HomeMy WebLinkAboutRAP5244 - RAP Permit / Conditions - 11/6/1995 PERMIT
Mason Cowit Road Department permit Number: �
411 North 9jh Road Name :
P.O. Box Road Number :
Shelton, W 8584 Road Location: -
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Ie �' CkY► '--Ia1Hereby Granted To: �EOI'�Cc..r
P. 0• bo X 3 35— c�
To Install: G 8�I-FaI r AJA 99s�0
_ L 1 ell 3G0 c;275--5W 7
Location: M /1)0 cj�b�"e i .n
cJt�tm- �� �C� ,S�ecDtll/ �O 131
'v � Yl 2, wry Cud
Parcel Number:
Legal Descriptions
A bond in the amount of $ accompanies this permit.
Receipt Number: Check Number:
' 44W
Contractor Con 15fr u- C-+0*0k%.
Address 3a-/ 07r4 ; 15 h& 0f-
City/St/Zip: 13elfc,�r I,u19 9q
Phone : 34 o a 75-- 4 <! t
Lic. Number: 80 R p L 17 6 p/ Expires: 7—
Specifications:
Aces*to be graveled to property line with 3' depth of dean gravel. Culvert to W alum concrete or polyethylene.
Access will!be staked and flagged by Permittee for pre-inspection. Culvert wi lay of ditch.
Aoosse will be pre-inspected by this office prior to installation. Cutwwl to be mini nun of 12'dismatr by 20' bngth.
Access inotdatkm shall be in accordance with county specifications.
ConwnercW/Muhi we access shall ropuio STOP Signs,installed in conformance to the MUTCD nunuel,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 SITS 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: