HomeMy WebLinkAboutRAP9024 - RAP Permit / Conditions - 4/6/1999 PERMIT
Mason County Road Department Permit Number: 9024
411 North Fifth Road Name : Mason Lake
P.O. BOX 1 850 Road Number : 52210
Shelton, WA 98584 Road Location: Rainbow Lake
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is Douglas & Doris Whitney
Hereby Granted To: 1271 E Mason Lake Road
Shelton WA 98584
427-6114
To Install : single family access
Location: 1271 E Mason Lake Road
Parcel Number: 32134-50-00070-
Legal Description: Rainbow Lake - Lot 70
A bond in the amount of $ $25 . 00 accompanies this permit .
Receipt Number: 17086 Check Number: 336
Contractor N/A
Address
City/St/Zip:
Phone : 426-
Lic. Number: N/A Expires:
Specifications:
Access to be graveled to property line with 3" depth of clean gravel. Culvert to be aluminum, concrete or polyethylene.
Access will be staked and flagged by Permittee for pre-inspection. Culvert will lay in line of ditch.
Access will be pre-inspected by this office prior to installation. Culvert to be minimum of 12" diameter by 20' length.
Access installation shall be in accordance with county specifications.
Commercial/Multi use access shall require STOP Signs, installed in conformance to the MUTCD 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: