HomeMy WebLinkAboutRAP9712 - RAP Permit / Conditions - 10/27/2003 �- PERMIT
oad Department Permit Number: 9712
. o Road Name : Benson Loop
Melton WA 584 Road Number 23930 t1lil
i Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is Randy Marker
Hereby Granted To: 2660 McEwan Prairie
Shelton WA 98584
426-1803
To Install: single family access
Location: Off Agate Road -- turn right on Benson Loop Road. Property is
first parcel on left .
Parcel Number:
Legal Description:
A bond in the amount of $ $25 . 00 accompanies this permit .
Receipt Number: 20143 Check Number: 11884
Contractor
Address
City/St/Zip:
Phone : 426-
Lic. Number: Expires:
Specifications:
Access to be graveled to property line with 3"depth of clean 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.
I
Access will be pre-inspected by this office prior to installation. Culvert to be minimum of 12"diameter by 30' length.
Access installation shall be in accordance with county specifications.
Commercial/Multi 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 : 360-427-9670 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:
Title .
f: