HomeMy WebLinkAboutRAP2003-00112 RAP9705 - RAP Permit / Conditions - 10/9/2003 wED PERMIT
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Mason, Count Road Department Permit Number:
41411 Borth Fifth Road Name : J
ti �6�f,�" 98584 Road Number
MASON C Road Location; *c)qc)
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is
Hereby Granted To. UV
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To Install :
Location: -
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Legal Description: lz* i C) r �- SLrK111,I����Ct1 zZ-C) '. �( C1)�l�C' ���11/ 1 l2
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A bond in the amount of $ °XS.• accompanies this permit.
Receipt Number: C: lnl - Check Number:
Contractor :
Address
City/St/Zip:
Phone
Lic. Number: Expires:
Specifications:
Aocess to be graveled to property line with 3"depth of dean gravel. Culvert to be aluminum, concrete or polyethylene.
Access will be staked and flagged by Permittee for pre-kupection. Culvert will lay In line of ditch.
Ace*"will be pre-inspected by this office prior to installation. Culvert to be mk4mum of 12"diameter by 30'length.
Access Installation shall be In accordance with county specifications.
Commercial/Muld use access shall require STOP Signs,installed In conformance to the MUTCO 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: