HomeMy WebLinkAboutRAP15081 - RAP Permit / Conditions - 4/14/1995 PERMITOrm&rry anka
Mason Count Road Department Permit Number:
411 North Fif h Road Name
P.O. BOX 185 Road Number :
Shelton, WA 98584 Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is1\
Hereby Granted To: Jim Jesfield
P.O. Box 11
Belfair, WA. 98528 275-6684
To Install: 1'\
Single family access. -
Location: - See Attached
Parcel Number: 12330-33-9002
Legal Descriptions Tract 2 of Short Plat 2280
A bond in the amount of $ accompanies this permit .
Receipt Number: Check Number:
Contractor s Jesfield Construction INC.
Address s P.O. Box 159
City/St/Zip: Bel fai r, WA. 98528
Phone : 275-6684
Lic. Number: JESFII*228DO Expires: 3-20-95
Specifications;
Access to be graveled to property line with 3" depth of dean gravel. Culvert to be alumircim,concrete or polyethylene.
Access will be staked and flagged by Permittee for pre-Inspection. Culvert wE lay in line of ditch.
Access will be pro-inspected by this office prior to installation. Culvert to be minimum of 12'dkmetx by 20' length.
Access installation shall be in accordance with county specifications.
Commercial/M ultl use access shall require STOP Signs, installed in conformance to the MUTCO manual,at intersection with county road.
No work shall be done under this permit
p 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: