HomeMy WebLinkAboutRAP9635 - RAP Permit / Conditions - 6/16/2003 PERMIT A
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Subjpft�RL14WIWFerms, conditions and provisions written or printed below
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Permission Is //
Hereby Granted To: 9 V-je vN. &, MoLVer
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To Install: S V1 �A / Qcc
Location: - `t'cti/`(:�, (� �` �l C � U\r' �O -3 VIA'/C's
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Parcel Number: 3 2,L12- 3� OOOKQ
Legal Description: T-K I 5 �`'C-- 3 t ��/V�
A bond in the amount of $ `Z. � accompanies this permit.
Receipt Number: Check Number:
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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 mk►imum of 12"diameter by 20'length.
Access installation shall be in accordance with county specifications.
Commercial/Muld 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: