HomeMy WebLinkAboutRAP9514 - RAP Permit / Conditions - 9/10/2002 t
_ PERMIT
M� o Cou oad Department Permit Number: 9514
or It Road Name : Jolly Rogers Lane
O Road Number 89320
Melton, A 584 Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is Kenneth Clauson
Hereby Granted To: 3805 Vernhardson Street
Gig Harbor WA 98332
253-858-3333
To Install: single family access
Location: Address : 270 NE Jolly Rogers Lane / Belfair
Parcel Number: 12331-51-00062-
Legal Description: Lot 62, Div 8 of Beards Cove
A bond in the amount of $ $25 . 00 accompanies this permit .
Receipt Number: 19401 Check Number: 1063
Contractor
Address
City/St/Zip:
Phone : 426-
Lic. Number: Expires:
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/Mufti 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 : 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 .