HomeMy WebLinkAboutRAP9458, 5139 - RAP Permit / Conditions - 9/3/2002 PERMIT ��-
Mason County Road Department Permit Number: L741
411 North Fifth Road Name MI SS (a✓\ CX
P.O. Box 1850 Road Number t 3? q D
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 //
Hereby Granted To: �dHN / 'driNso�v S�,u F y k �,111/V__R)/V_
/3oo �,c �•ss��iv �e
�e �✓,o a 75 - '4 Co 34
To Install: ` Sjt/�e �i9i„��y �cc r3S
Location: - [ ,�� l� p /72 /Ss1d•L) &ieP-fcw i "' _
Parcel Number: 33
Legal Description: 7-X //-A o% 1'o trT �dT 51
7-le / of 5/a X- 2V lg
A bond in the amount of $ accompanies this permit.
Receipt Number: Check Number: 6 0�7 f
Contractor : RECEIVED
Address MAY 01 2002
City/St/Zip:
Phone
Lic. Number: Expires: MASON COUNTY PUBLIC WORK
Specifications:
Access to be graveled to property line with 3" depth of dean 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 mandal,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:
Road No:
r O
C Road Name: Jy, 7.5�n F h 1j d
\ ,- a C' �O MASON COUNTY ROAD DEPARTMENT
M4S6NCOUNTY ROADpE� 411 North Fifth
Shelton, WA 98584 \ /
PERMIT '
Subject to all terms, conditions and provisions written or printed below or on
any part of this form,
PERMISSION IS HEREBY GRANTED T0: J'n
Address: N, J_ )3 yc? /-)isse -I er �'(_�j7a Phone:
To install a
Location: /v /Qct
Legal Description: T.P -44) 2, ? 3'
--� /el
REMARKS:
Culvert Specifications: Culvert to be metal, concrete or polyethylene.
Culvert to be mininun of 12" diarneter by 20' length.
Culvert will lay in line of ditch.
Access to be graveled to property line with 3' of clean gravel.
A Bond in the amount of $ __accompanies this permit.
(Rct. # Che k # )
Contractor: .$ �, �A A y-�-e (� nsr[L Address: A) J; ")vJ
Phone: 7��-9 1/ License No: ,�_�P Ja 3 - Jc1 Z Expires: /n - / - 9,
* Access will be staked and flagged by Permittee for pre-inspection.
* Access wi11 be pre-inspected by this office prior to installation.
* Access installation shall be in accordance with county specifications.
* Commercial/multi use access shall require STOP sign, installed in
conformance to the MUTCD manual, at intersection with county road.
No work shall be done under this permit until the party or parties to whom it
is granted shall ha, communicated with, and received instructions from the
Road Supervise;,- Phone: 427-9670 extension 450.
This permit shall be void unless the work herein contemplated shall have been
completed on or before 19
DATED at Shelton, Washington, this day of 19
Issued by:
Title: