HomeMy WebLinkAboutRAP6105 - RAP Permit / Conditions - 6/25/1996 _ PERMIT
Mason County Road Department Permit Number: 6105
411 North Fifth Road Name : Old Belfair Highway
P.O. Box 1850 Road Number : 98250
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 Joseph Pediferri/ Gene Yount
Hereby Granted To: P.O. Box 141
Allyn, WA 98524
275-9464
To Install: single family access
Location: NE 3491 Old Belfair Highway - red house. Will be adding an
additional entrance to make a circular driveway.
Parcel Number: 12309-41-00041-
Legal Description: TR 4A of NE SE
A bond in the amount of $ 25 . 00 accompanies this permit .
Receipt Number: 15296 Check Number: 10592
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 .
lk 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 .