HomeMy WebLinkAboutRAP9117 - RAP Permit / Conditions - 12/16/1999 PERMIT A� )
Mason County Road Department Permit Number: 9117
411 North Fifth Road Name : Haven Way
P.O. Box 1850 Road Number : 77270
Shelton, WA 98584 Road Location:
Subject to all terms, conditions and provisions written or printed
or on any part of this form,
Permission Is Daryl Halverson
Hereby Granted To: P 0 Box 4627
Bremerton WA 98312
373-7875
To Install: single family access
Location: Across street from NE 1881 Haven Way
Parcel Number: 22330-50-00388- /Jaat4A_..O�&kt>
Legal Description: Haven Lake / Lot 38811/_
A bond in the amount of $ N/A accompanies this permit.
Receipt Number: Check Number:
Contractor : Butch' s Bulldozing
Address : P 0 Box 733
City/St/Zip: Belfair WA 98528
Phone : 275-5541
Lic. Number: BUTCHB*169J Expires: 11/06/00
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: 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: