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Skagen SP ASB Form.pdf
CITYOF—“RentonCommunity&EconomicDevelopmentDepartmentCE.“Chip”Vincent,AdministratorDate:Address:Description:Permit:July06,2016TalbotRoad&S198thPlaceRoadandstormimprovementsforSkagenShortPlat.WaterandSewerSoosCreek.U14003790,ENG-Engineering-ConstructionItistheintentofthislettertoauthorizetheCityofRentontobilltheundersignedforallcostsincurredrelativetothereferencedproject,bytheCityofRentonforthefollowingwork:•TIMEANDMATERIALSFORANYANDALLROADCLEANUPEFFORTSPERFORMEDBYCITYFORCESORCITYCONTRACT.•ALLOVERTIMEFORINSPECTIONANDRELATEDACTIVITIES,BILLABLEATARATEOFSEVENTYFIVEDOLLARS($75.00)ANHOUR.•TIMEANDMATERIALFORANYWORKDONEBYCITYSTAFFTOREPAIRDAMAGES.•TIMEANDMATERIALCOSTSINCURREDFORSECONDARY,INDEPENDENTENGINEERINGREVIEWS,CONSULTATIONANDON-SITEINSPECTIONSASDEEMEDNECESSARYBYTHECITY.BILLINGTOName:Company:Address:Phone:Fax:BESENTTO(PleasePrint)/27/4%m%A4J//MiJ-mI/i/ai/i/.JAc’tta-tA,7O7--7/-7CfOwner/DierorAuthorizedAgentDate/DenisLawMayorAUTHORIZATIONOFSPECIALBILLING