HomeMy WebLinkAboutSWP272250(4) FOR DISTRIBUTION TO:
Water Utility ® Building Division
�6iJt Wastewater Utility ® Public Worlcs Constr Inspector
LJ Surface Water Utility ® Fire Prevention
Maintenance Services
Transportatlon Systems
Project: Yl
Loca lion:
Attached please find copies of t
� g PERMIT ® BILLS OF SALE
RECEIPT COST DATA INVENTORY
t .I LETTER OF SPECIAL BILLING - ® EASEMENT(S)
STUB SERVICE AGREEMENT ® COPY OF AS-BUILT
Ni P R E CO N NOTES
( t PRECON ATTENDEES
ICJ DRAINAGE REPORT
~� MEMO - WATER BREAKDOWN
MAP WITH NEW MAINS AND VALVES
From: 4O a
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Short Plat(SHPL# )
REQUEST FOR PROJECT# Prelim.Plat (PP# )
CAG# )
To: Technical Services Dates L WO# 7 S Green#
From: Plan Review/Project Manager K A V r2 E ti
Project Name V lq LLZ Y i)i 5-I' t?t o U-t t o aJ C 6A--1 G e--
(70 characters max)
Description of Project: 1i1A "D L 1 t . -e.Y,o ✓si r ,-P�u fi r,tm� C1�i�r��.,�c�p
Circle Size of Waterline: 8" Cl( ` 12' Circle One: New) or Extension
Circle Size of Sewerline: 8" 10" -12" icL Circle One: New or Extension
Circle Size of Stormline: Jp/ 2' 015 18 24" Circle One: New or Extension
S 61 a 3- 2) a IWL) �--.0 s v
Address or Street Name(s) 3('�', Sl J ,2 7 6/ S T - J W �� Y S-1 � k f y
t
Dvlpr/Contractor/Owner/Cnslt::
(70 c cters max) 61
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
Trans-Storm ❑ �� /5
(Roadway/Drainage) (Off site improvementsxinclude basin name) (include TESC sheets)
❑ Transportation (Signalization,Channelization,Lighting) ❑ ❑
Wastewater ❑ C c 1 you
Sanitary Sewer Main(include basin name)
9( Water (Mains,Valves,Hydrants) ❑ �^
(Include composite&Horizontal Ctri Sheets)
❑ Suface Water ❑
Improvements (CIP ONLY)(include basin name)
TS Use Only 50r'�~ �
Approved by TSM Date: