HomeMy WebLinkAboutC_ASBForm_20170517 AUTHORIZATION OF SPECIAL BILLING
Denis Law
Mayor
Community & Economic Development Department
C.E. "Chip" Vincent, Administrator
May 17, 2017Date:
Descrip on:
Address:SW of Pierce Ave SE and E of end of SE 18th St
Allura at Tiffany Park Subdivision - Early Clear and Grade for Civil Construc/on
Permit U16006368
Permit:C17001184, ENG - Engineering - Construc/on
Project:PR13-007339
TIME AND MATERIAL COSTS INCURRED FOR SECONDARY , INDEPENDENT ENGINEERING
REVIEWS, CONSULTATION AND ON -SITE INSPECTIONS AS DEEMED NECESSARY BY THE CITY.
It is the intent of this le%er to authorize the City of Renton to bill the undersigned for all costs incurred
rela ve 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 .
BILLING TO BE SENT TO: (Please Print)
Name:
Company:
Address:
Phone:
Fax:
Owner/Developer or Authorized Agent Date