HomeMy WebLinkAboutRAP Permit / Conditions - 8/30/1993 Road No:
Road Name:
MASON COUNTY ROAD DEPARTMENT
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 TO: Janet L. Stimach
Address:_ 1920 South Spokane St Seattle, WA 98144 Phone: 722-7978
To install a _ single family access
Location:
' Y c1�2�uL F iJ�
Legal Description:
REMARKS: Ad
L
Cutvert Specifications: Culvert to be metal, concrete w potyethylena.
Culvert to be mk4mn of 12" dameter by 20' 6Nth.
Culvert wa lay in ka of dtch.
Access to be graveled to property fine with r of clean gravel.
A Bond in the amount of $ N/A accompanies this permit.
(Rct. # Check # )
Contractor: j i y Address:5/L,
Phone: j27_ c, Lice ns No: l
( jOC 9,3 ;�7 Expires:
* Access will be staked and flagged by Permittee for pre-inspection.
* Access will 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 have communicated with, and received instructions from the
Road Supervisor Allan Eaton , 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 19'7� ,
CONTACT OFFICE WHEN ACCESS Issued by:
IS COMPLETE FOR FINAL INSPECTION Title: