HomeMy WebLinkAboutRAP9034 - RAP Permit / Conditions - 5/10/1999 v�
PERMIT �
Mason County Road Department Permit Numbers
411 North Fifth Road Name s �� CQ
P.0 Box 1850 Road Number Bda�
Shelton, WA 98584 Road Location: y
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is Hereby Granted To: 13ELFA19-
3 17 -3(0 W,WIns Dri vt (3690) '37(r - 3770
Pcrf OrCherd, UTA-
To install: QoMj A'PPRoA`N ?F-R A'PP OjED Pz-A)45 #
t CiRD`n-pool
Locations - Sots-iN shoE or 920y13oAD Qora-O 5-b0 ' 4FA5'T oP 4--C ' N NAIVE
S N h4Rii dJ w , Q A R t_ 3 .
Parcel. Number: 12329 -4 l 9 0 O2)
Legal Description: ?Ptc-1V-L ' BLA
A bond in the amount of $ accompanies this permit.
Receipt Number: Check Number:
Contractor AGE. QAv t►.IG CO• ,"Zne-
Address .O- r3 o� 452o
City/St/Zip: emertvn t WA G,63h2
Phone 3r,o�4'�T-4200
Lic. Number: pG�QA Z'�SfL. S Expires: S/S/cm
Specifications_: �
Aocaos to be graveled to property litre with 3"depth of clean gravel. Culvert to be aluminum.concrete or polyethylene.
Access wil be staked and flagged by Parmittoo for pre-inspecvon, culvwl will lay In One of ditch.
Accmm will be Pre-Mpectad by this office prior to ineteUtion. Culvert to be mirwnum of 12" diameter by 20' length.
Access irwtaDation shah be in accordance with pounty specifications.
CommercWfMt"use access steal requke STOP Signs,installed to conformance to the MUTOD 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: