HomeMy WebLinkAboutRAP9613 - RAP Permit / Conditions - 7/21/2003 _ PERMIT
Ma 04
Cou oad Department Permit Number: 9613
1 orth it Road Name Fifth Street
ID Road Number 58200
Mel ton, W/4 584 Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is Robert Cooley
Hereby Granted To: PO Box 438 l�6,1"
Union WA 98592
898-3710 0Q;
To Install: single family access
Location: One quarter mile down from GP Station off of McReavy Turn onto
Fifth Street second right . Address 50 East Fifth Street, Union WA 98592
Parcel Number: 32232-50-62030-
Legal Description: Blk: 62 Lot 30-32 W of R/W
A bond in the amount of $ 25 . 00 accompanies this permit .
Receipt Number: 19856 Check Number: 7442
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 "All
This permit shall be void and bond forfeited to Mason Coumty unless the
work herein contemplated shall have been completed on or before :
Dated at Shelton, Washington, this day of
Issued by:
Title :