HomeMy WebLinkAboutGreenleaf II Signed_Authorization of Special Billing FormCommunity&EconomicDevelopmentDepartmentCE.‘Chip”Vincent,AdministratorAUTHORIZATIONOFSPECIALBILLINGDate:Address:Description:Permit:Project:June10,201618661108THAVESE,RENTON,WA98055-6432GreenleafII3LotShortPlat.Installstormandfrontageimprovements.U16001812,ENG-Engineering-ConstructionPR16-000182ItistheintentofthislettertoauthorizetheCityofRentontobilltheundersignedforallcostsincurredrelativetothereferencedproject,bytheCityofRentonforthefollowingwork:•TIMEANDMATERIALSFORANYANDALLROADCLEANUPEFFORTSPERFORMEDBYCITYFORCESORCITYCONTRACT.•ALLOVERTIMEFORINSPECTIONANDRELATEDACTIVITIES,BILLABLEATARATEOFSEVENTYFIVEDOLLARS($75.00)ANHOUR.•TIMEANDMATERIALFORANYWORKDONEBYCITYSTAFFTOREPAIRDAMAGES.•TIMEANDMATERIALCOSTSINCURREDFORSECONDARY,INDEPENDENTENGINEERINGREVIEWS,CONSULTATIONANDON-SITEINSPECTIONSASDEEMEDNECESSARYBYTHECITY.BILLINGTOBESENTTO:(PleasePrint)Name:—-,-,Company:Address:f’74-’O‘L,JZPhone:Fax:]2tleJL.u_LAP”Oô’29wner/DeveloperorAutizedAgentDateDenisLawMayorCITYOFenton