HomeMy WebLinkAboutPermit No.9305 multi- use - RAP Permit / Conditions - 3/28/2001 14 0,
PERMIT _
Mason County Road Department Permit Number: 9305
411 North Fifth Road Name : Shelton pring
P.O. Box 1850 Road Number : 50810
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 Springs Road Chapel
Hereby Granted To: 1113 Shelton Springs Road
Shelton Washing98584
426-3288
To Install : multi-use
Location: same as above address
Parcel Number: 42012-12-90050-
Legal Description:
CB�1 /YcaLo t' lS auess 11Vf /� LLE 17
A bond in the amount of $ N/A accompanies this permit .
Receipt Number: V1,4 Check Number: AIIXI
Contractor : Rob' s Excavating
Address : 1871 E Johns Prairie Road
City/St/Zip: Shelton WA 98584
Phone : 426-6697
Lic. Number: ROBSE**077K Expires: 05/05/01
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.
Access 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/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 perm' shall be void and bond forfeited to Mason County unless the
work here ' contemnlAt-d shall have been completed on or before:
2'
Dated t Sh lton, Washington, this of C1�-
Issued by:
Title-