HomeMy WebLinkAboutReimbursable Work Request - Public WorksGRANT COUNTY
REQUEST TO THE COUNTY ROAD DEPARTMENT
FOR REIMBURSABLE WORK
To The County Engineer:
Pursuant to terms of an agreement between the County and ,City of Quincy
(Name of Requesting Agency)
Adopted and approved on June 151976 the undersigned hereby requests the County to perform the
work listed below at a time and in a manner convenient to the County. The undersigned further requests that the
work be completed no later than 10-14-202.4 and hereby guarantees reimbursement to the
Count for all work done u to a maximum o - A'
Y P
All terms of said agreement shall apply with the following exceptions:
DATED: 10-03-2024
Work Requested: R�IJZ„ � P4*.04,.� SIGNATURE
� �� (Agency Representative)
To the Board of County Commissioners:
TITLE City Engineer
DATE 10 , 'S r 2-0 2-L(
have examined the above request and made the following recommendations:
)(The request is approved O The request is disapproved or modified as follows:
(C. . .......
ounty ngineer)
Action of the Board of County Commissioners: DATE /,0
7_/g/.7f�2 '
C7` The Engineer's / Director's recommendation is hereby approved.
0 The Engineer's / Director's recommendations is disapproved or modified as follows:
Attest: BOA OF COUNTY COMMISSIONERS OF GRANT COUNTY, WASHINGTON
Clerk of the Board �r
Recommended for use with Section 2 of Form -
CRAB #101 and WAC 136-32-030 Revised 10/19
1 �
1 1 .
1
1 J p rl
1 1
i •,IV
�f 1 .'
ILI
felt
lip
�, .1� i� 'Lt -. , � If _ • .' f ,-i •�: - f•, +, �,1, `,it���' �r 7 f , �i�i r�l+�„ .{ t•'��n r�' `► • ` .-r� .:.:
07
or
fr
':r ,�� to .: •� ..- _
01
�r �1 .• f ' * ram. - A• +• r• �_ ..• ,�.. � 1 •♦, .• � 'tili � •' • • ' �'._ � !. ..
' S� 1 ..f �' , �. - � mil. �: r.. ,f- «.: 1'+`- - "'•+• _ � • � f � ti. � � -
��rrgqq�r� �• �' ` - , 1. _ ' ' �— _ - r ' -.-_ '. '. 1• - `�'� •�. .r='�', i + '
is
»�" if a I� y' 1f . � ���? � � - .�..- � - -_--. �_ '%�-- !'�.1r•♦�,f�,./,� '} +f .!� � +`' `� ,� � i
kp
is
i ` • ir! � ., -'; � . `,,aa - ✓ j : ,.�',~1.� ►•-`� � � � -^!„r ari—> '"'�' ,c�;� ..i �� r y era. �� .ri :1 _� `�, � - f � �• '1s •r �F �•►
IL
M
Er = v+!':"�?' l ' , �=�a '►' ram- . ,`j31. r - ' _
W' N. •i , �, j % ' '� 1 y • • �` �,,,,-`' "•_•lit ` i , ` ..r_ Y?•.t ` r
/ � • • .) r , � 11� � � .r.•r , ,J .'r i• ••' ,..- _ � 4 •.••f�+'`'�'",•�-...r_'',.,�, _ j�'� �r - ��`�, ~ `.wl - 1
am
�', f+� c� // /1 r •f ' / ,� r j r ' Yea.` ` rrf� �i�y��'' / ♦il�sr - f _ '
/ • ie • /• �:�. f ' / • � `� � I r I �fnl • • •f • �� � I � i �Y• - ►� � - `�1�•i+a���_!�� � _ r ! -. ' � � - � �' -. i•
y Y ,-r 1f _3 r - '�. �= •'y.��1! � __' �,-��.�r_-.�.f".i-�-mac -r^' - `' �.s�1 1
f� � .' Y `i .�� '.mil' .••! f�_' � .•4.
f • a/ A 'J!� I •,'' M1 / 1 f r . j. ';Mi r�C�•� f• ` •���,11 7. ,•-•ti .{'rth �r ': ,, `
- ,,, ,` 7,i'r �- f,>, 1, 1! .mot. ♦ .-_.. ,`,i�+ .t: �_y'"��- :. �( .�� �.` '_ = -. - � � 4
T4
� a� � ` f, r } . r � / J r 1�( ''t ��� I . •. ` � �' . a' r . ►• ` r'1. v.� � �.♦ � f • � �1
e >, All, J �� 1 �' / r ( i ti i r^-' '•-r/. !i' T 1r. - ' "*► r
., I.�l: `I 1 jf, .�I[fr fl'1�"• 1,I I j �• •.,,- +i''- L[ .. ; .
44 op
Cur—
► �� ' ul - f ! ' � !.. '1 , ., .yam• � .�_
�. �������i 1. r'� 7 •\ l � t l 1 � y • / � � l � ' ; `-. ! j. \� 1 ' � y � : ,H•''t y .`' . = ` 1 J •,�) � � •�..
.� � 1 i !+.'j f �r - / y� t� j'I. ,11 1 ' / .. l 1 t� , � 1 f . � . • r • �' • r .
J � , ',�/•.�'w�7 �/ ,/ �•��^f-_�r •��_'�•'J '-7�`���4 1,r 1`rji`�'/f l,l �I.,� `� i �, a e . `� \ � _ � it
��,1 . 1 `�/��^ fr �i�'+Jy�''�I'�• hY !F� a � , ' � ► 1 + ' ■ �,'�• r % . � t I l ` y , ` •, • � ; r i
!� L� 'e ..3! � I" d.•-... ` -4_ w�.i. � ,���� / !,ia �L l!� rf'!i ,.. 4 1 1' • .. 1 �- .. • •" r i • . �{
.a• e�!