HomeMy WebLinkAboutReimbursable Work Request - Public WorksK19-165 ;J
GRANT COUNTY
REQUEST TO THE COUNTY ROAD DEPARTMENT
FOR REIMBURSABLE WORK
To The County Engineer:
Pursuant to terms of an agreement between the County and Town of Krupp/Marlin
Adopted and approved on March 8, 1976 the undersigned hereby requests the County to perform the work
listed below at a time and in a manner convenient ent to the County. The undersigned further requests that
the work be completed no later than May 31, 2020
and hereby guarantees reimbursement to the County for all work done up to a maximum of $ 2,000.00
SHV load rating calculations as well as any signage that may be required.
All terms of said agreement shall apply with the following exceptions:
�/�^o /DATED: 5 / rxor
y- SIGNATURE
TITLE
To The Board of County Commissioners:
Trc4cv L'2 [
(Print name of Agency Representative)
(Signature of A`gen presentative)
DATE [DomI (,_q
I have examined the above request and made the following recommendations:
Approve
o Deny
f e4��ac,✓o�
Action of the Board of County Commissioners: DATE _//C —'// !2
>C1 The Engineers recommendation ecommendation is hereby approved.
n The Engineers recommendations is disapproved or modified as follows:
Recommended for use with Section 2
of orm: CRAB #101 and WAC 136-32-030
BOARD OF COUNTY COMMISSIONERS OF
GRANT COUNTY, WASHINGTON
6 cc.vsi 64"D