HomeMy WebLinkAboutWTR2700345 REPLACEMENT JONE S AV NE 2 4 TH ST - NE 2 6 TH ST. 11-3 4 5
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PROJECT NO. UTILITIES DEPARTMENT
CITY OF PENLCN
WORK ORDER NO. WASHINC70N
DATE SUBMITTED
DATE COMP:.ETFD. DEPARTMENT '
DESCRIPTIiXJ OF WORK
14ECESSITY WORK TO BE DCNE. BYs
City Force$ r--1
Contract
Other$
ITEM _ UANTITY UNIT CO6T AMOUNT
•^'• f"/ ''u/%.;r _sin��
i
1
TOTAL COST
APPROVED BY
K. OT UTILITIES DATE APPROVED
V." 2205
ORIGINAL
DEPARTMENT WORK ORDER-DIS i RIBUTION RENTON
MATERIAL
ISSUED RETURNED
NO. SIZE KIND � f
u u
I
ESTIMATED COST INSTALLED BY CITY ❑_ CONTRACT ❑
CONTRACTOR _ SUBDIVISION _
WORK STARTED WORK JMPLETED
REMARKS
PROJECT NO.- DATE fev 19
NAME_ ,ADDRESS I
SIZE OF METER`—NO. MAKE READWG _ ACCOUNT NO
NA OF WORK AND DIRE01
SU►T. SIQN RE
N: 2204
ORIGINAL
DEPARTMENT WORK ORDER-DISTRIBUTION RENTON
htA 'FERIA1,
---- — NO. SIZE KIND I ISSUED $
RETURNED --
i
ESTIMATED COST INSTALLED BY CITY ❑ CONTRACT ❑
CONTRACTOR SUBDIVISION
WORK STARTED WORK COMPLETED _
REMARKS /_
PROJECT NO.. _ 4 1" � DATE_ � 11 jaw,
NAME _ADDRESS _
SIZE OF METER __NO. MAKE -READ4NG ACCOUNT NO
NATO OF WORK AND DIRECTIONS:
r rr
SU►T. SIGNATU
r
10. "rhe required "PRESSURE TEST' has been taken by
At a pressure of ,_ PSI , for _ minutes, on
The test: Failed , Passed Comments
Is 11 . The required "PURITY TEST' has heen taken by - Ia
On Date of Reply Failed
Passed Comments
12. Is there an Easement required? '! If so, give dates for:
Preliminary Submitted Recorded
2 T�I
And Recorded Number
!3. This Project included /orS LF of Vatereain
n
And Gate Valves Gate Valves
Gate Valves and Gate Valves,
And all miscellaneous accessories for a total val of $
Also, / - 5%r' ' Size Make tyr . Fire Hydrants for a
tcral value of S
14. The transfer or "Rill of Sale" is in; Preliminary
Submitted leco rded form.The recorded number
15. This projrct info,mation was sent to the Utility Dept. for recording on
and taken into "piant" on
16, What drawings does the Water Shop have on We.
Preliminary As-Buil,
f
r..
Form Completed on
.g
City of Renton `)
Utility Department Project Form
1, Water Project III::� Date Project No. given G 30 69
2. Project Description and location /Z' c.' Mnii I
a.�::2a.' ,tLV'3xAN
a 7on�F �/•Y yF Zx _ iyit T< -% .✓r 07f.! SY
3. Developer's Name (If City check ✓
Address
Phone H
Engineer's Name (If City check )
Address
Phone N
Contractor's Name --(If City check d )
Address
Phone M
4. Is there 3n ACTIVE late-Comers Agreement in the project areal {/p
If so, give File Name
Recording Date And Number
5. The Utility Department Work Order Numbers on this project are as follows:
6. What plans have been submitted? Preliminary As-BuiIL
.fas an Estimate been Prepared for Project If so, give Date Prepared
* And Total Amount of Estimate
B. 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 Cc.istruction" �,r wlY Date or "Completion" d .ly . G 9
1
BEG-INNING
OF FILE
�LE TITLE tF � 1
2►i}� S +o N (c}h S
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