HomeMy WebLinkAboutRAP9441 - RAP Permit / Conditions - 5/11/2002 rYr�r,rrr .r..+
PERMIT
Mason CountV Road Department Permit Number:
411 North h Road Name : m oD►' d ri VL-
P.O. BOX 18 Road Number
Shelton, WA 98584 Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is a
Hereby Granted To: rn�0'�A�` ��N ��l 3
�
EitO - �� o1S t�l
S k e q I
To Install: RoAd ACC_e� R +—Wo k6v-n
Location: - � '� I111At (_q_[c� �,e -
JrO
LV
Parcel Number: oZ i s r� 5 3 U v 4 a p 3 `� Or, k-!.y
Legal Description: ( o'f-S L 3 7 /�Z Lt p Q�y
A bond in the amount of $ accompanies this permit.
Receipt Number: Check Number:
Contractor : aA-ysLt Ocw-a.0
Address S
City/St/Zip:
Phone
Lic. Number: aA 11 S N14-9- 001 Kd Expires:
Specifications:
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 Permitter for pre-inspection. Cukwt will lay in time of drtch.
Acores will be pro-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/Multi use access shall require STOP Signs,installed in conformance to the MUTCO 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: 366-427-9670 ext. 450.
RESULTS OF SITE INSPECTION: 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:
Dated at Shelton, Washington, this day of ,
Issued by:
4
Title: