HomeMy WebLinkAboutRAP6131 - RAP Permit / Conditions - 7/29/1996 ;luau �w:
Road Name:
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MASON COUNTY ROAD DEPARTMENT
411 North Fifth
Shelton, WA 98504
1 PERMIT
Subject to all terms, conditions and provisions Written or printed below or on
any part of this form, 1 `
PERMISSION IS HEREBY GRANTED TO: _�i-eC s-bn +` &hlk�
Address: 0 Il�Z,-,p She.l4srl- SDrrrj�L 2C� E,1e_ 0- Phone:_ 4a_7—� qq
To install a Si �Q aap ' �S
Location: C a D F1 c,ce ri V
Legal Description: hrnLp r (Cx ul-) . t ( L_ot �Q -I 1
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REMARKS: S I>M"cW (0tL,-_1 Ln L
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Culvert Specifications: Culvert to be motal, earwnto or polyethylene.
Culvert to be mir m a of 12" diomstor by 2W length.
Culvert will by h IN of ditch.
Access to be growled to property ine with r of clean grow.
A Bond in the Amount of $ N-4 accompanies this permit.
(Rct. it ; fC'heck it _.)
Contractor: Fr-ed'S:? )40rYW Address
Phone: License No: FX
* Access will be staked and flagged by Permittee for pre-inspection.
* Access will be pre-inspected by this office prior to installation.
* Access installation shall be in accordance with county specifications.
* Commercial/multi use access shall require STOP sign, installed in
conformance to the MUTCD manual, at intersection with county road.
No work shall be done under this permit until the party or parties to whom it
is granted shall have communicated with, and received instructions from the
Road Supervisor. , Phone: . 427-9670 extension 450.
This permit shall be void unless the work herein contemplated shall have been
completed on or before 19
DATED at Shelton, Washington, this day of 19
Inued by:
CONTACT OFFICE WHEN ACCESS
IS COMPLETE FOR FINAL INSPECTION Title: