HomeMy WebLinkAboutRAP4088 - RAP Permit / Conditions - 3/29/1994 ACCESS PERMIT
A4ason C uiV81584
oad Department permit Number: 4088 0V V
411 Wont Road Name : Grapeview Loop
P CO Road Number- : 96140
Shelton, Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is James Petrich
Hereby Granted To: 51 Orchard Road
Tacoma, Wa 98406
752-5663
To Install: single family access
Location: Aprox. 2 miles from SR 3 - 200' south of Mc Claine Cove Bridge will flagged on gate. See attachment.
Parcel Number: 22113-51-00002-
Legal Description: Lot 2 of Mc Claines Cove Plat
A bond in the amount of $ 25 .00 accompanies this permit.
Receipt Number: 13384 Check Number: 1293
Contractor :
Address :
City/St/Zips
Phone s 426-
Lic. Number: Expires:
Specifications:
Access to be graveled to property lire with 3'depth of dean gravel. Culvert to be aluminum,concrete or pdyothylwN.
Access wO be staked and Ragged by Permitw for pre-inspection. Culvert wi lay In lins of ditch.
Access wi be pre-kepected by this office prior to insulation. Culvert to be mbrimun of 12'diameter by 20'length.
Access installation shag be in accordance with county specificatkms.
CommerciallMuld we access shall require STOP Signs.instded in conformance to to MUTCD mamur.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 MAm
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: