HomeMy WebLinkAboutRAP - RAP Permit / Conditions - 3/2/1992 nu L�
MASON COUNTY ROAD DEPARTMENT
Courthouse Road No. :
Shelton, W><shington
R o a 4 Mine :
PERMIT �
Subject to all terms, conditions and pro . ions written og
rinted below or on any
part of this form,
PERMISSION IS HEREBY GRANTED TO
S� le LA <O
Address
To install a ma Jet n ; LA '� N onto County
Road No.
Location : ���_ r qA-[ --�� 'CLa / /LtlD--
LE al. Description: L.K LlG11QriC � �YJ(�� _ � d 9 .-- ---
.j -/q2 -
RcMARKS:
IF CULVERT lf, NECES:'APY: Culvert to be metal, concrete or polyethylene .
Culvert to be minimum of 12' diameter by 20' in length.
bond require•1) Culvert will lay in line of ditch.
Access to be graveled to property line with 3' of clean
gravel .
A Bond to the j�}m�.1y�nt of f a5. �i accospanies this permit .
(Rct, t/��Z � ; Check %� . 1
Contractor : Address : _
Phone : — _ Lic. No:
a'.!es5 ••ill be :taktd ar,d fla;0ed by permlttee for preiu;pectloa .
t : A ! 1 E f.'E 1 ' i t E t f •1 : � f, J : ::1 J Ct t�1 Jr t! 1 U r�a 11a t 1
in:tallatjon ;hali be in aCCPr•1aLit Nlth county speclf1Cit1orj .
No wort•. shall be done under this permit until the party or parties to whoa; it is
granted shall have communicated with and received instructions from Road Superviscr �
—_ Phone: 427-9670; Ezt 'n:
This permit shall be void unless the work herein contemplated shall have been completed before.
/ Q'
Dared at Shelton. Wash., this day of // l�L G/� 19 `
Issued byt G
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