Loading...
HomeMy WebLinkAboutRAP8057 - RAP Permit / Conditions - 11/3/1998 PI�'► IT ` l;Lod Department Permit Numbers Road Name : ISO/ j ./ N{ Road Dumber : �(o Q J /� S 684 Road Location: Subject to all terms, conditions and provisions written or printed below or on any part of this form, Permission Is R A(a m C41/ '4^ry hnm['TI+F Hereby Granted To: B.el F>�rR cyRsx` q83-�� To Install: ri'i , Location: - NO - 8 00Y -- qQ� D 6-1 Parcel Mumbe c aT RA Legal Descri tion: oT i ©> r o�✓ / '1 p cv•�r5�+�� 2 N 6� /ff il�rASC.✓ � `'� Cho,/ A bond in the amount of $ accompanies this permit. Receipt Number: Check Number- Contractor : ?)05 L F.7L (PoOMU( ion/ Address `7 "' Cityess Zip: (q7s' )91-7 VlSl A A Fm Or o RekpeQ td� 4�3016 Phone 3G s : 19&W161 Lie. Number: Bo5wFIC QDExpires: 11`0 51ge 522cifications: Aaosae to be Waded to p►opsr'ty line with 3-depth of clean pawl. Culvert to be ahminum,corwxots or polyothylons. Aoonse will be staked and flpllod by Perteitrso for pre-inspection. Covert WE bey M tine of dies:h. Aso*"vA be pro-inspeatad by Ole o prior to brtrNedon. Cuh t to be an *nwn of 12'diameter by 20'lonyth. Access Installation shop be in accordance whh county apselftedons. CmnnnrciaMild use access shall►mp*e 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: 427-9670 ext. 450 or at 1-800-562-5628 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: 19 Dated at Shelton, Washington, this day of 19 Issued by Title: