HomeMy WebLinkAboutRAP4242 - RAP Permit / Conditions - 8/12/1994 ACCESS PERMIT
Mason Count Road Department Permit Number: 4242
411 North if18584
h Road Name : Collier
P.O. BOX 1 5 Road Number : 18810
Shelton, 1iVA Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is Kelleher, Thomas
Hereby Granted To: 8132 Hallie Court NW
Olympia, WA 98502
866-4909
To Installt single family access
Location: Will be doing some clearing and building a house - lot is located
at bend in road. Will be staked and flagged.
Parcel Number: 32021-44-90030-
Legal Description: Short Plat of Portion of Gov. Lot 4, Section 21, Tow
n. 20, Range 3 W.W.M.
A bond in the amount of $ 25 .00 accompanies this permit.
Receipt Number: 13749 Check Number: 3198
Contractor
Address
City/St/Zip:
Phone : 426-
Lic, Number: Expires:
Specificat ions
a
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 pre-inspection. Culvert will lay in line of ditch.
ccess will be pre-inspected by this office prior to installation. Culvert to be minimum of 12"diameter by 20' length.
Access installation shall be in accordance with county specifications.
Commercial/Muld use access shall 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
wore: herein contemplated shall have been completed on or before:
, 19
Dated at Shelton, Washington, this day of 19
Issued by:
Title: