HomeMy WebLinkAboutRAP5124 - RAP Permit / Conditions - 6/29/1998 _ PERMIT
Mason County Road Department Permit Number: 5124
411 North Fifth Road Name : Bridger Lane
P.O. Box 1850 Road Number : 20990
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 Stan Holmquist
Hereby Granted To: P.O. Box 68154
Seatac, WA 98158
244-4104
To Install: single family access
Location: E 120 Panorama Drive - access is around the corner on Bridger Lane.
Will be installing single family access with 60 ' of extension for a total of
801 . Will not be used as driveway - extension requested strictly at request
of Mason County Enviornmental Health Department for drainfield.
Parcel Number: 32021-56-01009-
Legal Description: Shorecrest Terrace 3rd Addition, Block 1, Lot 9
A bond in the amount of $ 100 . 00 accompanies this permit .
Receipt Number: 14504 Check Number: 2511
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 : 427-9670 ext . 450 or at 1-800-562-5628 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:
19
Dated at Shelton, Washington, this day of 19
Issued by:
Title: