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HomeMy WebLinkAboutWTR2703117I To: Technical SerAccs Short Plat' (SHPL ir' ` REQUEST FOR PROJECT V Prelim Plat (PP# ) CAG ) Dafc ()� WO# Grccn# ----From. Plan Review/ProjectManager Project Name (70 chuaaca mix) iption of Project: Circle Size, of Waterline: 08-10" 12" Circle One: New or Extensio Circle Size, of Sewerline: 8" 10" 12" Cucle One: or Extension Circle Size of Stormline: 12" 15" 18" 24" Circle One: New or Extension Address or Street Name(s) C: A/C: D vipr/Contractor/Owner/Cnslt:: (70 chuactm mu) Check each discipline involved in Project Ltr Dnvg # of sheets per discipline Cl/ Trans -Storm O O _ (Ro3dway6cainadc) (Off site k rovcmcnuXndudc basin narm) (mcladc TESC sheets) O Transportation ©�WaS(ewatef [�' Water CK- Suface Water Ltnprovcmcnts (Siaculiudon. Caanndiudon. Libadnd) Suutuy Sewer Main (ndudc basin name) (Mains. valves, Hydrants) O/ D Q , (Include composite G: H(,rizonul C ui B� O (CiP ONLY)(indudc basin name) TOD-yv-- 0_1 TS Use Only VV ViP- 027- 11-7 V - 3L'7 - 3 i 1-7 e*y CITY CLERK DIVISION MEMORANDUM DEVELOPMENT SERVICES MY OF RENTON DATE: 94 S 3 ' Lf TO: / arrie Olson, an Review I C l� FROM:446t��- SUBJECT: Bill of Sale, Roy Smith Short Plat, LUA-02-026 King County Recording No. 20040329000228 APR 2 3 2004 CEIVED The attached document has been recorded with King County, and is being returned to you. Please forward copies to the parties of interest, and retain a copy for your file. The original document has been placed in the City Clerk's file. A copy has also been placed in the Land Use file. Attachment Return Address: i Cif of RentonOffice 105 South Grady Way 2004032900022CITY N Renton, WA 98055 PAGE001 OF 002 BS 20.00 03/29/2004 09:54 KING COUNTY, WA BILL OF SALE 6[,A—j Property Tax Parcel Number: 3 � y-� �C Pro'ect File #: L��- z-z Str et Intense lion: � -,- zY - Address: z t2- Reference Number(s) of Documents assigned or released: Additional reference numbers are on page Grantor(s): _ Grantee(s): 1. t�E" ,t ��.� �t� 6010,5 i P-Ue-TtO" L-=1-0 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: Length Size Type L.F. of Water Main L.F. of Water Main L.F. of Water Main each of Gate Valves each of Gate Valves each of Fire Hydrant Assemblies SANITARY SEWER SYSTEM: Len Size Type �15 LF.of 53 f V Sewer Main L.F. of Sewer Main L.F. of Sewer Main Z each of 3(�z , Z_ Diameter Manholes each of Diameter Manholes each of Diameter Manholes STORM DRAINAGE SYSTEM: Length Size Type L.F. of Storm Line L.F. of Storm Line L.F. of Storm Line each of Storm Inlet/Outlet each of Storm Catch Basin each of Manhole STREET IMPROVEMENTS: (Including Curb, Gutter, Sidewalk, Asphalt Pavement) Curb, Gutter, Sidewalk L.F. Asphalt Pavement: 53Z SY or L.F. of Width STREET LIGHTING: # of Poles By this conveyance, Gran r will warrant and defend the sale hereby made unto the Grantee against all and every person or persons, whomsoever, lawfully claiming or to claim the same. This conveyance shall bind the heirs, executors, administrators and assigns forever. dz) 4 _ cT, E h H:\FILE.SYS\FRM&84HNDOUI'\BILLSALE.DOC\MAB Page 1 'A. IN WITNESS WHEREOF, I have hereunto set my hand and seal the day and year as written below. t Notary Seal must be within box XAOTA&y m•:� �� %N� . F'UBUG oF WASW�� - uvu 1 / bn INDMDUAL FORM OFAC%NOWLEDGMENT STATE OF WASHINGTON ) SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that 7 /.", s signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument Notary Public and for the State of Washington Notary (Print) MARILYN KAMCHEFF My appointment expires: MY PPOINTMR4 EXPIRES 6-29-' Dated: 31a 16y REPRESENTATIVE FORM OFAC%NOWLEDGMENT Notary Seal must be within box STATE OF WASHINGTON ) SS COUNTY OF KING ) I 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: Notary Seal must be within box STATE OF WASHINGTON ) SS COUNTY OF KING ) On this day of 19 , 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 seal affixed is the corporate seal of said corporation. Notary Public in and for the State of Washington Notary (Print) My appointment expires: Dated: Page Z y PROJECT CLOSING FINAL COST DATA AND INVENTORY SUBJECT: � L {Q 6 Z- 2Vp CITY PROJECT NUMBERS: Name of project TO: City of Renton Plan Review Section Planning/Building/Public Works 200 Mill Avenue South r`✓J4 Final Cost Data and Inventory WTR- 1 :7 WWP- S WP- TRO- TED- FROM: ­&r-"i e rt y-t-&-1 L""S r _ Z i d z532 1 E.1t z- j.I / A G &U3Z Renton, WA 98055 DATE:3 - 23 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 j 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 $ Z SANITARY SEWER SYSTEM: Length, Size Type s L.F. of ,3 SEWER MAIN L.F. of SEWER MAIN L.F. of SEWER MAIN EA of f DIAMETER MANHOLES EA of DIAMETER MANHOLES (Including Engineering and Sales Tax i• if applicable) $ /[-4 c TOTAL COST FOR SANITARY SEWER SYSTEM $ % Z- r Q 7 STORM DRAINAGE SYSTEM: Length Size Type L.F. of STORM LINE L.F. of STORM LINE L.F. of STORM LINE EA of STORM INLET/OUTLET EA of STORM CATCHBASIN EA of STORM CATCHBASIN (Including Engineering and Sales Tax if applicable) $ TOTAL COST FOR STORM DRAINAGE SYSTEM $ STREET IMPROVEMENTS: (Including Curb, Gutter, Sidewalk, Asphalt Pavement and Street Lighting) l � Ll0O s .F. l-1 " OH-AL-r cy/ e �a-SHfE ] 09 7o SIGNALIZATION: (Including Eng. Design Costs, City Permit Fees, WA St Sales Tax) 414A &Q,--/ STREET LIGHTING: (Including Eng. Design Costs, City Permit Fees, WA St Sales Tax) ecl64, �� ,C Print signatory name forms/COSTDAT2.DOC1bh aoevu -71K /z9/ day phone # (SIGNATURE) (Signatory must be authorized agent or owner of subject development)