HomeMy WebLinkAboutRAP9327 - RAP Permit / Conditions PERMIT
Mason Co „oad Department Permit Number: Xt-uR
orth Road Name : ct frond
P.O. Box 18 5 Road Number v 114 21) / o10 i O
Shelton, 8584 Road Location:
Subject to all terms, conditions and provisions written or printed below'
or on any part of this form,
Permission Is U(IeyerhaecksCY CO-
Hereby Granted To: PD. go lea 8537
CosmoedI;s Wa• 9
�cTTt�: �ZoBCszT �/a���oc�
To Install: fur COptmer, �Ps
' ro ,"5 ;•3 m; c�s ,�aC�, ,g s 3.o ram, es
Location: - rOm o S 0►�. "
_ r?f®ra C � s 3.1�
Parcel Number: �oZ 133 40
pb0�0 ?- Z-Z i 34 , io oOcDoO
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C 7-,2//V . (Iwo fermAneml off
Legal Description: 5 � , ,��� W m orar a�q roacc{���ecss
E
A bond in the amount of $ accompanies this permit .
Receipt Number: Check Number:
Contractor
Address
City/St/Zip:
Phone : Expires:
Lic. Number:
Specifications:
Access to be graveled to property line with 3"depth of dean gravel. Culvert to bey in line
n m.of concrete or polyethylene.
b Permittee for pre-inspection. Covert wit lay in line of dkch.
Aocess wit be staked atd fagged y Calvert to be n**n ao of 12"diameter by 20'length.
Access wN be pre•inspeated by this ofro"WW to bartaiation.
Access instoadon she#be in aocordanos with county sPec ficatio^s.
CommereisllMdd use sooess"►squire STOP Signs,kwteow 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 96with
70 and
t. 4received instructions from the road
supervisor at: 3
50 .
RESMTS OF SITE INSPECTION: See Attachment "A"
This permit shall b void
shall bond
haveforfeited
completedson orubefnty oreless the
Conte
work herein contemplated
Dated at Shelton, Washington, this day of
Issued by:
'I
Title:
I
r. . ACCESS PERMIT Aq
Mason Count Road Department Permit Number: 4356
411 North 1t,8584
Road Name : Beeville Loop
P O Box 1 Road Number : 01420
Shelton, WA Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is Cynthia Lemere
Hereby Granted To: 1926 North Bethel
�q1A 98506
534-0426
To Install: single family a s
�' -
Location: Will be installing circular driveway with 2 access s. Location is
just before bridge - on North side of road. Acess A and B.
Parcel Number: 1133-32-00030-
Legal Descriptions Section 32 and 33, Township 21 N, Range 6 WWM
A bond in the amount of $ 50.00 accompanies this permit.
Receipt Number: 14090 Check Number: 1010
Contractor :
Address :
City/St/Zip:
Phone : 426-
Lie. Number: Expires:
Recifications:
Access to be graveled to property line with 3'depth of dean gravel. Culvert to be aluminum,concrete or polyethylene.
Access will be staked and flagged by Permittee for pm-inspection. Culvert will lay in line of ditch.
Access will be pre-inspected by this office prior to installation. Culvert to be minimum of 12'diameter by 20'lapth.
Access installation shall be In accordance with county specifications.
Commercial/Multi use access shah require 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 Kermit
contemplated shall have been completed on or before:
19
Dated at Shelton, Washington, this day of 19
Issued by:
Title: