HomeMy WebLinkAboutNordstrom Culvert Reimbursement agreement for maintenance of culvert at Nordstrom property on SR 106 - Interlocal Agreement INTERDEPARTMENTAL REQUEST& AGREEMENT
FOR
REIMBURSABLE WORK BY COUNTY ROAD DEPARTMENT
To the County Engineer:
The undersigned hereby requests that the following described work be performed by the
County Road Department for the agency or department shown.
It is understood that this work will be done at the convenience of the Road Department.
Description of work or services requested: Maintenance of culvert at Nordstrom Property located at
SR 106.
Work Provided: As needed Total cost not to exceed: $ Actual Costs
The undersigned certifies that sufficient budgeted funds are available to cover the cost of the
requested work or services, and that payment to the Road Department will be made promptly unless
otherwise modified in this agreement.
Agency or Dept.:.Mason-Go an Signed:Signed:
Date: Title: t)
To the Board of County Commissioners: Date:
I have examined the above request and make the following recommend io
I recommend the Board approve the above, as presented.
Grounty Engineer
Action of the Board of County Commissioners: Date:
— The Engineer's recommendation is hereby approved.
— The Engineer's recommendation is disapproved or modified as follows:
BOARD OF COMMISSIONERS
MASON COUNTY, WASHINGTON
L--
TIM 7 HELDON, hair
62 ' Cate, t--
ATTEST: —LWDA RING ERI SON, Commissioner
REBECCA S. ROGERS, Jerk of the Board IOSS GALLAGHER, Cemmissioner
H:\Office manager\wplO\MAINT\REIMB-Utility&wastemanag-Dept-Nordstromprop.doc