Laserfiche WebLink
CITY OF EVERETT <br /> PUBLIC WORKS DEPARTMENT <br /> OVERTIME lNSPECTION FEE/AUTHORIZATION <br /> City of Everett Ordinance No. 997-84 established overtime inspection fees for services <br /> performed at times ocher than the City's usual business hours. All persons recuesting <br /> inspection or oermit services which require the City to pay overtime shall pay to the City <br /> the over:�me wage pius salary retated benefits incurred by the City for the person or <br /> personne! performing the inspection or other permit services. <br /> Project/Address: 1902 110th Screet SE <br /> Description of Inspection: Side Sewer <br /> Date of Requested Services: March 8 , 1997 Estimated Hours: 4 <br /> City Person/Personnel: Carroll Tollefson _ _ <br /> Tne undersigned hereby agrees to immeadiately pay the overtime wzge pl�s salary related <br /> benefits referenced zbove upon submittal of a bill to the below stated address. ln the even: <br /> the bill is not paid w�ithin ten (l0) days of the date of submittal, the undersigned agrees that <br /> the City is authorized to withhold the issuance of any permits for thr project referenced <br /> above and/or pursue any legal remedies available to the City for purposes of seeking <br /> collection of the bill. The undersigned turther agrees that in the event legal proceedings are <br /> commenced tu collect said bill, the City or its assigns shall be paid for all costs and <br /> reasonable attorney's feed incurred by the City or i�assigns. <br /> _ '/ <br /> i <br /> Gaffnev Cons [ruceion . / ,3 - �� <br /> Company Authonzed S gnaturr Date <br /> Addr ss /�`��� L' �� ,9/� --- <br /> Title <br /> DEVELOPER/CONTR.ACTOR ACKNOWLEDGEMENT <br /> Date 5ervices Performed: 3 C.�/� / <br /> Estimated Hours: <br /> ! � ' .3/j -%� <br /> thurized gna ure Jate <br />