HomeMy WebLinkAboutRAP4140 - RAP Permit / Conditions - 5/13/1994 ACCESS PERMIT_ _ S
Mason Countv Road Department Permit Number: 4140
411 North Fifth Road Name : oak Park Way
P.O. BOX 1850 Road Number : 51400
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 Micheal D. Coleman
Hereby Granted To: E 21 Cypress Place
Shelton, WA 98584
427-5260
To Install: single family access
Location: Access will be to access garage at above address . Access will be
crossinV the greenbelt . Permittee shall provide this office with written
permission to cross greenbelt from Oak Park Association before issuance of
this permit .
Parcel Number: 32006-51-00021-
Legal Description: Lot 21, Division 3 , Oak Park
A bond in the amount of $ 25 . 00 accompanies this permit .
Receipt Number: 13496 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 : 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.