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CITY OF RENTON
AUTHORIZATION OF SPECIAL BILLING
January 6, 2016
William Gustayson
EE -NA Enterprises LLC
12345 Lake City Way NE i#2
Seattle, WA 98125
015002905 — Blakey Towhomes
Account # 3760
It is the intent of this letter to authorize the City of Renton to bill the undersigned for ail costs incurred
relative to the referenced project, by the City of Renton for the following work:
• TIME AND MATERIALS FOR ANY AND ALL ROAD CLEANUP EFFORTS PERFORMED BY CITY FORCES OR
CITY CONTRACT.
• ALL OVERTIME FOR INSPECTION AND RELATED ACTIVITIES, BILLABLE AT A RATE OF SEVENTY FIVE
DOLLARS ($75.00) AN HOUR.
• TIME AND MATERIAL FOR ANY WORK DONE BY CITY STAFF TO REPAIR DAMAGES.
• TIME AND MATERIAL COSTS INCURRED FOR SECONDARY, INDEPENDENT ENGINEERING REVIEWS,
CONSULTATION AND ON-SITE INSPECTIONS AS DEEMED NECESSARY BY THE CITY.
BILLING TO BE SENT TO: (Print Please)
Name: _/ _��i t1,1 v$ l %-/9C `J
Company:
Address:
a2S—
Phone:
Fax: 4�;61 3c( 844 \
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Date