HomeMy WebLinkAboutWTR2701921 TAYLOR PL NW FR NW 4TH ST ��-r- �-''j � �q1 � � y,�-288
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ORIGINAL
OF
DEPARTMENT WORK ORDER-L�TSTRII3UTION R E NYT O N
M�A TER
IIAL
NO. SIZE KIND f ISSUED S RETURNED
ESTIMATED COST INSTALLED BY CITY ❑ CONTRACT ❑
CONTRACTOR SUBDIVISION -
WORK STARTED WORK COMPLETED
REh1ARK5 ,�
PROJECT NO. _-.__ DATE�a_L_ M f!. -
NAME_ - -1
cRE OF METER- NO. MAKE __-READING ACCOUNT NO
NATURE OF WORK AND DIRECTIONS: _
L ` X iea0/ _ �•�
SUPT, 516NATU
Nt' 2132
OR,GINAL
D E►A R T M E N T WORK ORDER-DISTRIBUTION R E NYT OOF
N
MATERIAL
-- - NO. SIZE KIND S ISSUED S RETURNED
H
I
ESTIMATED COST INSTALLED lY CITY [7 CONTRACT
CONTRACTOR SUBDIVISION �-{
WORK STARTED WORK COMPLETED
REMARKS
PROJECT NO. — T DATE +�[-L aJ It
NAME_.______ . ADDRESS _
SIZE OF METER— NO..—MAKE READING . ACCOUNT NO
NATURE OF WORK AND DIRECTIONS: -_
SUPT. SWNATI/
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N? 2129
ORIGINAL
DEPARTMENT WORK ORDER-DISTRIBUTION R E NY
OOF
N
r�
MATERIAL.
NO. SIZE KIND S ® S RETURNED
777
ESTIMATED COST INSTALLED BY CITY ❑ _ _ CONTRACT f]
CONTRACTOR I SUBDIVISION
WORK STARTED WORK COMPLETED
REMARKS
PROJECT NO. .-- DATE-- "T L� IY
NAME-_ __-_ ADDRESS - _. _-
SIZE OF METER PLO. MAKE READING .ACCOUNT NO
NATURE OF WORK AND DIRECTIONS:
SU►T. SIONATUty
PROJECT NO. (V- '�$8 UTILITIES DEPARTMENT
CITY OF REIrrON
WORK MDER NO. WASHINCTON
DATE SUBMITTED S-l" 6 9
DATE COMPLETED DEPARTMENT
DESCRIPTION OF WORK
11ECESSITY _ WORK TO BE DONE BY
City Forces CH
Contract
Others O
ITEM QUANTITY MIT COST AMOUNT
Un C f
"WZ 3 le�l
® 6 / 7e-e ��. � fc1 F:
lee-
$' SrC r/ie�'sr+ Coup/�n� Ea.
TOTAL CCoT
APPROVED BY
7UF7. OF UTILITIES DATE APPROVED
10. The required "PRESSURE TEST" has been taken by
At a pressure of PSI , for minutes, on
The test: Failed , Passed I , omments
11 . The required "PURITY TFST" I,as been taken by
On Date of Reply Failed
Passed Comments
12. Is there an Easement required? If so, give dates for:
Preliminary Submitted Recorded
And Recorded Number
13. This Project included LF of Watermain
And Gate Valves Gate Valves
Gate Valves and Gate Valves,
And all miscellaneous accessories for a total value of S
Also, Size Make type Fire Hydrants for a
total value of 5
14, The transfer or "Rill of Sale" is in; Preliminary �� y
Submitted ,ecorded form.The recordea number
15. This prole nformation wee 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
1
Form Completed on
City of Penton
Utility Department Project Form
1, Water Project N K X Date Project No, given
2. Project Description and location
3. Developer's Name (If City check
Address
Phone N
Engineer's Name -(If City check ✓
Address _
_ Phone k
Contractor's Name __ _(If city check �)
Address
Phone .9
4. Is there an ACTIVE Late-Comers Agreement in the project area?
If so, give File Name _
Recoiding Date __ And Number
5. The Utility Department Work Order Numbers on this project are as followsr
6. 'What plans have been submitted? Preliminary As-Built
7. Has an Estimate been prepared for Project If so, give Date Prepareo
And Total Amount of Estimate
8. Is there to he a Late-Comers Agreement on this project if so, give
dates for; Preliminary Submitted Recorded
crd Recorded Number
5. Date of "'Start of Construction" _Date of "Completion"
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