HomeMy WebLinkAboutRAP - RAP Permit / Conditions Road No:
Road Name: f,1(�� ti ,riQ Pod
MASON COUNTY ROAD DEPARTMEN
T
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: CJd ,7 ,
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Legal Description: L O; ,
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REMARKS: C�iA F Z c'
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Culvert Specifications: Culvert to be metal, concrete or Polyethylene.
Culvert to be rnk4nurn of 12" diametw by 20' length.
Culvert will lay in W of ditch.
Access to be graveled to property ine with r of clean gravaL
A Bond in the amount of $ N/A accompanies this permit.
(Rct. # Check # )
Contractor: , IC Ti-(Ac ��oc Address: , ( ��� d�( �c�, GZ�R�2FG(
Phone: d27- h-7 `/& License)No: („c�E �� 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 ay of 19`I�i
Issued by:
CONTACT OFFICE WHEN ACCESS
IS COMPLETE FOR FINAL INSPECTION Title: