HomeMy WebLinkAboutSWP272244(3) Short Plat (SHPL# )
REQUEST FOR PROJECT# Prelim.Plat (PP# )
CAG# )
To: Technical Services Date '2- 1 la - q 6 WO# 790 7 Green#
From: Plan Review/Project Manager P q u(- (,y A-c 8 LYL T
Project Name C 00 O C 4 L---r/rto L E -r
(70 characters max)
Description of Project: }0 STra ea- w E�Z -e-M 0 taA I ti A 6 �-
1 V4 S
Circle Size of Waterline: 8" 10" 12" Circle One: Ne or Extension
Circle Size of Sewerline: ( loft 12" Circle One: New or Extension
Circle Size of Stormline: 12" 15" 18" 24" Circle One: New or CE:xtensio
Address or Street Name(s) off, 5 J oL� S T
Dvlpr/Contractor/Owner/Cnslt:: Good C y E y/2.tKE 7'
(70 characters max)
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
Trans-Storm vp(—LE y ❑ I o
(Roadway/Drainage) (Off site improvements)(include basin name) (include 77ESC sheets)
❑ Transportation (Signalization,Channelization,Lighting) ❑ ❑
Wastewater QU 6J A M 1,;W t7 S-t(IAfV ❑
Sanitary Sewer Main(include basin name)
l Water (Mains,Valves,Hydrants) ❑
(Include composite&Horizontal Ctd Sheets)
O Suface Water ❑ ❑
Improvements (CIP ONLY)(include basin name)
TS Use Only �� — Q—o' xq
UT-A. - d�-g-'4
Approved by TSM Date:
FOR DISTRIBUTION TO:
IN Water Utility
Building Division
,- Wastewater Utility Public Works Constr Inspector
Surface Water Utility Fire Prevention
Maintenance Services pe
Transportation Systems
Project: G cx�_n
Location:
Attached please find copies of
PERMIT BILLS OF SALE
RECEIPT COST DATA INVENTORY
LETTER OF SPECIAL BILLING EASEMENT(S)
STUB SERVICE AGREEMENT COPY OF AS-BUILT
PRECON NOTES
PRECON ATTENDEES
DRAINAGE REPORT PW
IN MEMO-WATER BREAKDOWN IN
IN MAP WITH NEW MAINS AND VALVES
IN OTHER
From: ('-a—
Date: `7�- 7 - %6
C:TB:PRECON:DISTFRM