HomeMy WebLinkAboutRAP9019 - RAP Permit / Conditions - 3/15/1999 PERMIT ,h�Al\
Mason County Road Department Permit Number: 9019 1
411 North Fifth Road Name : Tahuya Blacks i
P.O. Box 1850 Road Number : 70670
Shelton, WA 98584 Road Location:
Subject to all terms, conditions and provisions written or printed bel w
or on any part of this form,
Permission Is Ken Jarstad
Hereby Granted To: P 0 Box 5029
Bremerton WA 98312
wk: (360) 476-1382/cell : 360-801-0310
To Install: road use
Location: Will be installing a temporary access to install a manufactured
home. Access is located from intersection with Bear Creek Dewatto, 6/10 mile
south on Tahuya Blacksmith. Access will be removed once the home has been
located on his property.
Parcel Number: 22304-77-90121-
Legal Description: Lot 12B, Erickson Lake - Short Subdivision 1792
A bond in the amount of $ $25 . 00 accompanies this permit.
Receipt Number: 17047 Check Number: cash
Contractor
Address
City/St/Zip:
Phone : 426-
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 "All
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:
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