HomeMy WebLinkAboutRAP6175 - RAP Permit / Conditions - 10/21/1997 P
PAW d ent Pez011t fiber: 6175
Road VWW : North Shore �(
$ tE01! W 584 Road fiber s 70390
Road Locations
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Perai"lon.IN Robert Hunt
Nereby Granted To: NB 4255 North Shore
Belfair, WA 98528
275-8618
To Install: single family access
Location: At NB 4255 North Shore - will be staked and flagged.
Parcel Dumber 1111' s <{
Legal Description: w-
A bond in the amount of $ N/A accompanies this permit.
Receipt Number: Check Number:
Contractor : RG Forestry
Address : P.O. Box 681
City/St/Zip: Hoodsport, WA 98548
Phone : 426-9540
Lie. Number: RGFORC*159K Zcpiress 04/19/97
ft2cif icatiOns:
AOoaaa b ba gaVdW to pnpNty ibn whh 3'dep*of dean Waw. �Cuhmt to be it n.�oyonyonts w polyedgkm.
Amna w♦bo�and by Pwmkbo fW�. Culvert dhoti.
A006"ww be pro-kwpeaW by ddo oMoa prior to kwgdh dm. Culvert to bo mkdnmm of 12'dk natr by 20'broth.
Aocna brtdadon ohd be in accordance wph oauM spaeNio don*.
CannwcidMWd uw aoocn dW nqure BTop Slrw.kwWed in conformance w On MUTCD mamni,at MWeectbn whh 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.
RNSULTS OF SITE INSPgCT1ON: 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: