can brawl. adVM"bs AM&MM.Iwwe:e or Polyethvlwn.
Aeose wti be staked and ilaggsd by P=w4d a for pmbnp"fM. Gdwrt M fay b Ow of ditch.
AeoMs wit be prr-inrpeoad by d&otfios pAw M kwVA*ft% 1ldwrt 1e In raWmm of 12-diameter by 20'IwVf .
Aonwo kotAatkm shop be in ssoordarroa with @*My speaftsdom.
Coatmero{s IMWd we some*dm A wquk STOP ftm.hw"W In oenfenmum won YUTCA scandal,et intsrseation wtth oota►ty road.
No work shall be done under this permit until the party to whom it is
granted has comanica.ted with and received instructions from the road
supervisor at: 360-427-9670 ext. 450.
4
RESULTS OF- SITE INSPECTIONt Bee Attaabmeat BA"
This permit shall be void and bond forfeited to Mason County unless the
work herein contemplated shall have been completed on or before:
ik
>, Dated at Shelton, Washington, this day of
Issued by:
Title:
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