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HomeMy WebLinkAboutWW2703328 Return Address: City Clerk's Office fll City of Renton 1055 South Grady Way Renton, WA 98055 20080604000504 CITY OF RENTON BS 43.00 PAGE001 OF 002 06/04/2008 10:18 KING COUNTY, WA BILL OF SALE Proj Name: p G, P o ty Tax Parcel Number: "ISO O Q Project File#: U 0 5 Street Intersection: Address: 0 Reference Number(s)of Documents assigned or released:Additional reference numbers are on page G ra n to r(s): G rantee(s): I. 1. City of Renton,a Municipal Corporation 2. The Grantor,as named above,for,and in consideration of mutual benefits,hereby grants,bargains,sells and delivers to the Grantee,as named above;the following described personal property: WATER SYSTEM: Leneth Size Type I—F.of Water Main _ L.F.of Water Main L.F.of Water Main f each of Gate Valves If _ each of Gate Valves each of Fire Hydrant Assemblies SANITARY SEWER SYSTEM: Length Size TXpe 99 L.F.of �_" Sewer Main L.F.of " Sewer Main L.F.of Sewer Main each of Diameter Manholes each of Diameter Manholes each of Lift Stations STORM DRAINAGE SYSTEM: Length Size T e L.F.of / C__ Storm Main L.F.of Storm Main p — ��--- L.F.of " Storm Main each of 150 Storm Inlet/Outlet each of Storm Catch Basin each of (� Manhole STREET IMPROVMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement) Curb,Gutter,Sidewalk yyv L.F. Asphalt Pavement: 7ke-7k SY or L.F.of Width STREET LIGHTING: #of Poles By this conveyance;Grantor will wan ant and defend the sale herebti made unto she Grantee against all and every person or persons. whomsoever.lawtidly claimin or to claim dry same This conveyance shall hind the heirs,executors_administrators and assivns forever 0AFormsIPBPW1BILLSALE2.D00bh Page I IN WITNESS WHEREOF,said Grantor has caused this instrument to be executed this_day of 20_. zg LVDIVIDI AL FOR>f OF.4(K;'VOWLEDG.M1IE.,,7' Notary Sej`� tl ��ithin box STATE OF WASHINGTON )SS LYE t COUNTY OF KING ) I certify that I know or have satisfactory evidence that W V11 T q,� /� Db e f'fz y 1 signed this instrument and �!'� !. acknowledged it to be his/her/their free and voluntary act for the uses and purposes f _ _ mentioned in the instrument r b'1-� w C �Tl''q?'19-10 �1 � Notary Public in atid for the St of W ashin t n tay (Print) I ~b2r � t MYPP exPires-, l — D Dated: L( REPRESENTATIVE FORM OFACKNOWLEDGMENT Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) 1 certify that I know or have satisfactory evidence that_ .--------signed this instrument,on oath stated that he/she/they was/were authorized to execute the instrument and acknowledged it as the _ _ and of_ _ _ _ to be the free and voluntary act of such party/parties for the uses and purposes mentioned in the instrument. Notary Public in and for the State of Washington Notary(Print) My appointment expires: _ Dated: CORPORATE FORM OF ACKNOWLEDGMENT Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) On this day of 20.before me personally appeared to me known to be of the corporation that executed the within instrument,and acknowledge the said instrument to be the free and voluntary act and deed of said corporation,for the uses and purposes therein mentioned,and each on oath stated that he/she was authorized to execute said instrument and that the seat affixed is the corporate seal of said corporation. Notary Public in and for the State of Washington Notary (Print) My appointment expires: Dated: 0:\Forms\PBPW\BILLSALE2.D00bh Page 2 PROJECT CLOSING #4 Final Cost Data FINAL COST DATA AND INVENTORY and Inventory SUBJECT: WA 0 5 ys G CITY PROJECT NUMBERS: WTR- /� WWP- Name of project;L4 S'% TRO- TED- TO: City of Renton FROM: (,01 c thy,., /&" Plan Review Section /4,*'3 :� :3 i =u P L 5 Planning/Building/Public Works SG� '79 Lzdl� 200 Mill Avenue South Renton,WA 98055 DATE: 1 ryl Per the request of the City of Renton, the following information is furnished concerning final costs for improvements installed for the above referenced project. WATER SYSTEM CONSTRUCTION COSTS: Length Size Type L.F.of WATERMAIN L.F.of WATERMAIN L.F.of WATERMAIN L.F.of WATERMAIN EACH of GATE VALVES EACH of GATE VALVES EACH of GATE VALVES EACH of FIRE HYDRANT ASSEMBLIES $ (Cost of Fire Hydrants must be listed separately) $ (Include Engineering and Sales Tax if applicable $ TOTAL COST FOR WATER SYSTEM $ SANITARY SEWER SYSTEM: STORM DRAINAGE SYSTEM: Length Size Type Length Size pe L.F.of _ _ �' SEWER MAIN �_S G L.F.of i y C STORM LINE L.F.of SEWER MAIN 1 V L.F.of _ STORM LINE L.F.of SEWER MAIN L.F.of STORM LINE EA of 1/ DIAMETER MANHOLES ��_ EA of �_ STORM INLEr/oUTI-ET EA of DIAMETER MANHOLES EA of STORM CATCHBASIN (Including Engineering and Sales Tax EA of �,l ii _ STORM CATCHBASIN if applicable) $ (Including Engineering and Sales Tax TOTAL COST FOR SANITARY SEWER SYSTEM $�+;q, ,7 3 ( `Z~ if applicable) $ c3 TOTAL COST FOR STORM DRAINAGE SYSTEM $ A q , (� STREET IMPROVEMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement and Street Lighting) SIGNALIZATION: (Including Eng.Design Costs,City Permit Fees,WA St Sales Tax) STREET LIGHTING: (Including Eng.Design Costs,City Permit Fees,WA St Sales Tax) .Aell c.) Print signatory name /. day phone# (SIGNATURE) forms(COSTDAT2.DO0bh (Signatory must be authorized agent or owner of subject development) TRAUS MITT AL DATE: TO: Waste Water Utility FROM: ' .N JZ C t,,L, SUBJECT: Submittal of Sanitary Sewer TV Tape Project Number: Project Name: ; I have reviewed the TV Tape(s)for the above project and the fine(s) appear to be in acceptable condition at this time. I have reviewed the TV Tape(s)for the above project and the line(s) are not in acceptable condition at this time for the following reasons: c/forms/uuLtY/w-/I MSFORIM.LIOC,IMAB/bh SANITARY S PROJE WER SYSTEM LOW PRESS AIR TEST CT: DATE: INSPECTOR: �� ��^ ✓ �UrJ PIPE LOCATION LENGTH MATERIAL PIPE SIZE PRESSURE TEST TIME RESULT TO FROM , k. S t,. f/ / Cv i datacenter/forms/pbpw/utilitysystems/ww/sspressure.doc 0212002 bh Oct 26 07 07: 48a Bill 20GO355274 p. 2 2007-10-25 21:27 EVERLAST CONSTRUCTIO (206)243-3536 >> 2068355274 P 5/5 , aNd vcat t I ape Stop- _ rTION SERVICE Report # Tape # Dye 19604-67th Ave NE Arlington,Wa, 88223 Telephone (360) 435-5531 Fax(360) 435-8134 Technician Customer Name V i21.ASF eo _ bate Jj2 lAt)-7 Time _ v Project Name/Address �B ,fir ot/S,�/aC��,,yr .f _ _ City_I KKANQAI From Manhote # MH Depth to Manhole # 2 MH Depth Pipe Size _ Pipe Type PVC Joint Type _ Pipe Length Manhole Condition Line problems at Date Cleaned Flow Depth Weather Conditions Flow Direction �— MH � MH 12 2 9 0 3 r 6 Pull Direction Footage Comments / C CL�� /79' Total Feet General condition Tech. Initials Oct 26 07 07: 49a Bill 20GO355274 p. 3 2007-10-25 21:26 EVERLAST CONSTRUCTIO (206)243-3536 » 2068355274 P 3/5 ■ iNiE Report # Tape # D y D 19604- 67th Ave NE Afttan,Wa, 90223 Telephone(360)435-5531 Fax(360)435-8134 Technielan P6&IA j , Customer Name �(l Pl_ ST _ , Date 12 /6 07 Time Project Name/Address City!` "zbL From Manhole # MH Depth to Manhole # �' MH Depth Pipe Size Pipe Type Joint Type Pipe Length Manhole Condition Line problems at Date Cleaned Flow Depth Weather Conditions Flow Direction 12 in , Oct 26 07 07: 49a Bill 2068355274 p. 4 2007-10-25 21:26 EVERLAST CONSTRUCTIO_ __ (206)243-3536 >> 2068355274 P 4/5 Footage Comments Sic e Totaf Feet General condition Tech. Initials PROJECT REQUEST FORM PLANNINGBUILDING/PUBLIC WORKS DATE: &, i I Zc c; CONTACT: T L L-t tk ?/-� +-?- 1 E<, EXT. Z V F-5 FILE STATUS ANEW OR ❑ EXISTING: FILE CODE(Pxl-xx-xxxx): LOCATION ❑ My Work Space: ❑ File Bay Shelf#: ❑ Other: PROJECT NAME/FILE TITLE: :2 q+ ►- c rz'i aL--AT (70 characters max) DESCRIPTION OF PROJECT: nl = �!r`t i e`� / yr/ /I VC-r- /V �`t✓-i'�F�r��`_� J = f T' ,S i �E'• ,�11'l 'il l /1` 10-VC.'L i.>a lr- —�'L�>%'x >`f:il �`Y' W AT-1<- y PftV/n%C UTILITY PERMIT# 00&C-� l E`"> LUA# G'`% S�% WO# ADDRESS/STREET NAME(S): 1 C-,C, 1 DEV: ; CNTR: ; OWN: , ctC ';rCNSLT/ENG: iL (�c= OTHER ALIASES: Circle Size of Waterline: 8" 10" 12" Circle One: New/Replace/Extension Circle Size of Sewerline: 10" 12" Circle One: ITI ew Replace/Extension Circle Size of Stormline: 12" 18" 24" Circle One Ne Replace/Extension CHECK EACH DISCIPLINE INVOLVED IN PROJECT Ltr Drwg #of sheets A- TED ❑ ❑ (off site improvements) (include TESC) ❑ TRO ❑ ❑ (Signalization,Channelization,Lighting) � wwP El ❑ (sanitary sewer main,include basin name) ❑ WTR ❑ ❑ (Mains,Valves,Hydrants) (inc.composite&HorizontalCtrl) SWP ❑ ❑ (CIP onlyxinclude basin name) `@ PLR (For Developer Files Only) ❑ (letter only) PLEASE CIRCLE THE DISCIPLINES WHICH NEED TO SIGN MYLARS WATER WASTEWATER SURFACE WATER TRANSPORTATION FIRE := FOR FILE MAINTAINANCE USE ONLY File Codes File Alias Date Entered and Labels Made L/