HomeMy WebLinkAboutRAP9693 - RAP Permit / Conditions - 9/25/2003 _ PERMIT ��'� -
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Maso Cou oad Department Permit Number: 9693
Orth 1 t Road Name Olde Lyme Plac
. BO Road Number 53380
Kelton, WA 584 Road Location:
Subject to all terms, conditions and provisions written or printed 1 w
or on any part of this form,
Permission Is Sheryl Perry
Hereby Granted To: R9 Bc* I S4[o3
To Install: single family access
Location: Second Lake Limerick entrance on the right (Olde Lyme Rd) , Second
cul-da-sac on the right . (second piece of property on right coming into
cul-da-sac . (only property without house/wooded lot)
Parcel Number: 32127-53-00207-
Legal Description: Lake Limerick Division 4 , Lot 207
A bond in the amount of $ 25 . 00 accompanies this permit .
Receipt Number: 20095 Check Number: 1249
Contractor : D & J Home Services
Address : W 2101 - 130 Cloquallum Rd
City/St/Zip: Shelton, WA 98584
Phone : 280-9189
Lic. Number: Expires:
I
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 30' 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 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 :