HomeMy WebLinkAboutRAP6124 - RAP Permit / Conditions - 7/9/1996 -----PERMrr
�9part11fent Permits Number: 6124
Road s Lillie
Road er : 01890
=00�- WIN4 Road Locations
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Pesmisoion is Jackson & Lori Cron
Hereby aranted To: 427 H. Pioneer
Montesano, WA 98563
360-249-3681
To Installs single family access
Location: Across the street from 451 Lillie Road - may at some future date
add a second access for a circular driveway. Will be staked and flagged.
Parcel Numbers
Legal Description: Lot B of Tract 13
A bond in the amount of $ 25.00 accompanies this permit.
Receipt Number: 15331 Check Number: 1001
Contractor :
Address :
City/St/Zip:
Phone : 426-
Lie. Number: Zxpires:
Specifications:
Aooaee ti bs VWdd*d 10 property Nno whh V depth of dawn Nravd. Cuhnrt to be akanbaan,0000rals or polyathylms.
Access wi be staked and#sped by psrmhtae ter p w4ngpeadon. *Avon win by in Nno of dlmh.
Access VA be pre4rpectod by tbb offloe prior to 1howledon. Culvert to be mbdmum of 12'diameter by 20'bngth.
Access lnsWetbn shah be in asosrdena- vd*county spooNloodons.
ConumarddlMuld use access shah mqubv*Top 81VW.bwWW In conformance to the MUTCD manual,at MWeeclbn whh eaH"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.
RFJMTS OF SITE INSPECTION: See Attachment RAN
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: