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20040825000603
•lUSS...'SOuth Grady Way ; C11 , OF RENTON IS 20.00
PAGE001 OF 002
;Rezrton, WA 98055 `:. 08/25/2eO4 10: 17
.: KING COUNTY, UP
BILL OF SALE
I'roperty.Taz Parcel Number. UU305—
Proj il r 5
Stree .NE _ terse' o .
Addr
Reference Number(s) of Documents assigped of released. Additional refsrence;numbers art on page
Grantor(s): Grantee(*
1. Larry Ku p f e re r 1. City of Atnton, &Mtuucipal Corporation
2. Voyce :,Hanson
'The Grantor,••as named above, for, and in consideration of mutual benefits•; hereby gfwts, baq=s,..sell§:and debvergio
the Grantee;•'as named ebAve, the following described personal property-
WATERSYSTEM: Length
118 LF of 4 ' Water.Mam"
L F. of Water Main
L F. of Water Main
each of Gate Valves
each of Gate Valves
each of Fire Hydrant Assemblies
SAMTARY SEWER:SYSTS Length Size Tie
`"+.._` •.,. L F. of PVC Sewer Main
L:x of Sewer Main
LY of Sewer Main
each of 9 Diameter Manholes
etch bf Diameter Manholes
eac]Vof :' Diameter Manholes
STORM DRAINAGE SYSTEM: `:. Len t�h ''' ::• 'Size. :' Tie
F of Storm Line
L F. of Storm Line
.cry_
:--L.F. of-- Storm Line
'each of • ° 'Storm Inlet/Outlet
eack'ofJ_" Storm Catch Basin
each of '•:• Manhole...
STREET IMPROVEMENTS: (Including Club, Gutter, Sidewalk;.•Asphalt:Pavement'
Curb, Gutter, Sidewalk L F
Asphalt Pavement: SY or L F of
STREET LIGHTING:
# of Poles
By this conveyance, Grantor will warrant and defend the sale hereby made unto the Grantee against all and every person
or persons, whomsoever, lawfully claimmg or to ciaun the same. This conveyance shall bind the heirs,,exeouiors,
administrators and assigns forever 40p _ C %'fib
H \FILE SYS*RM\NHNWUr\B1LLSA' j DOCIMAB page l
V 9A AAA, ALL
44 VnTNP&WHER77, I 73hav
1
hereunto set my hand and seal the day and year as written below.
J"IVJPqAL F0" OFACKNOWLEDGMENT
WASIUNGTON SS
COUNiYQPkWG
. . . . . . . . .
certoi6d know.orh KL4Frj5jzEW_
6�e.Afisfactory evidence that
AM 5'#M signed this instrument and
aelmowleilgod It tv W IiW4erfteir free and voluntary act for the uses and purposes
inienboi.i�d in #ii Instrument
Notary Publi"'for the, State of Washin n
N&ar� 0.
Uj C
My appointin6it eixpirj�s:_ b6t. .-A'tt, '.Wo rl
z0
Z.2 rE —Dated:
;:RA4
"PABSENTA 77VB F0" OF A CANOWLEV
Notary Cal must X
STATE OFWASHlNGT6N-fS"S
COUNTY OF KING --
I certify that I know or have satisfhctoiy"evid0:ncc �a'j
signed ihisinstroment, on oath
stated that he/she/they was/were authorized i6 execute dip ingrumoot and
acknowledged it as the d*
of to be the free and voluntary act of such
p*Wparhes for the uses and purposes mentioned in the instrdir"t
Kotky P6b6Jn and for the State of Washington
a�'Nbtary, (PMt)
My appointmOt qkpoes:
-Dated
Notary Seal must be vnthm box §TATE OF,VA§H(Nj1JTON! SS:
c6bm Y.'6p 6io::::
On this :.?Tq,rne personally appeared
to me known to
be oFthe corporation that
executed the within in sirdmnt,:azid ;IrAmo� fedge said-unstrument to be the fite
and voluntary act and deed of said corporation, 6r the� . usesaiidpurposes . therein
mentioned, and each on oath statedthat he/shewas awhomed to execute said.
instrument and that the seal affixed is th6 co seal of
f said corporation
Notary Public in and for the State of Washington
Notary (Print)
My appointment expires
Dated:
-ragip. r-
PROJECT CLOSING
FINAL COST DATA AND INVENTORY
SUBJECT: LUA-03-051 , SHPL CITY PROJECT NUMBERS: WTR-
WWP-
KKS Short Plat SWP-
Name of project TRO-
TED-
TO: City of Renton
Plan Review Section
Planning/Building/Public Works
200 Mill Avenue South
Renton, WA 98055
#4 Final Cost Data
and Inventory
FROM: Larry Kupferer
1.. t. 3 >c�,
DATE: July 1- 2004
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
11 L.F. of 4
D. I. WATERMAIN 1 e a C h 2"
L.F. of
WATERMAIN
L.F. of
WATERMAIN
L.F. of
WATERMAIN
—�— EACH of Z
GATE VALVES
EACH of
GATE VALVES
EACH of
GATE VALVES
EACH of
FIRE HYDRANT ASSEMBLIES
blow off assembly
$ 0.00
(Cost of Fire Hydrants must be listed separately) $ 4 , 910.00
(Include Engineering and Sales Tax if applicable $ 427 17
TOTAL COST FOR WATER SYSTEM $ 5 , 337.17
SANITARY SEWER SYSTEM:
Length Size
Type
12 L.F. of 8
PVC SEWER MAIN
L.F. of
SEWER MAIN
L.F. of
SEWER MAIN
1 EA of 48
DIAMETER MANHOLES
EA of
DIAMETER MANHOLES
3,833.00
(Including Engineering and Sales Tax
333.4 i
if applicable) $
TOTAL COST FOR SANITARY SEWER SYSTEM $ ,
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)
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)
Larry Kupferer
Print signatory name
fomis/COSTDAT2.DOC/bh
206-979-3766
day phone #
(SIGNATURE)
(Signatory must be authorized agent
or owner of subject development)
Laucks Testing Laboratories, Inc.
940 S. Harney Seattle, WA 98108
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY
If instructions are not followed, sample will be rejected.
DATE COLLECTED TIME COLLECTED COUNTY NAME
MONTH DAY YEAR
I /
❑ AM F7 PM
TYPE OF SYSTEM IF PUBLIC SYSTEM, COMPLETE:
PUBLIC
CIRCLE GROUP
INDIVIDUAL I.D. No. q g
(serves only 1 residence)
NAME OF SYSTEM
SPECIFIC LOCATION WHERE SAMPLE COLLECTED TELEPHONE NO.
DAY ( )
SAMPLE COLLECTED BY: (Name)
EVENING ( )
SYSTEM OWNER/MGR.: (Name)
SOURCE TYPE "GROUNDWATER UNDER SURFACE INFLUENCE
SURFACE 0 WELL or SPRING F7PURCHASED or COMBINATION
WELL FIELD INTERTIE or OTHER
SEND REPORT TO: (Print Full Name, Address and Zip Code)
TYPE OF SAMPLE (check only one in this column)
ROUTINE Chlorinated (Residual: Total Free)
DRINKING WATER
check treatment Filtered ``qq_ '
Untreatl��
REPEAT SAMPLE
Previous coliform presence Lab # MAY di qn
Date / /
CITY OF RENTON
RAW SOURCE WATER Source #S�tal Coliform
NEW CONSTRUCTION or REPAIRS Fecal Coliform
❑ OTHER (Specify)
REMARKS: 11 1— � l C
(LAB USE ONLY) DRINKING WATER RESULTS
UNSATISFACTORY. Coliforms present
SATISFACTORY,
Coliforms absent
REPEAT ❑ E. Coli present E. Coli absent
SAMPLES REQUIRED ❑ Fecal present Fecal absent
OTHER LABORATORY RESULTS
TOTAL COLIFORM /100 ml E. COLI /100 ML
FECAL COLIFORM /100 ml PLATE COUNT /ml
ANOTHER SAMPLE REQUIRED
SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE:
❑ Sample too old ❑ Confluent growth
❑ Wrong container TNTC
Incomplete form Turbid culture
Excess debris
SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
LAB NO. (7 DIGITS) DATE, TIME RECEIVED RECEIVED BY
DATE REPORTED LABORATORY:
REMARKS
DOH 305 002 (REV. 4/92)
WATER SUPPLIER COPY
INTERPRETATION OF RESULTS
FOR DRINKING WATER
The analysis performed on this drinking water sample is an examina-
tion for the presence of coliform organisms in the water and indicates
the bacteriological quality of the sample. The presence of coliform
organisms is used by health organizations worldwide as an indicator
for the possible presence of other disease causing organisms.
REPORTING OF RESULTS:
Group A Public Water Systems must report the results of Drinking
Water Analysis to the State as specified in WAC 246-290-480.
SATISFACTORY RESULTS:
The absence of coliforms from any sample is satisfactory. Proper
system maintenance and bacteriological monitoring should be con-
tinued routinely to insure the safety of the water supply.
UNSATISFACTORY RESULTS:
Any coliform presence is unsatisfactory.
The presence of coliforms indicates the system is not properly
protected against contamination and may be unsafe for human con-
sumption. Unsatisfactory samples should be investigated IMMEDI-
ATELY and repeat samples submitted. Contact your local health
department or DOH Regional Office for assistance in determining
the source of contamination and corrective procedures.
When fecal coliforms or E.coli are reported present in a sample, the
IMMEDIATE ACTION REQUIRED by a Public System is:
1. Investigate to determine the cause and correct the situation.
Your local health department or DOH Regional Office can
assist you.
2. Submit repeat samples as specified in WAC 246-290-480.
3. Publicly notify the users of the public water systems as
specified in WAC 246-290-480.
4. Contact your local health department or DOH Regional
Office as specified in WAC 246-290-480.
TEST UNSUITABLE: Resample Immediately
"Confluent Growth" means bacteria have grown into a continuous
mass which makes counting impossible. "TNTC" means bacteria are
too numerous to count. "Excess Debris" means that particulates in
the water interfere with the interpretation of test results. "Turbid
Culture" means an overgrowth of other bacteria can interfere with
coliform analysis. If any box indicating an unsuitable test is checked,
the presence of coliform bacteria could not be determined and a new
sample must be obtained for testing.
RESAMPL_E:
Sample too old. (Sample to be tested must be received within 30 hours).
Not in proper container. (Bottle to be used for testing must be
purchased from a certified lab within 6 months.)
Insufficient volume. (Sample must be at least 100 ml)
If not tested, a new sample must be submitted for analysis.
FOR ADDITIONAL INFORMATION:
Contact your local health department OR the laboratory where this
sample was tested OR the Department of Health, Drinking Water
Program Regional Office.