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HomeMy WebLinkAboutWTR2700547(3) Dr. Lomas Medical Offic Idg. W--547 BEGINNING OF FILE fllE 1RIE Kwoov 05;00"v ? pro L o n, Mseol; ca offue. Bldy, UTILITIES NI E A S E M E N T THIS INSTRUMENT, made thisj_(Vday of jOk E 19 a6; by and betweenpcL r Lol•+tA5 and G1tY C7r �E�tTc t by .Togs o ,L M- AS Re A& 1 and , and and hereinafter called "Grar.tor(s)" , and the CITY OF RENTON, a Municipal Corporation of King County, Washington, hereinafter called "Grantee". .D WITNESSETH: N That said Grantor(s) , for and in consideration of the sum of $ ( _ C—` CD 0. paid by Grantee, and other valuable consideration, do by these presents, grant , bargain, sell , convey, and warrant unto the said Grantee, its CO successors a„d assigns, an casement for wildlife habitat, flood control , public access, GO landscaping, and public utilities (including water and sewer) with necessary appurtenances CO over, through, across and upon the following described property in King County, Washin�ag�t,gn} more particularly described as follows: 801/08, 9 RECC' F 5.nrl CASI-151- r»»»:6.00 11 AN EASEMENT FOR A WATERLINE AND FIRE PROTECTION VAULT ON THE FOLLOWING DESCRIBED PAR,-EL: mm c s PARCEL A: 2 �' m J -� '�_- b rn Wi]? LOT 4, SCOTT'S TERRACE, ACCORDING TO THE PLAT RECORDED IN VOLUME 72 nl a PLATS, PAGES 39-40, IN KING COUNTY, WASHINGTON. coo"c (0 ,F or-,�- a — ,.04ARCEL B: _ c LOTS 3 AND 16, SCOTT'S TERRACE, ACCORDING TO THE -LAT RECORDED I11,0 en VOLUME 72 OF PLATS, PAGES 39-40, IN KING COUNTY, WASHINGTON: rr,,^ m EXCEPT THAT PORTION THERFJF DESCRIBED AS FOLLOWS: 3EGINNING AT THE S.W. CORNER OF LOT 3; THENCE NORTH ALONG THE EAST MARGIN OF 96TH SOUTH (WHICH IS NOW SPRING BROOK ROAD, OR TALBOT ROAD) 62 FEET; THENCE SOUTHEASTERLY AND AT RIGHT ANGLES TO A POINT ON A LINE WHICH Ie NORTH 21030'35" EAST FROM THE NORTHEAST CORNER OF SAID LOT 2; THENCE SOUTH 21030'35" WEST 15 FEET MORE OR LESS TO SAID NORTHEAST CORNER OF LOT 2; THENCE NORTH 89002'46" WEST ALONC THE SOUTH LINES OF SAID LOTS 3 AND 16 TO THE POINT OF BEGINNING. WATER LINE EASEMENT BEGINNING AT THE SOUTtIWEST CORNER OF SAID PARCEL; THENCE NORTH 21r'30'35" EAST 15.00 FEET ALONG THE EAST MARGIN OF 96TH SOUTH (WHICH IS NOW SPRING BROOK ROAD, OH TALBOT ROAD) ; THENCE SOUTH 67051'10" EAST 119.0 FEET PARALLEL TO THE SOUTHERLY LINE OF THE ABOVE MENTIONED PROPERTY TO THE TRUE POINT OF BEGINNING; THENCE NORTH 21030' 35" EAST 11.0 FEET PARALLEL TO EAST MARGIN OF 96TH SOUTH; THENCE SOUTH 67e51'10" EAST 15.0 FEET PARALLEL TO THE SOUTHERLY LINE OF THE, ABOVE MENTIONED PROPERTY; THENCE SOUTH 21030'35" WEST 11.0 FEET PARALLEL TO FAST MARGIN OF 96TH SOUTH; THENCE NORTH 67051' 1G" JEST 15.0 FFET PARALLEL TO THE SOUTHERLY LINE OF THE ABOVE MENTIONED PROPERTY TO THE TRUE POINT OF BEGINNING, TO BE AN ADJOINING ?IECE TO THE EASEMENT BETWEEN ROBERT BOCKOVEN, RICHARD LOMAS AND THE CITY OF RENTON EXECUTED MAY 1G, 1919. EXCISE TAX NOT REOUIRE) FILED FOR RECORD AT RED kST Of Go.R rds Div lion d 9 Deputy UE/li- I EFFlCE /F T!!E CITY CIERA P.%ATOq MUNICIPAL BL86. 211 MILL AVE. U. Rua& U hill Said heretofore mentioned grantee, its successors or assigns, shall have the right, without prior notice or proceeding at law, at such times as may be necessary to enter upon, said above described property for the purpose of construct- ing, maintaining, repairing, altering or reconstructing said utilities, or making any connections th w!wlth, without incurring any legal obligations or liability therefore, provided , that such construction, maintaining, repairing, altering or reconstruction of said utilities shall he, accomplished in such a manner that the private ,improvements existing in the rights)-cf-way shall not be disturbed or damaged, they will be replaced in as good a condition as they were immediately befora the property was entered upon by the Grantee. The Grantor shall fully use and enjoy the aforedescribed premises, inciuding the right to retain the right to use the surface of said right-of-way if such use does not interfere with installation and maintenance of the utilities. However, the grantor shall not erect buildings or structures over, undEr or across the right-of-way during the existence of such utilities. This easement, shall be a covenant running with the land and shall be binding on the Grantor, his successors, heirs and assigns. Grantors covenant that they are the lawful owners of the above properties and that they have a good avid lawful right to execute this agreement. and apd and and .D — t M O �j STATE OF WASHINGTON ) )) SS (D COUNTY OF KING cCl 1 , the undersigned, a notary pubs in and for the St to of Washington, hereby certify that on ;his day of xc, 19 personally appeared before me and ; and ; and ; and to me ;mown to be individuai (s) described in an w o execute t'—d�e oi�regoing nstrument, and acknowledged that signed and sealed the same as free and voluntary act and deed for the uses and purposes therein mentioned. c n nd a Was n m, residing t [> �' DSHS II1 C3 IR1 all STATE OF WASHINGTON } DEPARTMENT OF SOCIAL AND HEALTH SERVICES �F S WATER BACTERIOLOGICAL ANALYSIS 1.: r SAMPLE CO(LECT ON READ INSTRUCTIONS ON BACK OF GOLDENROD COPY 9 If Instructions are not followed,sample will be rejected. DATE COLLECTED TIME COLLECTED COUNTY NAME KITH I�DIIY YEAR 2A V% AM ❑LPM- k1N �{ TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE•. ❑�PUBLIC L VLF 3 4 INDIVIDUAL I.D. No. 15 t 3 A jpp Iavrx b+r 1 m:u�war NAME OF SYSTEM Cm of 'Rell SPECIFIC LOCATION WHERE SAMPLE COLLECTED SYSTEM(MYNERIMGR.NAME MID TELEPHONE NO. IV\I1<1n AAA,s[nro: One>Vl:m IWn1Yn1 s41 A- v, L4an*% 51411 'OR01 ?tact _ $loelu ar mll 4 4'fiv time ( ) . Z35' 1>46 SAM E COLLEC D BY:(NamN 0-DoUt- aA f 0uILI - CsrcC IiVsVE emt— SOURCE TYPE ❑ SURFACE ❑ WELL U SPRING ❑ PURCHASED �/r OTHNATIM/ I�''r THEP SE?REPORT TO:IPnn1 Full Na".Aeyrne tip 2;p Cawl It l'Y IAi FY 21AJ MILL, Av 44 e So- Gh\ 011 WASHINGTON • �0516 1 TYPE OF SAMPLE 1 IC�ec\—1 mV•n mu<61umm1 1. ❑ ORINKINGWATER ❑ Cnlonnated Residual: Total.Free) crl treatment—IP ❑ Filtered ❑ UnireLJM or Otner 2. ❑ RAW SOURCE WATER S. gilF1EW CONSTRUCTION 011*-01Re`- 4. LJ OTHER(Specify)___ COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE • PREVIOUS IAR NO PREVIOUS SAMPLE COLLECTION DATE REMARKS: LABORATORY RESULTS(FOR LAB USE ONLY) MPN COLIFORM STD PLATE COUNT SAMPLE NOT TESTED : _gSwo.e w..ere /mi BECAUSE MPN DILUTION TEST UNSUITABLE ❑ Sampie Too Old /100 mI 1. ❑ Confluent Growth ❑ Not m Proper Container MF COUFORM Z. ❑ TNTC ❑ Inautb d-PeaseR ad ��mI Pst,uct -Please Read _ Instructions on Form FECAL COLIFORM 3. ❑ Excess Debris ❑ MPN ❑ MF 4. ❑ ❑ _�- /100 nu SATISFACTORY WATER SAMPLES ONLY,THESE RESULTS ARE. SDATISFACTORY ❑ UNSATISFACTORY I t .. 58 NO. DATE,TIME RECEIVED- RECEIVED 9Y 1. r DATE REPORTED �—} LABORATORY. , REMARKS WATER SUPPLIER COPY DBMS 13-1Y3 1111811 L4 p STATE OF WASHINOTON BEAAW MENT OF SOCIAL AND HEALTH SERVICES WATER BACTERIOLOGICAL ANALYSIS SAMPi E COLLECTION REAO(NSTROCT(ONS ON BACK OF GOLDENROD COPY I If instructions are not f011Owed,sample will be rejected. I MON DATE C COLLECTED TIMECOLLE TIE GOUNTYpNAME DAY7 1 t3 �_/ IO —�111AMM ❑ PM kINY TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE %11A.IC w S CIRCIE,.A55 I I.D. No. 0 INDIVIDUAL a 0 2 3 Ieo'ee dW� xiaenco L NAME OF SYSTEM I SPECIFIC LOCA11011 WHERE SAMPLE COLLECTE SYSTFM OANERi MGR NAME AND TRERIONE NO 950 Sw 6dfdtN ,�„1481/� E4� heal ZtCaA aV 3"�trf� L�•aTehL ( ) 235- 1�6 SAMPLE COLLECTED BY:INAmeI ( A6d�,E! 6 Y16M•�- ln,k IM n'<&r1, SOURCETYPE ❑ SURFACE ❑ WELL ❑ SPRING ❑ PURCHASED ❑ COMRINATION MOTHER SEND REPO ( nnr1 r.il rga.l�jraa§ys^bP CIt 1 ✓, IU�fN _ -too MILL� Avg S. � n*A�t,�QIf�{lPr WASMINGTDN •���_ I, TYPE OF SAMPLE Icnx.o.Iv one m im,�_wm�, 1. ❑ DRINKING WATER C1-1 Chlorinated(Reslduay.._Total_Freel check treatment�) 0 Filtered f ❑ Untreated or Other LL Z, rrr��❑rrYYTyyyy�II111RAW SOURCE WATER ,3. WNEW CONSTRUr•TION M ReP'AIRS 4. OTHER(Specify) i COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PREVIOUS LAB NO PREVIOUS SAMPLE OOLLFCTION DATE _ REMARKS: 00•SI51_ .�kw*1 Al. Arckw (mv. F LABORATO Y RESULTS(FOR LAB USE ONLY) it MP�p! COLIFORM STD PLATE COUNT SAMPLE NOT TESTED U BECAUSE: MPN DILUTION TEST UNSUITABLE L❑ Sample Tao Old /1O0 ml 1. ❑ Confluent Growth ❑ Not in Proper Container MF COLIFORM j 2. ❑ TNTC ❑ Insufficient Information /100 ml Provided—Please Read FECAL DOLIFOR 3. ❑ Excess debris Instructions on Form ❑ MPH ❑ MF 4 ❑ ❑ /no all :;FOR NP ft WATER SAMPLES ONLY.THESE RESULTS ARE SATISFACTORY C UNSATISFACTORY UB NO. DATE,TIME RECEIVED— RECEIVED BY 1-I r � fl f DATE REPORTED �� LABORATORY: REMARNS WATER SUPPLIER COPY r, r AM CITY OF RENTON °'LL PUBLIC WORKS DEPARTMENT Earl Clymer, Mayor Design/Utility Engineering MEMORANDUM 0: kkwe• �e W, 54� A ' rfRE ITRerffeTiau WA'tEicrl00Q fVR 13800- IALUr 'Ro So. 'PR. Wus- Teizv rr No. "1' 6715 Wiigrvwc 09aw;cu No. 01W IN GOrJ3u�cT5ati u,1F�t 14tc trskaUa#ion aQ W- a64ve vc, j-wcad -fire �f#VrO601% �}aCurlint 1� �+ol�euitnq �DCVA a,nA b). Ca» Metrcy were tntkatd b klvt (enlYaskw 0 arcc ao,� ',n qcfolkio l . nj (cax ada;k .1ha 11;Gk� v� ^� 3)ffV s 6"w lanncrka*w Cam+ �jqv rcc,,e,/Ain� Sa+�` trsYa(,�akw . U 4 au fir' main . 3a�a�a ycriaL No g8168538 ��•� losYotl�d �lll sg �UlMia>J ^ (w (srjw*, Vain Ia(ON in pkanhn4 Afif 'n P"nb Lit',t,I 'V DGUA 4in. *hi*'q Mene �01 '99 . 5eewl Nd. 101Y04 200 Mill Avenue South - Renton, Washington 98055 - (2u, ) 235-2631 CITY OF REY,ON IJ�•�,� UTILITY r .GINEERING Or ♦ !7!� ♦ 200 MILI AVENUE SOUTH N RENTON. WA 98055 � PHONE: 235-2611 ORDER FOR WATER SERVICE INSTALLATION Account No. l 11 Meter Charge f�_ Work Order No. S/'rC1 Less Stub Service Credit Sundry Sale No. Down Payment System Development Charge In City Yes No I Late-Comers (City) On Sewer Yes No (Others) Water Usage: Residential Commercial Industrial TOTAL FEE S Other /r F INSTALLATION: EEC/rJ.OAr JUCe JtitJ r"/ z ct{J Meter Size n SCR b�'r. � inch Sire ServiceInc1 6 Sb Am VUty Temporary Hydrant Meter Yes No©. rt1 Meter Make IJ A I Sewage Exempt Meter Yes No Meter No. 69166535 1 Fi-e Protection Service Yes No Date Installed }yi/ 3'g fomments: 1,ik, 4yrt(acim - /TTEYI, tocayek Service Address po 7Ar r ^4 S ,Yls,iL at ncrert ldaull- 1Y) Hv rwn lat ¢neat. Legal Description /r.>g 3 Q - Sr. d i9 CROSS LONNECTION CONTROL: Backflow Protection Device Required yes Q NO If Yes, Type of Device: Reduced Pressure Backflow Device J•:rr•r.Double Check Valve Assembly LJ Air or Pressure Vac Breaker Make of Device WATTS 410t�Y Model--q 709 ��L serial No. _ 1OI000F Size 4' IN . r6 Date Device Installed }� I� 88 Meter No. B.�.IY--sLL/✓' S/ in 061`Ry File No.W "54,- /) Owner's Name Phone Address r -Jhhb ?" a r., r J '.-) City /rJC.J _J State Zip P SJ_ Contractor's Name Phone Address City ;tale Zip Area Served by Renton Water Seattle Water Seattle Water Code Mo. Temporary Service Agreement Yes No® If Yes, Agreement Recording No. Service to be Located on an Easement yes ® No O If Yes, Easement Recording No. Is There an Existing Stub Service Yes No® If Yes, Water Project Mo. W- Existing late-Comers Agreement Yes No 21 If Yes, Agreement No. In Favor of _ Address _ City State Zip Charge S 9 System Development Fee Yes 5�. No 0 If Yes, System Development Fee Based on lci4 14/ Square Feet THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY 'WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND FAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHICH SHALL FROM TIME TO TIME FE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 3-203. G / ��.Lf„/r �.� r_,�r. /`"'C %�• � -r-f�- `'sue\ White - Utility Billing /, 9 e ofi vwneA oft Agente Yellow - Engineering Pink - Water Shop Gold - Customer C4ty 06 Renton Uz"g Agent We i PUBLIC WORKS DEPARTMENT BUILDING DIVISION CITY OF RENTON, WASH?NGTON APPLICATION ONLY - UNTIL VALIDATED PERMI / n NUMB:: -6 7 7 S Owner / Location of Work / 75Cio ;"4470> 7,0 S Address O 7 s �- -- /7c";00 7"/// C07 TcrpA( r INSPECTIONS FEES CONSTRUCTION side Sewer Storm Sewer PERMIT Right-of-Way Construction Sp. Utilit; Conn. Fee - Water (Public Right-of-Way) Water Lateromer Fees M Water Insp./Approval Fees / Sp. Utility Conn. Fees - Sewer Sewer Latecomer Fees _ Sewer Insp. /tnproval Fees Date Issued Inspection as Special Deposit - CASH BOND /oO` '"_ 7 - 25- 6 Expiration Date TOTAL FEE /p -�- �OC` r n 2 Description of Work and Number of Feet /0 re.-.�."1 Contractor AA it Business S*e v< a�+e.ast 11' 'A' f e / .i"e �"!=c•+ rc r . License 40- VA.•�.N/•,i!(d Address Bond //-' -i/ - / 4 C.d.S.v Telephone IT IS UNDERSTOOD THAT THE CITY OF RE14TON SHALL BE HELD HARMLESS OF ANY AND ALL LIABILITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE OF SAID WORK. ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUST BE DONE BY A LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING. CALL FOR INSPECTION. between Call between 8 AM and 9 AM for APPLICANT inspection in afternoon; call before 12 Noon the day before for inspection in morning. PUBLIC WORKS DIRECTOR SPECIFY TIME FOR INSPECTION. CALL 235-2620 for street signs CALL BEFORE YOU DIG BY and lighting. 48-HOUR LOCATORS 1-800-424-5555 ENDING FFILFILE TITLE ;> Dr. lOMuS ��-µ / p fFt 1 6 ew, � leg,