HomeMy WebLinkAboutRAP68190 - RAP Permit / Conditions - 6/13/1991 MASON COUNTY ROAD DEPARTMENT
Courthouse Road No. :
Shelton, Washington — n I
Road Haae:
PERMIT l
Subject to all terms, conditions and provisions writt or printed &elow or any part of hi rm,
PER FISSION IS HEREBY GRANTED TO
Address G�
To install a — _ --_ onto County
Road N o.
Location:
Legal Description : 5eL A-c) 7;� 02 _— �_1111Z220
REMARKS: '44 ke'�
IF CULVERT IS NECESSARY: Culvert to be setal , concrete or polyethylene.
Culvert to be siniout of 12" diaseter by 20' in length.
( f251,00 bond required) Culvert kill lay in line of ditch.
Access to be graveled to property line with 3" of clean
gravel .
�> A Bond in the asount of f` accospanies this pernit.
(Rct. A ; Check N
S CP n I !w Oct U 2 ) nJ C
Contractor: y-- Address:
Phone : o?7s- 9'363 tic. No : SQFNi Exp. :
Access aqill be staked and flagged by Persittee for preinspection.
A:::ess kill be preinspEcted by this %-ff:ce -prior t: installation.
Installation shall be in accordance With county specifications.
No work. shall be done under this permit until the party or parties to whom it is
granted shall have communicated with and received instructions from Road Supervisor ,
Phone: 427-9670; E x t 'n: ,.// .
This permit shall be void nless the work herein contemplated shall have been completed before.
Dated at Shelton, Wash., this �� day of 19_L,�_ .
Issued by:
Title:
MASON COUNTY
PUBLIC WORKS DIRECTOR/COUNTY ROAD ENGINEER
Shelton, Washington 98584
INTER-DEPARTMENTAL CO ATIONS
DATE �v' `
To: ;DEPARTME UILDING /HEALTH DEPARTMENT
FROM: �UNG�, County Engineer
SUBJ: APPLICATION FOR ACCESS PERMIT
Attached you will find an Application for Access Permit for ,
Please advise us (within 5 working days) as to whether or not we need to
"hold" the Access Permit issuance, pending your Department's need for
additional review, and other approvals.
2&x�j '17f, --
MARLEY L. YOU E, P
County Enginevr
MLY: ilc
Please hold pending further investigation.
Our preliminary investigations show no problems with this access.
Remarks: