HomeMy WebLinkAboutRAP5042 - RAP Permit / Conditions - 2/27/1995 _ ACCESS PERMIT
Mason Countv Road Department Permit Number: 5042
411 North Fifth Road Name : Schooner Loop
P.O. BOX 1850 Road Number : 89190
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 George Holmgren
Hereby Granted To: P.O. Box 748
Belfair, WA 98528
275-5337
To Install: single family access
Location: NE 260 Schooner Loop
Parcel Number: 12330-52-00030-
Legal Description: Division 5 , Lot 30 , Beards Cove
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A bond in the amount of $ N/A accompanies this permit .
Receipt Number: Check Number:
Contractor : Holmgren Const . , Inc .
Address : same as above
City/St/Zip:
Phone : 426-
Lic. Number: HOLMGCIO64M Expires: 07/15/95
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.
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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 :
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Dated at Shelton, Washington, this day of 19
Issued by:
Title: