HomeMy WebLinkAboutRAP99-00060 - RAP Permit / Conditions - 8/20/1999 PERMIT VU C
Mason County Road Department Permit Number: 0
411 North Fifth Road Name
P.O. BOX 1850 Road Number
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
Hereby Granted To:
23537 4 sr Aver- So.
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To Install : S /n /0.
Location: - VV L1 sT- , II DE O F TA Nk yA-gU9CK .Y11f IM 9b.AP°/0rox 3/4 M ilz- S-04TIY qM
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Parcel Number: ZZ '3 0'+ 77 90101 �
Legal Description: T& 10 -A of SuAV 131 4-0) 79 A OF SP � /790
A bond in the amount Toff $ :7.5 , 00 accompanies this permit .
1 Receipt Number: 75 � Check Number:
Contractor
Address
City/St/Zip:
Phone
Lic. Number: 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 :