HomeMy WebLinkAboutWTR2700376 WATER EXTENSION - NE l 3TH PL AT DAYTON AV NE t^l-3 7 6
y7y
7
ENDING
OFFILE
• • / ♦ 1 11 III
i
A
O
c�40►+ E T r l
FORTE, INC.
11C0 Bronson Way No. Renton Wash,
PHONE BA C-1414
Contractor & Residential -
f
t
1
f
'y i
City of Renton• Utility Dept.
J� PRESSURE TEST FORM
Plater Project
`lame of Project T2AY71 A Al� /C
This test was taken 'ay
mi nu[es.
P-i . for
At a pressure of —
The test "Failed" _ on —_
Pas sed
,,mments: ,-_ _JE =f-- f
I
ti. 1
10. The reouired "PRESSURE TEST" nas been taken by
At a pressure of PSI , for _ minutes, on
The test: Failed Passed Comments
H . The required "PURITY TEST" has been taken by '
0n Date of Reply Failed
Passed Comments
12. Is there an Easement required? IV y If so, give dates for:
Preliminary Submitted Recorded
And Recorded Number
y
13. This Proiec[ included jWELF of �n Waternaln
And
6 Gate Valves Gate Valves
Gate 'Valves and Gate Valves,
And all miscellaneous accessories for a total value of $
Also, r✓UrR_Si ze Make type Fire Hydrants for a
total value of S
14. The transfer " "Rill of Sale" is in; Preliminary
Submitted 3ecorded form.,The recorded number
15. This project information was sent -o the Utility Dept. for recording on
and taken Into "plant" on
16. What drawings does the Water Shop have on File.
Preliminary As-Butlt
is
err
Su
/�✓j" Form Completed on 1 =�
City of Renton
Utility Department Project Form
I , Water Project # l/J - ?76 Date Project No. given /
2. Project Description and location u,14.�.�
4�
Y
3. Developer's Name (If City check
sat
Address
Phone
Engineer's Name �Je lie O Vvoc, (If City check C/ )
Address Z is
_ Phone # d,ys ,ajw
Contractor's Name % rj fG1 N II s e (If City check
J , 4
Address S) C!c �xa a• .
LJe. Phone # (o 52(7� Cr ;
4, Is [here an ACTIVE Late-Comers Agreement in the project area? /✓c� "r x u'_k
If so, give File Name
Recording Date And Number b
5. The Uti Iicy Department Work Order Numbers on this project are as follows. hY
Z& yr: '� 3120 ac
6. What plans have been submitted? Preliminary V/As-Built
# `
f t
7. Has an Estimate been Prepared for Project L�cif so give Date Prepared 5
And Total Arrount of Estimate {
a "'.A
8. Is there to be a Late-Corre rs Agreement on this project ��- If so, give
dates for; Preliminary 36 Mnl ttA4_'_'f Recorded -
and Recorded Number
9. Date of 'Start of Construction" ate, of "Completion"izzle—_
:f
w•
ry1
R�
•
BEGINNING
OF
FILE TITLE . • L /• .ice•
r l �
A
I
l • s
J I r