HomeMy WebLinkAboutWWP2700188 SAN-1 NORTH RENTON INTERCHANGE S-188
SEWER RELOCATION
SwN-1 North Renton Interchange
Sewer Reloc.
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Form Completed on
City of Renton
Utility ')epartment Project Form
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I . Water Project # l — I Date Project No. given
2. Project Description and locatio,i
3. Developer's Name V•� ��,. . �; � fk v
Fhf/City check )
Address
_ 7506 N E l ' Lc � Ir Phone #
Engineer's Name (If City check )
Address
Phone #
Contractor's Name ^_ (If City check )
Address
Phone #
4. Is there an ACTIVE Late-Comers Agreement in the project area? r", - r
If so, give File Name
Recording Date And Number
5. The Utility Department Work Order Numbers on this project are as follows:
6. Yhat plans have been submitted? Preliminary As-Built
7. Has an Estimate been Prepared for Project If so, give Date Prepared
-----.—And Total Amount of Estimate
8. Is there to be a Late-Comers Agreement on this project If so, give
dates for; Preliminary 'Submitted Recorded
and Recorded Number
9• Date of "Start of Construction" Date of "Completion"
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ROUTING SLIP
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'TX3 FOR YOUR INFORMATION....
ADDRESS: ,....( ]
Cp�y'� 4•/� Rl=� '�' 4'�r Gr 7i r_' FOR ACTION.. ..
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p 4._A.V. '...... s�.____ FOR APPROVAL...................[ •]
IZe Al I'la, wRS If 9r ('55 FOR SIGNATURE. ....... .........( ] �,
P 1'R9BF ..... _ ..... ._.. READ AND RETURI.. .... .......
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READ AND ROUTE TO FILES .. [ ,]
p IN ANSWER TO YOUR REQUEST. .( j
��" . ,�._ . J ATTACH MATERIAL AND RETURN [ ]
COMMENTSTS:_._.Y. S A3pyL Y{
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10. The required "PRESSURE TEST" has been taken by
At a pressure of PSI , for minutes, on
The test : Failed Passed Comments
11 . The required "PURITY TEST" has been taken by
On Date of Reply Failed
Passed Comments
12. is there an Easement required? If so, give dates for :
I C< M
Preliminary Submitted Recorded
And Recorded Number
13. This Project included LF of Wdtermain
And Gate Valves Gate Valves
Gate Valves and Gate !salves,
And all miscellaneous accessories for a total value of $
Also, Size Make type Fire Hydrants for a
total value of S
14. The transfer or "Bill of Sale" is in; Preliminary
Submitted Recorded form.The recorded number
15. This project information was sent to the Utility Dept. for recording on
and taken into "plant" on
16. What drawings does the Water Shop have on File.
Preliminary As-Built
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