Individual Bond for
Washington State
Department of Transportation
Franchise and Permit
Bond No.
KNOW ALL MEN BY THESE PRESENTS: That
OF
County,
as Principal, and
as Surety, are jointly and severally bound unto the STATE OF WASHINGTON in the sum of $
DOLLARS, for payment of which to the State of Washington, we jointly and severally bind ourselves, our heirs,
executors, administrators, and assigns, firmly by these presents.
WHEREAS, the Principal in pursuance of its operations has filed with the Washington State Department of
Transportation, under the provisions of Chapter 47.32 RCW and/or Chapter 47.44 RCW and amendments thereto,
on a portion of State Route No
applications for franchise/permit number
County, Washington.
in
NOW, THEREFORE, the condition of this obligation is such that if all the conditions of said franchise/permit, including
the proper restoration of slopes, slope treatment, topsoil, landscape treatment, drainage facilities, and cleanup of right of
way, are complied with according to the terms contained in said franchise/permit by said Principal, through a period in
accordance with Chapter 468-34-020 (3) WAC and upon receipt of a written discharge from the State, then this obligation
shall become null and void; otherwise, this bond to remain in full force and effect.
day of
WITNESS our hands and seals this
(Principal)
Note: Please type or print below the signatures
the names of parties executing this bond, together
with official title of each.
Address:
Telephone:
By:
(Surety)
WASHINGTON STATE
DEPARTMENT OF TRANSPORTATION
Address:
Telephone:
By:
By:
Date:
LPM99900WA0400c
,
,
155 NE 100th Street, Suite 201, Seattle, WA 98125
