HomeMy WebLinkAboutRAP9519, RAP9393 - RAP Permit / Conditions - 9/25/2002 _ PERMIT
Ffi
o Couoad Department Permit Number: 9519
orth ItRoad Name Aycliffe Drive
ORoad Number 54950
elton, A 584 Road Location:
Subject to all terms, conditions and provisions written or int �1 elow
or on any part of this form,
Permission Is Robert W. Campbell
Hereby Granted To: 391 E. Aycliffe Dr
Shelton 98584
432-0251
To Install : single family access
Location:
Parcel Number: 32127-50-00131-
Legal Description:
A bond in the amount of $ 25 . 00 accompanies this permit .
Receipt Number: 19418 Check Number:
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.
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 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 .
� 1
_ PERMIT VC
lV
Mason County Road Department Permit Number: 9393
411 North Fifth Road Name : Aycliffe Drive
P.O. Box 1850 Road Number : 54950
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 Mike Mccoy
Hereby Granted To: 2740 Bloomfield Road
Shelton, WA 98584
427-5143
To Install: single family access
Location: Location: 391 Aycliffe Drive - recently installed wrong size
culvert to straighten out access .
Parcel Number: 32127-50-00131-
Legal Description: Division 1 Lot 131 - Lake Limerick
A bond in the amount of $ 25 . 00 accompanies this permit .
Receipt Number: Check Number:
I
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.
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 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 .