Job Submission Page

Your submission information will automatically be forwarded to:

Ron West, Utility Restoration Manager (west@rainierasphalt.com)
Kelly McConnell, Utility Billing Specialist (mcconnell@rainierasphalt.com)
Tom Merry, Owner (merry@rainierasphalt.com)

A confirmation email will be sent once the job is created.

POC Name(Required)

POC Phone Number(Required)

POC Email(Required)

Job #(Required)

Address(Required)

Street Address Address Line 2 City ZIP Code

Scope of Work(Required)

ADA

Asphalt

Concrete

Curb

Attachments(Required)

Cut Sheet/Resto Sheet

Permit

TCP

Private Job - No Permit

No Attachments

LOCATE #(Required)

Job Notes

If you have more than five attachments, please send them to mcconnell@rainierasphalt.com after you have submitted the form.

Attachment #1

Max. file size: 256 MB.

Attachment #2

Max. file size: 256 MB.

Attachment #3

Max. file size: 256 MB.

Attachment #4

Max. file size: 256 MB.

Attachment #5

Max. file size: 256 MB.

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