HomeMy WebLinkAboutRAP - RAP Permit / Conditions - 12/30/1993 rr Road No: _ J 3-7 () ()
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:
Legal Description: �c,t iG�T�; .� , ti � �- iV'n y-CCc __
REMARKS: Tt -, (Z
Culvert Specifications: Culvert to be metal, concrete or polyethylene.
Culvert to be minirun of 12' Sumter by 20' length.
Culvert wi lay in fine of ditch.
Access to be graveled to property ine with 3' of dean gravel.
A Bond in the amount of $ N/A accompanies this permit.
(Rct. # ; Check # .)Contractor: ' Address: �Sl (,, t5,�,dd 2c( 6Cr7,� J 6MC[W(-
Phone: �t, Licen No: fir; )cc g3 s-7 _ Expires: 1 f
* 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 .
issued by:
CONTACT OFFICE WHEN ACCESS
IS COMPLETE FOR FINAL INSPECTION Title: