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C_ASBForm_Signed_171002
DenisLawCITYOF—Renton0Community&EconomicDevelopmentDepartmentC.E.rIChipNVincent,AdministratorAUTHORIZATIONOFSPECIALBILLINGDate:August23,2017Address:3908LAKEWASHINGTONBLVDN,RENTON,WA98056-1581Description:SenzaLakeview17-lotsubdivision-EarlyClearandGrade-SeePermitU16006676Permit:C17003502,ENG-Engineering-ConstructionProject:PR16-000315ItistheintentofthislettertoauthorizetheCityofRentontobilltheundersignedforallcostsincurredrelativetothereferencedproject,bytheCityofRentonforthefollowingwork:•TIMEANDMATERIALSFORANYANDALLROADCLEANUPEFFORTSPERFORMEDBYCITYFORCESORCITYCONTRACT.•ALLOVERTIMEFORINSPECTIONANDRELATEDACTIVITIES,BILLABLEATARATEOFSEVENTYFIVEDOLLARS($75.00)ANHOUR.•TIMEANDMATERIALFORANYWORKDONEBYCITYSTAFFTOREPAIRDAMAGES.•TIMEANDMATERIALCOSTSINCURREDFORSECONDARY,INDEPENDENTENGINEERINGREVIEWS,CONSULTATIONANDON-SITEINSPECTIONSASDEEMEDNECESSARYBYTHECITY.BILLINGTOBESENTTO:(PleasePrint)LeviRowseN am e : _ _ __ _ _ _ __ _ _ _ __ _ _ _ __ _ _ _ __ _ _ _ __ _ _ _ __ _ _ _ __ _ _ _Company:iCapLakeviewLLC3535FactoriaBlvd.SESuite500BellevueWA98006A dd r e s s : _ _ __ __ _ _ _ _ _ __ __ _ _ _ _ _ _ _ __ __ _ _ _ _ _ __ __ _ _ _ _ _ _ _ __ _Phone:425-278-9030Fa x:__ _ _ _ _ __ _ __ _ _ _ _ _ __ _ __ _ _ _ _ _ __ _ __ _ _ _ _ _ ____________________________9/25/2017Owner/DeveloperorAuthrizedAgent/Date