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HomeMy WebLinkAboutRAP5049 - RAP Permit / Conditions - 3/14/1995 _ ACCESS PERMIT Mason Count Road Department Permit Number: 5049 411 North Fif h Road Name : Larson Boulevar�er P.O. BOX 185 Road Number : 89100 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 Beverage Construction Inc. Hereby Granted To: 13890 Symington Parkway Bremerton, WA 98312 830-4509 To Install : single family access Location: Aprox. 1/2 mile down Larson - on west corner of Larson and Pine Court . Will be staked and flagged. Parcel Number: 12330-51-00066- Legal Description: Lot 66 , Division 4 Beards Cove A bond in the amount of $ N/A accompanies this permit . Receipt Number: Check Number: Contractor : Beverage Construction Address : same as above City/St/Zip: Phone Lic. Number: BEVERCI66LA Expires: 05/01/95 Specifications: Access to be graveled to property line with 3" depth of dean gravel. Culvert to be aluminum,concrete or polyethylene. Access wit be staked and flagged by Permittee for pre-inspection. Culvert wit lay in line of ditch. Access wit 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 .