HomeMy WebLinkAboutRAP85870 - RAP Permit / Conditions - 8/8/1991 h1ASON COUNTY ROAD DEPARTMENT -7
v�. Courthouse Road No,
Shelton, Washington
Road Name : Q �
PERMIT
Subject to all terms, conditions and provisions written or printed below or on any part of this form,
PERMISSION IS HEREBY GRANTED TO 'nC'-yyA
7 5-9 YY7
7N BFL�.4t0- /JA 995-LIr
To install 6a onto County
Road Mo.
Location:, l4j0 S-I tT AP ass �4 rT) N SANT� /ti-tA'l.4
- 9 , S�CQUQ, L07'
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L i Rse.0 Lk k0
Legal Ve.cription: &-So4 Co, CCT t{3 "7 0tfedS Coot to S,
REMARKS: , `�¢SA.f�- foo-! IQ�c°oQ�L / 110 L u H it 9 O �L. 75T Y s y
If CULVERT IS NECE:-SARY: Culvert to be metal, concrete or polyethylene.
Culvert to be siaisus of 12' diaseter by 20' in length.
(125.00 bond required.) Culvert will lay in line of ditch.
Access to be graveled to property line with 3' of clean
gravel.
A Bond in the asount of f v accompanies this permit.
(Rct. Check B .1
Contractor: Address:
Phone: Lic. No: Exp. ,-
Access kill be staked and flagged by Persittee for preinspectio7,.
„•: :e:s will be �rE1r,;1E: tfd by this ..ffice prior to installation.
Installation shall be in accordance with county specifications .
No work shall be done under this permit until the party or parties to whom it is
grahted shall have communicated with and received instructions from Road Supervisor ,
Phone: 427-9670; Ext 'n: C>
This permit shall be void unless the work herein contemplated shall have been completed before.
19 .
Dated at Shelton, Wash., this day of 19
Issued by:
Title:
�� Yc Ubj e. 0 f v,6
MASON COUN7Y LoLy-5-
PUBLIC WORKS DIRECTOR/COUNTY ROAD ENGINEER
Shelton, Washington 98584
INTER-DEPARTMENTAL COMMUNICATIONS
DATE
TO:
FROM: MARLEY L. YOUNG, Coun y Engineer
SUBJ: APPLICATION FOR ACCESS PERMIT
APPLICANT:
Attached you will find an Application for Access Permit for
Please advise us (within 5 working days) as to whether or not we need to
"hold" the Access Permit issuance, pending your Department's need for
additional review, and other approvals.
MARLEY L. YOUV E, P
County Engine
MLY: ilc
Please hold pending further investigation.
Our preliminary investigations show no problems with this access.
Remarks: