HomeMy WebLinkAboutRAP4044 - RAP Permit / Conditions - 2/23/1994 w
ACCESS PERMIT
Mason Count Road Department Permit Numbers 4044
411 North Fif h Road Name : Dewatto
P.O. Box 186 Road Number 1 76080
Shelton, WA 98584 Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is Larry De Paul
Hereby Granted To: 4320 196th SW Suite B-535
Lynnwood, WA 98036
672-1486
To Install: single family access
Location: Aprox. 2 miles from Belfair Tahuya Road to property. Access is
staked and flagged with pink and green flagging. Access is Dust past DNR
access road on the left hand side. Access is an old logging access that is
overgrown and will be used as a single family access.
Parcel Number: j�a 0c1(J l ()
Legal Description:
A bond in the amount of $ 25 . 00 accompanies this permit.
Receipt Number: 13322 Check Number: 1126
Contractor :
Address
City/St/Zip:
Phone : 426-
Lic. Number: Expires:
Specifications:
Access 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-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 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: 427-9670 ext . 450 or at 1-800-562-5628 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:
19
Dated at Shelton, Washington, this day of 19
Issued by:
Title: