HomeMy WebLinkAboutRAP4021 - RAP Permit / Conditions - 1/21/1994 ACCESS PERMIT
Mason Count Road Department Permit Number: 4021
411 North Fif h Road Name : Santa Maria Lane
P.O. BOX 185 Road Number : 89260 �r
Shelton, WA 8584 Road Location: �.
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is Newman And Newman, Inc.
Hereby Granted To: NE 8361 North Shore Road
Belfair, WA 98528
275-3524
To Install: single family access
Location: NE 210 Santa Maria Lane - will be staked and flagged.
Parcel Number: 12330-53-00040-
Legal Description: Beards Cove Division 6, Lot 40
A bond in the amount of $ 25 . 00 accompanies this permit .
Receipt Number: 13249 Check Number:
Contractor :
Address :
City/St/Zip:
Phone : 426-
Lic. Number: Expires:
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. Ctdvert 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 MUTCO 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: