HomeMy WebLinkAboutC_ASBForm_170823 AUTHORIZATION OF SPECIAL BILLING
Denis Law
Mayor
Community & Economic Development Department
C.E. "Chip" Vincent, Administrator
August 23, 2017Date:
Descrip on:
Address:3908 LAKE WASHINGTON BLVD N, RENTON, WA 98056-1581
Senza Lakeview 17-lot subdivision - Early Clear and Grade - See Permit U16006676
Permit:C17003502, ENG - Engineering - Construc6on
Project:PR16-000315
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