HomeMy WebLinkAboutRAP99-00038 RAP9053 - RAP Permit / Conditions - 7/22/1999 PERMIT �ZZ
Mason Count Road Department Permit Number: Q5
411 North Fif h Road Name : ASO/J - PRiCer'rr C DES' Rd
P.O. Box 185 Road Number : 62 ,11
Shelton, WA 98584 Road Location: 01j - 111,4kk 14jee-
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is SIMP904; '7/h1661� Cc)
HerebyGranted To:
O. 1-1,6 0
L>O,U/ A)4. 1?85Y Y
To Install: Z fleet-f eS Wn77.- L,tl')Ar 115o'/t
Location: - 100k'1Ft S,/bLr or� J/ vc- ln4-94)fv - "4,a ' edAo
47 Sr4 gItOo -P 5/v-S TIOPRoh: ;r). Loc,4rtv /,d se-e. 3y,, 7-2zX) -r2�1, 141.,n,
flCea-SS kuc4-no,ui :/312cr 141-4 6,r-o w;fk PiNrc /la4W e
4 it IZ4-zrs 4&" maw w i r#- </C -r- llz-&C 44r1jr.
Parcel Number: &ovr 4,r q = 2 Z Z3 y-31 --60000 1 AAA/SC' = 2 2 Uly-yD-00000
Legal Description:Qvr-/or y 2 �IC�/s� � SC e— 3 `�/ TZZA eZW) W,M-
A bond in the amount of $ accompanies this permit.
Receipt Number: Check Number:
Contractor 7i)19cX Cci,
Address V6 c+
City/St/Zip: SNex soJ, N4. '16ST Y 417"ie_C, 4044e*
Phone Ski 3.161
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 toy in line of ditch.
Access will be pre-inspected by this office prior to installation. Cuivrt to be minimum of 12' diameter by 20' length.
Aces"installation shad be in accordance with county specifications.
CommerciallMulti use access shell 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 : 427-9670 ext. 450 or at 1-800-562-5628 ext. 450 .
RESULTS OF SIT$ 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:
. ,. , .: 'j
Dated at ShLal-on:, . Wdshirigton;*)'thig day of 19
. .Issued by:
Title: