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AUTHORIZATION OF SPECIAL BILLING
March 19, 2014
LAKESIDE FAIRWOOD PLAT
18621 – 116th Ave SE
U13002615 – ROAD, STORM AND LIGHTING IMPROVEMENTS
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.
BILLING TO BE SENT TO: (Print Please)
Name:
Company:
Address:
Phone:
Fax:
Owner/Developer or Authorized Agent Date