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Mason Conservation District agreement witih Public Works - Interlocal Agreement rNITERGOVERNTMENITAL REQUEST&AGREEMIr,N-I' FOR REIMBURSABLE NVORK,BY THE PUBLIC WORKS DEPARTIMENT To(lie Count),Engineer; The midersigned hereby requests that the following descritied work be performed by the Public NVorks Department for the agency or depailment shown, It is understood that this work will be done at lite convenience of the Public Worhs Department, Description of work or smices;requestcd:jjo prqvide IMaintenanse-'an I.Surve-,SqLyjce-,1 Emergency Assistance/ Fabrication ofsigrts and materials upon reqmest. Date: 11)011 ItCqUCSt 01760ter nart), Total cost not to exceed S Actual Costs The underaigned certifies that sufficient budgetedflinds are available to cover the cost oftherept el I 11"Ir k or sen,ices,and drat payment to the Pubic Works Department Neill be made promptly unless offic 6 s i"Iliti,11 in this agreement. I Agency or Dept.:Mason Consmation District Signed: �41v04- Date: Title: Cafe To the Board ofCoonty Commissioners: Date, 7-11. U14 I have examined the above request and make the followhig recommendation: _jrecojmijerLd_-ij)p vaLofNyott- ssubmitted. comv� ,ng Eng ncer Asti n (lie Board of County Comruissioners Date: — "I Iic I ngineer's recommendation is herebyapproved. — The Engincer's recommendation is disapproved or modified as follows:. BOARD OF COUNTY CO3MMISSIONERS, M-ASON COUNTY,-\NTASHINIGTON D Terri Jeffrey'��111- la ATTEST': Tim Sheldon,Commissioncr Diane Zorqi,Clerk of the Board Randy"Neatherlin,Coon,I'l"Issioner