HomeMy WebLinkAboutRAP97-00070 RAP7087 - RAP Permit / Conditions - 7/30/1997 , L
PERMIT V
Mason Countv Road Department Permit Number: 7087
411 North Fifth Road Name : Tahuya BlackSTth
P.O. Box 1850 Road Number : 70670
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 Dick & Kim Baird
Hereby Granted To: 3409 NW Carlton Street
Silverdale, WA 98383
698-9140
To Install: single family access
Location: NE 7131 Tahuya Blacksmith Road - will be staked and flagged.
Parcel Number: 22304-77-90111-
Legal Description: TR11-B of Sur. 13/40 / TRB of SP #1791
A bond in the amount of $ N/A accompanies this permit .
Receipt Number: Check Number:
Contractor : Chaffey Corporation
Address : 3409 NW Carlton Street
City/St/Zip: Silverdale, WA 98383
Phone : 698-9140
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 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 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:
PERMIT
Mason County Road Department Permit Number: 7087
411 North Fifth Road Name : Tahuya Blacksmith
P.O. Box 1850 Road Number : 70670
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 Dick & Kim Baird
Hereby Granted To: 3409 NW Carlton Street
Silverdale, WA 98383
698-9140
To Install: single family access
Location: NE 7131 Tahuya Blacksmith Road - will be staked and flagged.
Parcel Number: 22304-77-90111-
Legal Description: TR11-B of Sur. 1 /40 / TRB of SP #1791
A bond in the amount of $ N/A accompanies this permit.
Receipt Number: Check Number:
Contractor : Chaffey Corporation
Address : 3409 NW Carlton Street
City/St/Zip: Silverdale, WA 98383
Phone : 698-9140
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 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 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: