kdot repair waterline agreement 2/13/1984
I~-~
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KANSAS DEPARTMENT OF TRANSPORTATION
White. Bureau elM
Yellow. Petitioner
Pink - District
mue - Area
Bureau of Construction & Maintenance
Perinit No.
Route
Co.
2-<;MI6.
Us-81 Alt
85
HIGHWAY PERMIT AGREEMENT
WORK ACCEPTANCE NOTICE
To: City of Salina
Petitioner
Agent-Lessee-Contractor
P. O. Box 746
Street
RA11n~. T{JlnAA~
City
Street
671.01
State
City
State
Location of work:
'For: Type of work completed.
D Private Entrance
D Tree Trimming
D Commercial Entrance
D Attachment to Bridge or Structure
D Underground Utility
Kl Other Repair Waterline
D Overhead Utility
This is to advise that work performed upon State Highway right-of-way at the location and under the
provisions and authority of the above referenced permit number has been inspected by representatives of
the Kansas Department of Transportation.
It further certifies that work has been performed in a satisfactory manner and that all provisions of the
referenced permit have been met.
Comments:
(
"
,
In accordance with the above we are:
dollars, $
dollars, $
Daz
Approved this Igf:
D Releasing your bond of
o Returning your check No. _ for
D Deposit was not required
ID Standing bond on file with KDOT
D Permanent "Continuous Agreement".~ith petitio'4
Recommended 02-07-84 by: 0.. .2., ~ _ ~!;).~ . t:2:2 - - - ,
Date ~.-Area Supt.
by:
~b City Engr. (If City Connecting Link)
day of ru "'-;:1
SECRETARY OF T NSPORTATION
OF THE STATE OF KANSAS
I9.f2!
Rev. 4.82
By: r~~/-,--;:,~
istrict Engineer (/
D.O.T. Form No. 304-A
KANSAS DEPARTMENT OF TRANSPORTATION
White. Bureau elM
Yellow - Petitioner
Pink - District
IDue - Area
Bureau of Construction & Maintenance
Permit No. ?-'i'i,;q
Route m::_R 1 A 1,. .
Co. 65
HIGHWAY PERMIT AGREEMENT
WORK ACCEPTANCE NOTICE
To: City of Salina
Petitioner
Agent-Lessee-Contractor
P. o. Rox 746
. Street
R~1; n::t I 'K::mA.R.R
City
Street
67401
State
City
State
Location of work:
For: Type of work completed.
o Private Entrance
o Tree Trimming
o Commercial Entrance
o Attachment to Bridge or Structure
o Underground Utility
IX] Other Jlepai r Ci 1:1 \lWD8d uater lillll
o Overhead Utility
This is to advise that work performed upon State Highway right-of-way at the location and under the
provisions and authority of the above referenced permit number has been inspected by representatives of
the Kansas Department of Transportation.
It further certifies that work has been performed in a satisfactory manner and that all provisions of the
referenced permit have been met.
Comments:
In accordance with the above we are:
dollars, $
d?llars, $
o Releasing your bond of
o Returning your check No. _ for
IXI Deposit was not required
o Standing bond on file with KDOT
o Permanent "Continuous Agr'7jment" with Petiti<pr,
Recommended 0?-07-R4 by: n~ - Q ~zJd -',,__
Date ~-Area Supt.
by:
,--. /. City Engr. (If City Connecting Link)
day of L::::.c:::.aLL/J
SECRETARY OF T SPORTATION
OF THE STATE OF KANSAS
I~
Approved this
Date
/A'rI-
Rev. 4.82
By:
~<~~~?
Dis riet ngineer
D.G.T. Form No. 304-A