HomeMy WebLinkAboutT-3989 - Agreement/Covenant - 6/26/2006 CITY USE ONLY
Job Order B- I Zy 95 - C
Cashier Memo # 113�b
Date: (,p•?-4-56
Processed By: VptNP&4jV
City of Fresno
Public Works Department - Water Division
1910 E. University
Fresno, CA 93703
Phone: 488-1412
SUBJECT: AGREEMENT TO PAY FOR WORK PERFORMED BY CITY FORCES
JOB ADDRESS: 106L Ao-/- W65,7-151-10145
APN: 304 -O?O - (�o5 ENTITLEMENT:_ = ?989
DESCRIPTION OF WORK -
CESTIMATED COST AND AMOUNT OF DEPOSIT: $
The City of Fresno is authorized to bill the applicant for the cost
of labor, 'overhead, equipment and materials incurred by the City to
perform the above described work. The deposit submitted is for the
estimated amount of the work. If the actual cost of the completed
work exceeds the amount of the deposit, the City will bill the
applicant for the unpaid balance; if the amount of the deposit exceeds
the actual cost of the work, the difference will be refunded in the
normal course of City business. The final cost of the completed
work will be determined by standard accounting procedures of the
City of Fresno.
Applicant (print) : tJ C,i
Address: S-V6Cj /y . �a �V� t' _C'��,cJ 7UY
Signature- Date: Z�
Title : ��/�c'c���/ �c%✓��. Phone:
y nEVELOPMENTOEPARTMENT O
NAME
�,�/,�r�O DATE
ADDRESS
JOB SITE ADDRESS 108z)I a '
APN
LEGAL DESC. 3c99
Building Plan Water Plan Check
Check-New 11-45-3058 581-250-3120
w ing an
Check-ALT/ADD 11-45-3059 Street Plan Check 011-051-3119
Electrical Plan Check 11-45-3060 Cup 11-43-3065
Plumbing Plan Check Cup*p• 11-43-3068
Mechanical Plan Check 11-45-3062 Cup Amended 11-43-3133
Relocation or Easement Encroach
Change of Occup. 11-45-3101 11-43-3084
OT Plan Check 11-45-3360 EA-Private Project 11-43-3072
Proj.Eng. EA-PM/Subdivision
Plan Check-Comm 11-45-3131 11-43-3071
Prof.Eng. EA-Categorical
Plan Check-Res. 11-45-0132 Exemption 11-43-3073
Addendum 11-45-3160 Plan Amendment 11-43-3117
Energy and Rezone-Res
Handicapped P.C. 11-45-0151 11-43-3068
Express Plan Check 11-45-0157 Rezone-Comm 11-43-3140
Grading Plan Check/ Sign Review
Flood Letter 11-45-0096 11-43-3076
Annexation Site Plan Review
11-42-0978 Amended 11-43-3083
Bond Processing Site Review
11- 3097 11-13-3078
SPR-Rear Yard
Time Extension 11-43-3136 Encroachment 11-43-3077
Xerox 11- -0342 Variance 11-43-3067
Maps,Publ..Etc. 11- 3362 Minor Deviation 11-43-3069
Metro Flood 156-220-0000 Spec Agree. 11-43-3144
UGM Park -250-3183 Early Bldg Permit 11-43-3145
UGM Fig -2503183 Subd Map-Final 11-43-3088
AT-Grade RR X-ING Subd Map-Tent 11-43-3085
Sewer-Major Fac. Par Map-Final
817-2503308 11-13-3089
Other Sewer 617-250- Par Map-Tent 11-43-3088
Water Connect Chg 581-250- Covenant Prep 11-43-3126
Water Meter 581-250- Convenant Rel 11-433134
Trust Acc �43_G (1U Covenant Record
6.job 584-220-0000 11-43-3451
Sewer Plan Check 614-0613121 Bond Deposit 126-220.0000
Cash /Check
Check No. Bank No. 90-20() 0v TOTAL a�(y O O
Charge Account /
CM NO. 11346 BY