HomeMy WebLinkAboutRAP4092 - RAP Permit / Conditions - 3/28/1994 J '1%
ACCESS PERMIT 96A �
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Mason County Road Department Permit Number: 4092
411 North Fifth Road Name : Rhody Lane
P O BOX 18' Road Number : 79240
Shelton, WA 8584 Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is F. J. House
Hereby Granted To: NE 200 Lake Christine Road
Tahuyya, WA 98588
275-2393
To Install: single family access
Location: NE 61 Rhody Lane - at end end of culdesac - is an existing access,
just cleaning it up and regrading.
Parcel Number: - - - �(�' "Q
Legal Description: Lake Christine Div. #1, Lot 54
A bond in the amount of $ 25 . 00 accompanies this permit.
Receipt Number: 13387 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 dean gravel. Culvert to be aluminum,concrete or polyethylene.
Access will be staked and flagged by Permittee for pro-inspection. Culvert will lay in line of ditch.
Access will be pro-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 intersectkm 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: