Loading...
HomeMy WebLinkAboutRAP4186 - RAP Permit / Conditions - 7/6/1994 Road No: (0 p` Road Name: 1 MASON COUNTY ROAD DEPARTMENT p� 411 North Fifth V Shelton, WA 98584 PERMIT Subject to all terms, conditions and provisions written or printed below or on any part of this form, PERMISSION IS HEREBY GRANTED TO:--JLc4<Y 4-' e,t L�'6cA44,V7 Address: f Off © �ZZ4YW, "L'- Phone:_ Z7S— zo fz L To install a _S1.,y&4 ` Locat ion: 3o Z 710 Vl c i o4 �g9S7- .(/P / LG otil �G7o,� ROAD, 00� -cyiPya L&FG-' y�6--V cdex/f t?l&w .4r -rio,? o is H I L(-� 'P R6r/ wA -*10 1e r "VR^&,V e,�J -C/6 3/OG* 07� #'7C7U �Q Legal Description:"' � ar vblE SRF ets 6��z Z! TLZ� �l Al /c%�c�t. ExcbPt-� � Sova�b6 33a� T��Ra os�, � nN� � e«a� 's� lc.TZK Ca�y`cy ResD it/b h S 5�?.a �0� cL�P3'iN/le 404 Ror des REMARKS:- ?,ewxDF, c oas sec_'pe1J c� yiWi<e0 ZW61& 7y.4.d�Gov, Ct*M Specificotiom: CuWat to be no* w00% or pdysvow Cdvwt to be wnkn m of it aomotw by Ytr wq& CuWwt wi ay is I m of atdL Am=to be graWW to propwq in with r of"pr" I A Bond in theMM-9' $ ZT ao o�npanies this permit. (Rct. ; Check # 71 ,) Contractor: Address:___ Phone: License No: Expires: * Access will be staked and flagged by Permittee for pre-inspection. c * Access will be pre-inspected by this office prior to installation. * Access installation shall be in accordance with county specifications. * Commercial/multi use access shall require STOP sign, installed in conformance to the MUTCD manual, at intersection with county road. No work shall be done under this permit until the party or parties to whom it is granted shall have communicated with, and received instructions from the Road Supervisor , Phone: 427-9670 extension 450. 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 CONTACT OFFICE WHEN ACCESS tswod br. IS COMPLETE FOR FINAL INSPECTION : ACCESS PERMIT ATTACHMENT "A" Permit Number: 4186 Type of Permit: District : 1 single family access Rd Number: _ 68420 Road Name: Victor Permittee: Location Jerry & Sheri Escalante Date 06/08/94 Parcel Number: 12221-42-00000- SITE PRE-INSPECTION Site Distance s Left Okay Right Fair Culvert Required: yes Comments: Access to slope away from edge of road back to the center of the culvert, crushed rock in required on the access. Date: 06/09/94 By: Allan Eaton; (Inspector) PROPERTY OWNER NOTIFICATION Property owner notified of results of site inspection and permit issued by Engineer's Office on this date: 0 1 94. Access may now be installed. .., Comments; W. NOTIFICATION OF COMPLETION After access has been completed, property owner shall contact the Engineers Office for Final Site Inspection (Phone: 427-9670 Ext. 450 or 1.800-562-5628 Ext, 450) . FINAL INSPECTION: _ Comments; ;F Date: 08/29/94 By; Karl Demeree (Inspector) , s 4 I h S E � n