HomeMy WebLinkAboutReimbursable Work Request - Public WorksGRANT COUNTY
REQUEST TO THE COUNTY ROAD DEPARTMENT
FOR REIMBURSABLE WORK
To The Cotaity Engineer:
Pursuant to terms of an agreement between the County and
Port District of Ephrata
(Name of Requesting Agency)
adopted and approved on 0 the undersianed hereby requests the
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County to perform the work fisted below at a time and in a manner convenient to the County. The
undersigned hirther requests that the work be completed. no later than Nov. 30 2021
and hereby guarantees reimbursement to the County for all work one up to a maximum. of 12000
Work to be Completed:
Overlay and patch railroad street.
DATED.- 9-20-2021
SIGNATURE
6'yRufte-sentati v e)
To The Board of County Commissioners: DATE , 7/2
1 have examined the above request and made the following recon nen. dAtions
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Comity Road. Engifteer���
Action of heBoard of County Commissioners: DATE
The Engineer's recommendation is hereby approved.
0 The Engineer's recommendations is disapproved or modified as follows,,,
est:
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Recommended for use with Section 2
of Form: CRAB 1.01 and WAC 136-J2-030
BOARD OF COUNTY COMMISSIONERS OF
COUNTY. WASHINGTON
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