HomeMy WebLinkAboutRAP4170 - RAP Permit / Conditions - 6/7/1994 ACCESS PERMIT
M8Son Count Road Department Permit Number: 4170
411 North Fit h Road Name : Dartmoor
P.O. Box 185 Road Number : 52740
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 Russell Cariveau
Hereby Granted To: P.O. Box 1068 (gip
Shelton WA 98584
426-82099k)
Sr
To Install: single family access
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Location: E 531 Dartmoor Dr r,
Parcel Number: 32127-53 -00124-
Legal Description: Lake Limmerick Div #4 Lot 124
A bond in the amount of $ 25 . 00 accompanies this permit .
I
Receipt Number: 13600 Check Number: 2971
Contractor
Address :
City/St/Zip:
Phone : 426-
Lic. Number: Expires:
Specifications:
Access to be raveled to o line with 3" depth of dean gravel. Culvert to be aluminum,concrete orpolyethylene.
Acc g W party P g►
Access will be staked and flagged by Permutes for pre-inspection. Culvert will lay in line of ditch.
Access will be pra-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 as o h 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: