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WTR2701428(4)
VALLEY MEDICAL OFFICE BUILDING BEGINNING OF FILE FILE TITLE WTK� ::. . �� � � - ' . ,. . � � , �� rr :, COST DATA AND INVENTORY SUBJECT: CAIIF I MxnlrAl C NLFjL CITY PROJECT NUMBERS: W- NAME OF PROJECT TO: CITY OF RENTON FROM: SELLAND CONSTRUCTION UTILITIES DIVISION 200 MILL AVE. SO. POB 1405 _ RENTON WA 98055 WMnTNVTI.LF. WA_ 98072 DATE: MARCH 9, 1989 Per your request, the followilig information is furnished concerning costs for improve- ments installed for the above referenced project. WATER SYSTEM: Length Size Tyee _ L.F. OF DIP_ WATERMAIN L.F. OF WATERMAIN L.F. OF WATERMAIN L.F. OF "r WATERMAIN EACH OF " GATE VALVES EACH OF -- GATE VALVES EACH OF GATE VALVES FIRE PROTECTION SYSTE: SUBTOTAL E Size Type -- — — —' EACH OF FIRE HYDRAN- ASSEMBLIES E (COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY). ----- TOTAL COST FOR CATER SYSTEM S I SANITARY SEWER SYSTEM: Length Size Tyoe _ .66 L.F. OF _ s " PVC SEWER MAIN 60 L.F. OF a"rvc SEWER MAIN L.F. OF _" SEWER MAIN _6 EACH OF DDTX E R MANHOLES TOTAL COST FOR SANITARY SEWER SYSTEM E 6.107. STORM DRAINAGE SYSTEM: Length Size Type 730 L.F. OF 30 " CMP STORM LINE 135 L.F. OF 48 "—CRT— STORM LINL 567 L.F. OF 12 "cMF_ STORM LINE 760 L.F. OF 6 Iffy STORM LINE TOTAL COST FOR STORK DRAINAGE SYSTEM $ _ 7 7 Ih1. STREEf IMPROVEMENTS: (Including Carb, Gutter, Sidewalk) TOTAL COST FOR STREET IMPROVEMENTS $ a. (tJd_J SRE) �A �� (SIGNATORY MUST BE AUTHORIZED AGENT OR OWNER OF SUBJECT DEVELOPMENT) / THIS SrACf a UMD FOR alCO"al S Off riaaser Nalloul 1106 lawraats Comm ECEIVE011115 DAY 'n"1111<0..mini VMS,*. ',RECEIVED I111S DAY Record Filed for at Requeat of 55 gg ppM� gg RSA 5 8 ai N1 '�9 BY THE DIVISION OF TO �uaT;iICN c' li LCR UH f Y RENTOM Iv1L'NICI LU . 69 04,05 e0169 a ECD F 5.00 RENiON,WA98055 RSHSL w«**5.00 55 o BILL OF SALE to lD VALLEY MEDICAL CENTI;K V KNOW ALL MEN BY THESE PRESENTS: That 0 of RENTON � County of KIN,: ,State of Washington,l..• pan of the first part, for and in consideration of the sum of ONE DOLLAR Dollar lawful money of the Unil,d Sales of America,to VALLEY MEDICAL CPRin band paid by'TIIC CITY OF RENTON the part of the wood part, the receipt whereof is hereby acknowledged, do by these presents grant. bargain, sell aid deliv.,r onto the acid pan of the fern_ part, the following described personal property now located at 180th St. and Talbot Rd. in the City of Renton ,County of King and State of Washington, to-wit'. Ap-rox. 415 of 12" DUCTILE IRON WATER PIPE AND THE FIRE PROTECTION SYSTEM AS WELL AS THE WATER SERVICE. ALL APPURTENANCES PERTAINING TO SAID WATERNAIN, EXPRESSLY WARRANTING SAID WATF.RMAIN AGAINST ANY EXPENSES, COSTS OR LIENS HERETO INCURRED THEREON 8Y THROL-H OR UNDER SELLER HEREIN. TO HAVE AND TO HOLD the mine To the mid part of the second n, i s hen,, executors. administrators and assigns forever. And mid pannt of the first part, for It�s Feirs, necutors, administrators, covenants and agree s to and with the mid part c of the second part, i L's neculors, administrators and silagw, that mid pane of the first part Is the owner of the said property,goods and chattels and !a s good right and full authority to sell the Same, and that it will warrant and defend the Sale hereby made onto the mid part v of the second part, it's atcutors, administrators and ami;ns, against all and every person or persons, wboouoever, lawfully claiming or to Claim the Same, IN WITNESS WHEREOF,The mid pan v of t!iO3'. Ro?bdfnan_ ss�"9 h Tinsel it's band and ;filthis 20th day o • dab lic Hospital District No 1 J Y11lSltinty (mwt) ppicha d YatLEY Medical Center) Super�ntenden lsaa ) _(meat) STATE OF WASHINGTON, ss County of 1;11 On this day pe✓✓rsonally appeared before me to me known to be the individual ,,.,,ddetscribed in and who "muted the within and foregoing instrument and acknowledged that Ri(Yldru D. Rtwaoe Same as; ry ju t, Ira and volunta act and deed for the uses aad purpose s the�elinn mrntioned GIVLN under toy hand and official seal this IC'GIt day of NYidry Paull i/taw-d,J{o�r the State of Washington. reridtw( of.1fCiee Cie' V IN'P PACT srwawo roa atCOmU P LIT I►auar palloul Title Uwraaa caatpluT WaaNIMe70N mu orvwoN Filed for Record at Request of TO TO.. l recto BILL OF SALE V, KNOW ALL MEN BY THESE PRESENTS: That :ALLEY MEDICAL CENTER Z of RENTON 0 County of KING ,Sale of Washington,the pan of the ant part. Q IN and in consideration of the sum of ONE POLLAR Dollars W lawful money of the United States of America,to VALLEY MEDICAL CIRin band paid by THE CITY OF RENTON Cr tY the part of the second pan, the receipt whereof is hereby acknowledged, do by these presents grant. OW bargain, sell and deliver unto the aid part of the second part, the following described personal property now s— )mated at 180th tit. and Talbot Rd. Z) in the City of Renton , County of King and State of Washington, to-wit: O App,ox. +15 of II" DUCTILE IKON WATER PIPE. AND THE FIRE PROTECTION SYSTEM AS WELL AS THE WATER SERVICE. ALL A:PURTENANCES PERTAINING TO SAID WATERMAIN, EXPRESSLY WARRANTINti SAID WATE.RMAIN AGAINST ANY EXPENSES, COSTS OR LIENS HERETO INCURRED THEREON BY THROUGH OR UNDER SELLER HEREIN. TO HAVE AND TO HOLD the some to the aid pan of the second prt, it's heirs, executor$. administrators and assigns forever. And aid pan v of the first part, for it', heirs, executors, •dmiristratots, covenant s and agree . to and with the aid part v of the Second pan, it's executors, ,dministrutc._ and assigns, that aid party of the Ant part is rhr owner of the said property,goods and chattels and ba v good right and full authority to sell the Some, and that It will warrant and defend the Sole hereby made unto the said party of the second part, it's necutors, administrators and assigns, against all and every petum or persons, whomsoever, lawfully claiming or to claim the same, IN WITNESS WHEREOF,The aid pan y of U, first pa s bgrcunto set it's hand and Nal this 20th day of are , 8 I u lic Hospital Dittrict No 1 King CQ"QjX- (UAL) 1ichgd D. 10�dmgn Med,cal Center) uper ntenden STATE OF WASHINGTON, as. County of ��lr� Oe this day personally appeared before me to roe known to be the individual described in and who executed the within and foregoing instrument and acknowledged that Ri�#ard D. RERTilA" Same as P1II..' 1 IT" and voluntary act and deed, lot the um and purposes thetem mentioned. GIVLN under Toy hand snit official mal this k� day o1 y/4,0-wk, lsv9 Nq) ey Public input IN she Stott a/Wu/ingrew, Betiding 64 w G �� ,,�It, 4UU SUUTU 43RD STREET �u 11 RENTON, WA. 99055 T0: City of Renton Utilities Department Date March 20, 1989 200 Mill Ave. S. ._ 1 Renton, WA. 98055 . Project No. ATTENTION: ABDUL Budget No. SUBJECT: Bill of Sale for permanent occupancy of the MOB. The following items are being sent: CCXX) Herewith 1 )Preliminary ( ) Under Separate Cover ( )Final Estimated Amount $ UANTITY DESCRIPTION rAv r These items are being sent: ( 1 For action ( 1 For you to process tp ' ( 1 For your general information and file �✓ ( ► For your approval and correction " ( ) Approved ( 1 Not approved, resubmit V ffff �1"" ( ) Approved as noted �" ( I Building Permit applied for REMARKS: \1 cc: Very truly yours, PLANT ENGINEERING BY: qF R� PUBLIC WORKS DEPARTMEN'fil.!,s_. fCj II F DESIGN/UTILITY ENGINEERING 9 235.2631 �1O� �•ro an.a,ra. MUNICIPAL BUILDING 200 MILL AVE.SO. RENTON,WASH.98055CC FB 2 ii r A BACKFLOW DEVICE TEST REPORT EN cUNSIRUG17UrI „aW d rMaMta 1: I iillwct..00Mu ^ lMalNlud OE ! JJ �- � ;Y'1 VSe ' YwWIHM1� Y�un� MMMa ' 9M r S�kr r � Dcv G" ; Ts Ries z lrR rM M.1rWld 1r51 NMfalMt papr ,g1lrMft C,rlCN a'4Vf L85 Les CHECK VALVE NO. I I CHECK VALVI,NO,_a 011TIRENTIAL PRESSURE RELIEF VALVE INITIAL I. leaked ...................... ❑ 1. leaked ...................... ❑ 1. Op ed al Ibs. TEST redu d Presswa 2. Closed light .................. 9 2 Closed bphl .................. 2 Old nor Den ................. ❑ Cleaned........................ ❑ Cleaned........................ ❑ Cleaned... ................. ❑ Replaced Replaced Replaced'. . .. Oisc ....................... ❑ Oqc........................ ❑ D.ec.upper ................. S"m9... ...............— ❑ Swinp...................... ❑ Disc.lower.................. ❑ R Gwde ............... ....... Glnde .................. ❑ SDrinp...................... ❑ PP,n,ele,ne. ❑ P.n,elame. ................. ❑ Dlaphrepm,la,pe AIlmpe prn................... ❑ Hmpe Dm ................. ❑ Upper ................... ❑ RSeal........................ ❑ Seal.. ................... ❑ lower ................... S Olsphraam.................. ❑ DbDM apm........'.1'.1.,.. ❑ Claphn91a.smaE Oma.deso�be.............. ❑ Omer.descnpa ............. ❑ Upper ................... ❑ Lower ................... ❑ Spacer.Iowa ............... ❑ i / Olhe,,dolelbe.............. ❑ l Ll— T Cloud light Opened at Iba. 9 .......•••.•.•^^. .�' Closedhehl....... I / _......... reduced wueuw 1�4 /THE ABOVE REPORT 15 CERTIFIED TO BE TRUE PpLxW eVOn,ro rWtoar N � I� '.F,.I✓ILJ �. M i.eNO ar � Public Works Department / �,,.I r• t,t �;.f,_ .� DESIGN/UTILITY ENGINEERING 'Nr4 1"Is a• 200 Mill Avenue South .'_�//_! t J•1,v r_• Renton, Washington 98055 r'tn,NL.INW MI nsn CITY Of RENTON �• �� UTILITY ENGINEERING " No, N? 2144 ♦ • 200 MILL AVENUE SOUTH RENTON WA 98055 PHONE 215-2631 ORDER FOR WATER SERVICE It',STALL.ATION \7l r Account No. � Meter Charge S ^ � 1 I work Order No. 5"/,?2 Less Stub Service Credit Down Payment Sundry Sale No. System Development Charge • In City Yes No Lete-Camera (City) ,v E On Sewer Ye9 No�' (Others) water Usage: Residential Commercial [[/Industrial C3 TOTAL FEE $ Other G INSTALLATION: 1�M/T•,@J1C7f1P SH�a/�L%-•�'s� Meter Size C� W Fie V-^✓�'- Slxe Service 'SIA" bit. DWA ft*V' ws Temporary Hydrant Meter Yes No CX Meter Make VC yKMt IIIJ Sewage Exempt Water Yes No U T Meter No. tSw pp Fire Protection Service Yes s(No❑ Date Installed Tx 3 89 -}•` /�� [Dements: LQEAMtI IM51�4 (eMEYfiI yaaLt Service Address 4n11- /�.L /LV• L-k� Legal Description _ w ire 19 _ Y — FD. ION CONTROL: Backflow Prouction Devlca Requi•ed Yes No If Yes, Type Of Device: Pressucre If Device T/tO&D�o/uble Checs Valve Assembly Air or Pressure Vac Breaker e { to Model f06 ID Serial No. . 11312 tf SizensAea lcIf dd ��FwI Meter♦No.�/q`;�110e .�J �r Fill No. w�s� E Owner's Name?il�l...r 'T P "F�rA/NOL aA174—e,M1,,!✓�/� ,y Phone)�� Address City 1L..Z.g'�Y`nNGJ State i"./f'x Zip Contract N SLl1 A,a0 �( phora _ Address�•0. 6H1 City El0fiAls• State _4&__ ZIP Area Servad by Renton Water Seattle water Seattle water Code No. Temporary Service Agreement Yes 0 No[;3"' If Yes. Agraamant Recording No. Service to be Located on on Easement Yes 2 No G1 If Yes. Easement Recording He Is There an Existing Stub Service Yes ❑ No a If yes, water Project No. W- Existing Late-Comers Agreement Yes ❑ No F6� If Yes, Agreement No. <• In Favor of Address City State Zip Cssrge S Systa, Development Fee Yes No a If Yes, System Development Fee Based on Square Feet .1 THE UNDERSIGNED SVSSCRISFR REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON's SCHEDULE OF RATES WHICH SMALL FROM TIME TOWTIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED NCTED FEE REON, AND Ty CDNF M TO AND ABIDE BY THE CITY OF RENTON's RULES AND REGULATIONS IN FORCE, RELATITO THE PURCHASE SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SEC 3-203. G,y,. White lo - UtTl l" Billing Ir /•Y �` t9 Pd a � gent __- �' ! Yellow - fn9lneeri Pink - Water Shop �L4.( E"!t ,✓1 4 �•� .J ry - " Gold - Custpmer t q p a n 0 2 genF e BUILUING DIVISION_ '� W-516 E s-43Q .E-OCCUPANCY INSPECTIL. J REPORT l6-a-n DATE: FEBRU RY 14- 1989 TO: —I DESIGN ENGINEERING ❑IVISION I_I BUILDING FINAL ell, 1�7I UTILITY ENGINEERING DIVISION I_� FIAE DEPARTMENT .,I TRAFFIC ENGINEERING DIVISION _� LANDSCAPE/ZONING FROM: BUILDING DIVISION SUBJECT: VALLEY MEDICAL• PERMIT NO B-•13475 _400 S.W. 40RD S'"REET _TYPE BUSINESS OFFICE BUILDING The subject project is nearing completion. Please investigate your area responsibility and indicate below either your acceptance or correctiors necessary by _FEBRUARY 21. 1989 17 order that a Certificate of Occupancy may be issued. If no commence ire received by the above date, Certificate will be issued. TO: BUILDING DIVISION DATE 2�7-1 ffQ FROM: A'�A uL 6ArftIIQ _ This project is approved by this department subject to the following corrections: f 1' ' ' ,,' fQna SOQ, .�. �ns1a� +�F�*: ey TarT�#une�ii� �"free . _ _ - ---- S s i501 ll �1o6mlh �b R•n+an 1AVM%k fna✓ lopY •Ihc 444Wlnq : . q�Jl»(Mesk-de#.b-i++d�+s j N y) x 3 16 i9nh ' kk1'Rm -�p+�demr +>Antl - -- '--mrdA A] As p1ent (MiTi,A Ly en"n?r✓ _�ov 4 nn stYc ..nn,uwTfnh „ '. �b1aYC✓� $fulW saRlrq. 104A ?,, 4 Amg,w% ' - # Z000x 150 %. = 43000x' DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY. I_iYES � ,No FORM p5-002 � (z Tan HC6- b w� Of ik, Authorized Signature 'ICY Mmc k",J11- "6 1� Ir der" �t� W -Su E A s-a,6q ' CITY OF RENTON V UTILITY ENGINEERING NO, ♦��� 200 MILL AVENUE SOUTH , RENTON. WA 98055 PHONE 235-2631 ORDER FOR WATER SFRV ICE INSTALLATION Account No. Meter Charge S Work Order No. lc s Stub Service Credit - --- Down Patment Sundry Sale No. System Development Charge _ In City Yes 0 No Lase-Comers (City) On Sewer yes© No (Others) Water Usage: Residential Comoerclal 'J Industrial TOTAL FEE S� Other _ INSTALLATION: Meter Size � ��fir L. 4-- Size Service _ Temporary hydrant hater Yes No a Me tar Kok* Sewage Exempt Meter Yes No Meter No. -- Fire Protection Service Vex No E3 Data Installed -- Commants: Service Address Legal Description _ T(jnnzune CROSS CONNECTION CONTROL: Backflow Protection Oevic_ Required Yes k:1 Nc,�tI----II If Yes, Tv far of Device: kedu<ed Pressure Backflow Device® Double Check Valve Assembly L� Alr or Pressure Vac Breaker hake of Device Model Serial No. Size Date Device Installed Mew No. File No. Owner's Hams s4� Vx'x, r+' /`:'r p•t Ju 'Phone Address 4k' a City State Zip Contractor's Name Phone _ Address City _ State _ Zip Area Served by Renton Water Q Seattle Water Seattle Water Code No. Temporary Service Agreement Yes No 0 If Yes. Agreement Recording No. Service to be Located on an Easement Yes © No O If Yes, Easement Recordinq W. I- There an Existing Stub Service Yes O No O If Yes, Water Project ft. W- Existing Late-Comen Agreement Yes No Q If Yes, Agreement NO. In Favor of Address City _ State 210 Charge S System Development Fee Yet ® No O If Yes, System Development Fee Based on I�i �U 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 PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHICH SHALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER 15 TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE Bt THE CITY OF RENTON'S RULES AND REGULATIONS IN FCRCE, RELATING TO THE PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 7-208. White - Utility Bi11Inq [g W¢ p. OxYtek on gent Va e-- Yellow - Engineering Pink - Water Shop Gold - Customer t ay 06 Renton u ottz"; Agent City of Renton Utilities Dept. NEW ACCOUNT FORM DATE WATER SEWER METRO GARBAGE MTR DATE METER SEA BKFL ROUTE ACC UNT CLASC LA IFICATION CODES FIAT FLAT FIAT FIAT CD INST METER NUMBER NAME C CODE 07 OG0 li CUSTOMER NAME SERVICE ADDRESS SEATTLE ACCT NO OS 000 T , MAILING ADDRESS CITY - STATE ZIP CODE SEA MTR LAC WATER SEWER METRE/ GARBAGE MTR DATE METER SEA BKPL ROUTE ACCOUNT CLASSIFICATION CODES FIAT FLAT FIAT FLAT rD IN$T METER NUMBER NAME LAC CODE Too F_ _ CUSTOMER NAME SERVICE ADDRESS SEATTLE ACCT NO 08 OO U I MAILING ADDRESS CITY - STATE ZIP CODE SEA MTR LAC 09 000 � WATER SEWER METR? GARBAGE MTR DATE METER SEA BKFL RCULL ACCOUNT CLASSIFICATION CODES FIAT FIAT FIAT FIAT CD INST METER NUMBER NAME LAC CODE CUSTOMER NAME SERVICE ADDRESS SEATTLE ACCT NO 08 Ooo MAILING ADDRESS CITY - STATE Z?P CODE SEA MTR IOC 10-y- Air WATER DEPARTMENT HACKFLOW PREVENTION DEVICE TEST AND MAINTENANCE REPORT FILE NO. FIRM NAMC Talbot Professional Plaza ADDRESS- 400 S. 43rd, Renton, WA. --ZIP PHONE NO PARTY CONTACTED REDUCED PRESSURE BACKFLOW DEVICE DOUBLE CHECK VALVE ASSEMBLY [� MAKE OF DEVICE Hersey Beco mwEL FRP-ll SEPIAL NO. 21-66-186 SIZE 2" } E DATE INSTALLED 3-17-89 METER N0. 40503622 LINE PRESSURE 130.3 PSI PRESSURE DROP ACROSS FIRST CHECK VALVE 7.2 P51 I LOCATION OF DEVICE- Utility pit Cd ho:rh end of buildLu. NOTE: Pit is serviced +Sth a 4" drain � DIFFERENTIAL TEST CHECK VALVE 40. T CHECK VALVE NO. 2 PRESSURE RELIEF VALVE' IEFg1E _. EPAIRS LEAKED 0 LEAKED 0OPENED AT 3.1 PSI k CLOSED TIGHT 93 CLOSCD TIGHT ® C':DUCEO PRESSURE 4 PART CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE NEW ❑ n ❑ ❑ ❑ ❑ PARTS ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ U ❑ ❑ El ❑ G G ❑ ❑ ❑ IEPAIRS ❑ ❑ cl ❑ ❑ ❑ :MARKS. TEST %,•TER CLOSED TIGHT ❑ CLOSED TIGHT ❑ OPENED AT PSI JPAIAS REDUCED PRESSURE REQUIRED ONLY ON REDUCED FAESSURE BACKFLOW DEICE J�� TESTED BY OAT REPAIRED BY DATE FINAL TEST BY DATE TESTER'S WASHINGTON STATE CERTIFICATION NO. BAT 0128 yuu SUU'19i 9JRD STHLET .: t; %NTON, WA. 98055 ,TO:y City of Renton Utilities Department \ ^^ Date March 20, 1989 200 Mill Ave. S. Renton, Wa. —055 CIlY Pro)ect NO. Oc p: ' ATTENTION: AP.DUL Budget No. SUBJECT: Bill of Sale for permanent occupancy of the MOB. The following items are being sent: IXXX► Herewith ( )Preliminary ( ) Under Separate Cover ( )Final Estimated Amount f QUANTITY DESCRIPTION LrJL i Wk V�q "L T►ese items are being sent: ( 1 For action 1 For you to process �Y VVII 1 1 For your general information and file 1�, • 1 For your approval and correction l/ 1 Approved ( 1 Not approved, resubmit , ( 1 Approved as noted 1 1 Building Permit applied for REMARKS: cc: Very truly yours, PLANT ENGINEERING By: 42N_it:1, ra�ri- la `NI1 Pact 9[1lMD IM efCOtOtt 1 U1[ ar Matiuul Tiffs leseraete C40PUY waaMrMoroN♦rill DIVISION for Record at Request of TO law a an BILL OF SALE KNOW ALL MEN BY THESE PRESENTS: That VALLEY MEDICAL CENTER of RENTON County of KING ,Stale of Washington, the part of the first part. for and in consideration of C,e sum of ONE DOLLAR Doran law'ul money of the United States of America,to VALLEY MEDICAL CTRin hand paid by THE CITY OF RENTON the part of the second part, the receipt whereof is hereby acknowledged, do by them presents grant. bargain, sell and deliver unto the said part of We second part, the following described personal property now I located at IROth St. and Talbot Rd. f in the City of Renton ,County of King and State of Washington, to-wit: Approx. 415 of 12" DUCTILE IRON WATER PIPE AND THE FIRE PROTECTION SYSTEM AS WELL AS THE WATER SERVICE. ALL APPURTENANCES PERTAINING TO SAID WATERMAIN, EXPRESSLY WARRANTING SAID WATERMAIN AGAINST ANY EXPENSES, COSTS OR LIENS HERETO INCURRED . THEREON BY THROUGH OR UNDER SELLER HEREIN. TJ HAVE AND TO HOLD the sam- to the said part of the second t:st, it's heirs, executers. administrators and saigns forever. And said part y of the first part, for it's heirs, executors, administrators, covenants and agree s to and with the mid part y of the second part, it's q executors, administrators and assigns, that said party of the first part is the owner of the said property,goods and chattels and ba s good right and full authority to sell the same, and that i t will warrant and defsnd the sale hereby made unto the said part y of the second part, it's executors, administrators and assigns, against all and every person or persons, whomsoever, lawfully claiming or to claim the same, IN WITNESS WHEREOF,The said part y I 'neV), b♦!relt ntoset it's hand and seal this nay ofI \ 1 (czar.) (azwt.) (UAL) STATE OF WASHINGTON, 69. County of �1� On this day prrsona➢y appeared before me to me knowo to be the individual described in and who executed the within and foregoing instrument. a:d acknowledged that kk- signed the same as jI,ty free and voluntary act and deed, for thr uses and purposes therein mentioned. `J / GIVEN under •uy hand And Official seal this 3LC/I day of 7/)LZ,)4 ., N0&y PaNie in ynd It,the State of Washinston, reridin( of l� 1N1a SIACt KS'eVFD IlH 1lCOrDU 5 OS[ �r U.tioul Tltk Inuragn Cgmpuy ,"..MOTO.TITIa OW6I0N for Record at Request of TO_ I... L am BILL OF SATE KNOW ALL MEN BY THESE PRESENTS: That VALLEY MEDICAL CENTII.H 01 RENTON County of King ,State of Washington, the part of the first part, for and in consideration of the sum of ONE DOLLAR Dollars Lawful money of the United States of America,to VALLEY MEDICAL CTRin hand paid by THE CITY OF RENTON the put of the second part, the receipt whereof is hereby acknowledged, do by these presents grant. bargain, sell and deliver unto the said part of the second part, the following de, ribed persuaal properly now located at 180th `t. and Talbot Rd. in the City of Renton ,County of King and State of Washington, to-wit: APPROX. 766 LF OF 8" AND 60 LF OF 6" PVC SEWER PIPE AS WELL AS 6 MANHOLES FOR THE SANITARY SEWER SYSTEM. ALL APPURTENANCES PERTAINING TO SAID WATERMAIN, EXPRESSLY WARRANTING SAID WATERMAIN AGAINST ANY EXPENSES, COSTS OR LIENS HERETO INCURRED THEREON BY THROUGH OR UNDER SELLER HEREIN. TO HAVE AND TO HOLD the same to the said pan of the second ;._rt, it's heirs, executors. sdministraturs and assigns forever. And mid pan y of the first part, for it's beirs, executors, administrators, covenant s and agree s to and with the aid part y of the second part, it's executors, administrators and assigns, that said part y of the first part is the owner of the said property, goods and chattels and has good right and full authority to sell the same. and that it's will warrant and defend the sale hereby made unto the said party of the second part, it's executors, administrators and assigns, against all and "try person or persons, whomsoever, lawfully claiming or to claim the same, IN WITNESS WHEREOF,The said part y ofp rt,�q s baeunto set i t', hand and weal this day of ; r (saAL) (sue) __ (ssALs _(asaL) STATE OF WASHINGTON, 11 )as. County of ,yt6* On this day personally appeared before mr to me, known to be the individual described in and who executed the within and foregoing instrum<m. at acknowledged that h 1_ signed the same as 1-" free and voluntary act and deed. for the uses and purposes therein mentioned. 1 GIVEN ,nder my hand and official seal this �iJttfl day of yOJ:fM�J� Chi_ XoWry PYNic in and�f�a the State of Washington, residing of�d INVOICE NO P O.NO . PHONE i Y • �fS 72, A-1 IRRIGATION DATE + ��-- Repair& Maintenance NAME._ �C/lN N.I �!"61f71iGr Loll Tacoma QfPICE �- 84 t-3606 ADDRESS �.� 1�w `/:S 2226 Tacoma Rd _ Seattle—Bellevue l r Puyallup.WA 98371 ' 45�-1594 CITY. L, H x ZIP TENt-13: Due Henn rpneint. irr invoioe _ 112" PVC Elbow/Lee I 112" " Bush./cou . 3/4" " Elbow/tee /4" " Bash./Coup. 1" PVC Elbow/tee 1" n bush.icjjUIL. 112" poly qt. elbow 112" out-off nipple 1/2" x close lfser• 1/Z" x 6" galv rise 1/2" x 8" " 1/2" x 10" ' 112" x 12" ' 112" gals coupling M series nozzle M series adapt.er shrub nozzle shrub adapter rose nozzle Brass Hi n- op 112" PVC Pipe 3/4" „ 1 1/4" O WORKMAN -7DAII IN OUT IN OUT HOURS RATE AMOUNT TOTAL MATERIAL - Q° G/ .0 ` 1/(. ,j Z c r TOTAL LABOR LA , z•, a W � % SERVICE CHARGE 'f 0: —O �m TOTAL COST a J SALES TAX S S 2 lt}}W TOTAL LABOR 1051 3WWw 41 WO O f OUILDING DIVISION PRE-OCCUPANCY INSPECTION REPORT DATE: F£BRUARY 14, lano i TO: I 1 DESIGN ENGINEERING DIVISION I--! BUILDING FINAL ' IT UTIL� :'Y ENGINEERING DIVISION I_I FIRE DEPARTMENT I—I TRAFFIC ENGINEERING DIVISION 1_1 LANDSCAPE/ZONING FROM: BUILDING DIVISION SUBJECT: VALLEY MEDICAL ._PERMIT NO B-13435 _400 S.W. 43RD STREET TYPE BUSINESS OFFICE BUILDING The subject project is nearing completion. Please investigate your area responsibility and indicate below either your acceptance or corrections necessary by FEBRUARY 21, 1989_ in order that a Certificate of Occupancy may be issued. If no comments are received by the above date, Certificate will be issued. TO: BUILDING DIVISION DATE 6 FROM: C/T/L/ X/F/h/E�.Q!/VrS-- f T-1 f i This project is approved by this department subject to the following E corrections: i t UTILITY ENGINEER:NG „ . _ i W-eFSAiF kh vies 7• PFPVitS r =WW ,EI!�ouies �ui� Losr Data Lc ' INVENTORY _ Ulm S— �ACI�{you GEVt 7PS9 R'> WS I�'�rtrt'�FF((TT TT(0�AApp 'y'�� pp r w �CIST OCCUPANCY. NAVY I0W=T ON` TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY. I_IYES �/ I�/I No 101zeu FORM p5-002 Aut Sign ure ?00 W-51( r, 11LDING & ZONING DEPAP BENT 5.451 PRE—OCCUPANCY INSPECTION REPORT DATE 10: DESIGN ENGINEERING DIVISION WILDING FINAL UTILITY ENGINEERING DIVISIONFIRE DEPARTMENT ❑TRAFFIC ENGINEERING DIVISION ❑LAND SCAPC/PARI(1NG GRON: BUILDING & ZONING DEPARTMENT 146juf VALLEY MEDICAL 4150( , 8606 PERMIT NO. B- 13435 400' SW 43ro `w TYPE BUSINESS 'med4raL ¢fir, '54 The subject project Is nearing completion. Please Investigate your area of recporslatllty and Indicate below either your acceptance or corrections necessary by In order that a Certificate of Occupancy may be Issued. 0 no comments are received by the above dale, the Certificate will be Issued. BUILDING & ZONING DEPARTMENT DATE slw w- Atwav 6Afoup.. 6ygr- INsv me, ftM. This project Is approved by Inis departmLnl subject to the following corrections: Q p 500, � 5�41� � {�aehl'Iow (1QJieG for 2 d�ma+io mrYe✓ -DSM$ r,gu,rrmt45 i 1501 5u�fnit" +o ' ,rl+en W+,lity fng✓ dteY Ahe telAewlnq ")_ r04 e, Lost adik lnverfrlory. u oalltmrnY 42✓ mtw usaVrr,na;n and tu+e✓ Imalw - b Wake✓ 4neY(✓ oDPlt� m1_ion ]ov 3 6� rr+el�/t_ P4sS �- ir< pr.YrrF{ow Wa�� C)Satkjbw 4e Trr7oAt Av 4mn+,r, rand - I(c froYrrhov -D(VA — r A) AS 6wtt 014r1S rtrt,-fiefi Ly rnMlnt(✓ _'ro✓ A on �S;V' e.nb,o*fnrnh tala�t/ $tvla✓ , skvyrti + a+4t 3°„d Amount • # ZOOoc Ise % = '430oo DO YOU HAVE ANY ODJCCTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY? ❑YES NO /1 �� �C: nrkne N- Utll .n / d Authorized Signature �a„ faeU.n- 31Ga�� 1/131PI rl(, u.516 E. S-459 BUILDING DIVISION 5.4'A F _-OCCUPANCY INSPECTIC REPORT Joe DATE:_DECEMEER 13. 1988 i TO:yr, ,I ) DESIGN ENGINEERING DIVISION I_I BUILDING FINAL T I L/I UTILITY ENGINEERING DIVISION I_I FIRE DEPARTMENT _I TRAFFIC ENGINEERING DIVISION I—I LANDS^APE/ZONING FROM: BUILDING DIVISION SUBJECT: VALLEY MEDICAL OFFICE BLDG.PERMIT NO_B-13435 400 S.W. 43RD ET TYPE BUSINESS The subject project is nearing completion. Please investigate your area responsibility and indicate below either your acceptance or corrections necessary by DECEMBER 20 1988 in order that a Certificate of Occupancy may be issued. If no comments are received by the above date, Certificate will be issued. TO: BUILDING DIVISION DATE FROM: VVUV 6MF)ufi - 45n4feurn,-4 InsTI IR- This project is approved by this department subject to the following corrections: EF. /1'fT/kC!{FO �Un0H l.1i� / 'L ta4u� I U CAM P�0„® RNowwmf i 7, 100 x 1501- SEC Neu)q, (wCR6),( 1 �kLde�- yls�8ri . -- DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY. / . Q 1-1YES �D ��laa �� FORM p5-002 Authorized Signature C. 'Row N fun. 3sb '�waz_ A r�twr. Na d U�l;� F^� �`tr✓ file 5-01 , w-SIG 0 _>. 4�.n 'Sld4�f.rn4- B.1343s 'Pei.. ?ELI,(M Cawscti4Moe�0._ •Y):NP�fNR'f _ tem. Of GCC r1l W-516 E VAllty HiCKCAL Off*E Bfoa. 400 S.M. 43 to k. 113/Yy A) EMER e500 mvj jo,0 l jtebw 4wc6ddow ergnhnit> clean shelf ,ns+oU I,ck,.a I:d e too r . MN- 2 I?Y41C lid wc►h c$EWfv ma.trm�. ado one sleF .1 neck. c 50 e . nN 3 (Ica„ shcf{. add CRe suer aF merle. ; 100 4. F/*7S1 1nN•h �cnlN Cask'n ove✓ f"nWc •' Clem snclf _ c %005 . ne�W�� mvw Seder line ,�.f 'fo Q"I"Ce 0� rocks ih Lne. ask 1 -.- � 8� �yfORN SEWfQe �r I 506 i !_ fyhnv rif rar alon� 6HOW o{ c6kh }0 3o p- resF aulHc+- ?;r " i ;a Yt�rade 6,llorn 04 di+cl 04 S66ili�o 1,.nk i 50 4- Lleon taiSt' Co+ch 60>"n (ro) Sou16 C6 IZA 4Z00 ; Add SVO al' neck f( CS 13 r CB 13A CG 16 r 1000 4- ;Jn COYc✓ and raKe 3 etli}.r+4 CB �n Flenkr } 100 5_ Te�l,u �icl of CB IS u,11. 0 Dra-•n- ie:c. 6.d a„ l,el . a 500 6. JnSlall C�aiu a �(1 goYc i� con}rol MV1 r Pump, ,u� NN 40 ao a Vcr1�� or, �c.�s s �e on� elewk, f 5p � InslaU �addN in C8 • 3 i ti IOU Fie cmt conC.cic 40u1� and *"A 500 1- ' �M}al) 1 f1 riu✓ .f0✓ 61AAIIn ' n (14ACr t Unrme� a.d Y011e �m} calve i 20o 2. �nslall on�t seal fOr purnrty rl 5}ande,rc 1 11 11 yC(Urt to wcM %n -DDCV A •r ;ns}aU cener.l. S4pPe.1. Pads �✓ sl,%%A Ca Mails. 1 } 50 4 Ins}aU Podlak as Pes} Ind'r�lov dole 50 s- Ins}au Volk muClC✓ dab' V Am,( IiEoi cA OYf�ct 'Bao6 _ DC VA ar irr;�a�`sy rrne Yol} VJ O, /me 1,yf . �aOD L) ITW ✓ ou dor,a�al aS� .ol� r pariz'n� lel. { :nrhu F ere4rud� curd- 11 7 ` 4� 5e�milr �b 'R.n'bu �I-K v 4w ,�.Uewin M bO a- bu Sole (05v. An-vo inJfn;bry Bairn.�L yy Yc+ � ___ �bRA �Ie preVe tntMS- g �� Ii_ A�1,�iwn .�°✓ 111GYl./ lMIYYCYS +re rv,(6n , irli(a�N ) c � 1 I Ond irr l�a�e.✓ I ISoe d_ AS. I -kk, PLos, te.tiki 6I 33 an nw W°Ye', Nirw: yte+� fho t wk 4 Zoo � InSvt N lI a� QbJJC COvIIC�'WN� QrG GO n.��tY�.� 1/31 8q t I BUILDING DIVISION FIE-OCCUPANCY INSPECTIuA REPORT r DATE:_DECEVUB 13. 1988 _ TO:��DESIGN ENGINEERING DIVISION I_� BUILDING FINAL UTILITY ENGINEERING DIVISION _ FIRE DEPARTMENT ` _ t TRAFFIC ENGINEERING DIVISION _I LANDSCAPE/ZONING r FROM: BUILDING DIVISION SUBJECT:_VALL" Y MEDICAL OFFICE BLDG.PERMIT NO_B-1:)435 400 S.W. 43RD ST TYPE BUSINESS The subject project is nearing completion. Please investigate your area responsibility and indicate below either your acceptance or corrections necessary by DECEMBER 20. 1988 in order that a Certificate of Occupancy may be issued. If no comments are received by the above date, Certificate will be issued. TO: BUILDING DIVIS'ON DATE - /y _ 0? ? FROM: No This projecc is approved by t' his department subject to the following corrections: ��- ri -- DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY. I_IYES I ✓ENO FORM p5-002 L Authorized Signatu* ITIES �J/_`' -A 2 CITY OF WORK ORDER - DISTRIBUTION DEPARTMENT V RENTON No J[1 hO 8 (j PROJECT NO. ✓ `-..Oi ) --DATE � (ICJ 19 a PROJECT NAME FUNCTION OR DESCRIPT N OF PROJECT BY CITY FORCES lJ CONTRACT ❑ IF CONTRACT NO. - CONTRACTOR'S NAME __ CONTRACTOR'S ADDRESS__. j ESTIMATED COST FUNDING SOURCE_ _ACTUAL COST � / AGREEMENTS El IF$0, NO SPECIAL BILLI G lk IF SO, COMPLETED_ `�� i "j(W / /� �JWA , APPROVEDBY_ `"z4_b_" f. NMT ON � 00 IV M1� �L kd L. � UNMK µFAO+.CAL:�t 400- W. 43 �` . , MISS 61I1)-DcvA 806 Vv - SERIAL Ni, �- ►13?.. IZocKWEW lrtvekt Serial NU. 39?�85604 Ae BY-PASS ASS(mOLY SNALI. ee / 4 aprW..e.R., wpi 1-1/24& 24WATE INcwoRo AS PAar of rrfi oft ro c P AN tYR lh.rw nW nq CD46W Wea ll W, IN ytl {U.. CNfU( 11AW6 ASSEnfiLY -- n lue tat bee,1[w.Wf 11 rl[. 1w n1.Wt 1.,h[. p1) CAUTION valve bat*howls not'pat M pipe. r.r lwe t••r �^ Uw telnpe<11 wn el.live sae umY u k I 1 au the pl ee%.,.[epe el he urvNe r nR, , c f'$,[Y'n414\r f "Re r4'NIN, 1� W� rf f['Nq.II + - 111 Y Y tNelt< r ntl Vlr [I N V NNMI, f�Yd ALAK P.[M16 r4 . , V H 14 ..tv.,M1rl tY"T YIMIIe rtll� _ r e uc.lu r el.. <wc[ T ^O t• V [t MiM 1 [NI..e[f no. CW\� lY _ - nrwlIp Do nuN.a { Nr l q.rw va[.Y nl.q '. .WTI No..,rW J {Iv,ix m q'.FMf q. 1 '•.'.;•[. nM1IV RtlM rpl,'al ,p RALI rin rm tpin 1r IN 'a D"D14er 51DCK IV )..a ALL GfiSlIVOR p04.(BIJ� bIfLK [IfDN[IYD r-per.too, INSTALL frDXY t.,[^ WI OR DR mrt.11 y^I �' / /•G"G�fe l/e/w I { /-Ti1'iUsf dVic,f I Y 0 Y' M RR-W v '•r s,'o.s+as-a7' f. ss.so 'geo s Ex.CB � ., Sr s0 00 G3. l 00 ,• -CB 74bD is i_- RclTX7Ye� � i ti. lI\\ Edge of Ex _r AsRhoIt Lot, _ . . 78.50 ,Egypt f[ot i RemovEd ,� 7 .0�0 Lot„fo j.9 / fei ffie/fOsfav%r s CITY OF RENTON FINANCE DEPARTMENT DATE; FROM: )wen Wang RE: ------------------------------------------------------------ u p--s- ;t AUTHORIZATION OF SPECIAL BILLING DATE: c=, - 2 8 - 6 8 PROJECTNAME: PROJECT NUMBER: k/- S/(d ra- WORK ORDER NO.: SnEu� 'S/88 It is the.. intent of this letter to authorize the City of Renton to bill the undersigned for all costs incurred relative to the above-referenced project, by the City of Renton for the following work: /.f/S7'dc c A r.0-J C' !✓arc le .^ .c 71c? .CfY BILLING TO BE SENT TO: �7 Name7ko,�EXT�/7��a��7�o�rr�CG Address:T'G LAX —35! City: �� �c� Vi A. / G73S717 Attn: G-_.42V sL LAG'✓/�S _ Phone No.: Owner/Devoloper, Contractor or Authorized Agent