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L_ASB Form_Signed.pdf
CITYOF—Renton0Community&EconomicDevelopmentDepartmentC.E.“Chip”Vincent,AdministratorDate:Address:Description:Permit:Project:September26,201717630108THAVESE,RENTON,WA98055-6451MCDONALD’SONBENSON-CONSTRUCTUTILITIESFORADDITIONTOEXISTINGRESTAURANTTOADD2NDRESTAURANTU16001849,ENG-Engineering-ConstructionPR16-000134ItistheintentofthislettertoauthorizetheCityofRentontobilltheundersignedforallcostsincurredrelativetothereferencedproject,bytheCityofRentonforthefollowingwork:•TIMEANDMATERIALSFORANYANDALLROADCLEANUPEFFORTSPERFORMEDBYCITYFORCESORCITYCONTRACT.•ALLOVERTIMEFORINSPECTIONANDRELATEDACTIVITIES,BILLABLEATARATEOFSEVENTYFIVEDOLLARS($75.00)ANHOUR.•TIMEANDMATERIALFORANYWORKDONEBYCITYSTAFFTOREPAIRDAMAGES.•TIMEANDMATERIALCOSTSINCURREDFORSECONDARY,INDEPENDENTENGINEERINGREVIEWS,CONSULTATIONANDON-SITEINSPECTIONSASDEEMEDNECESSARYBYTHECITY.BILLINGTOBESENTTO:(PleasePrint)2kiL’iAfrt)4‘3Lrick—ifcOwner/DeveloperorAuthorizedAgentDateV-fr’31’i-hth’7‘efl’7r1’4’1DenisLawMayorAUTHORIZATIONOFSPECIALBILLING,)-‘fr!AIAt”Name:Company:Address:Phone:Fax: