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CITY OF RENTON
AUTHORIZATION OF SPECIAL BILLING
It is the intent of this letter to authorize the City of Renton to bill the undersigned for all 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.
CONSTRUCTION INSPECTION SUPERVISOR: ___________________________ DATE: ____________
BILLING TO BE SENT TO: (Print Please)
Name:
Company:
Address:
Phone:
Fax:
Owner/Developer or Authorized Agent Date