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[APARTMENT Of 5!X lAL AND 1 i[All}I SCRVICL
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April 29, 1983 1
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The Honorable Mayor and members of the City Council r° '
City Hall "'-
200 Mill Avenue South
Renton, Washington 98055
Ref. 38, ProJ. 0383320501
j Subject: Cl ty of Renton
Rainier Avenue
12" Pipeline Extension .,< , �
Dear Mayor SAlnpoch and Council Members:
' Plans and specifications for the above protect, received in this office
on April 25, 1983, have been reviewed and in accordance with the pro-
visions of MAC 248-54, are hereby approved.
As required in WAC 248-54-650, within 60 days following the completion,
and prior to the use, of the above project cr portions thereaf, the
attached Certification must be completed by a professional engineer and
returned to this Department.
MAC 248-54-600(4) p.ovides that if the Certification of Completion has
not been submitted within two years of the date of this letter, this
approval will become null and void unless you take action at Oft time
to arrange for an extension of the approval period in the manner pre-
scribed.
Sincerely, `
John A. Renee, M.D., M.P.M.
Divls:cn Director ET-21
Health Services Division
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Moe R. Botra, P.E.
Regional Engineer
Water Supply and Waste Section
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cc: SE Dlstrlc, Health Center, KCND
RM2 Engineering, Kirkland
Harry E. Walden, DSMS, Olympia
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MICROGRAPHICS
Project Request
PART 1 TO BE COMPLETED BY DEPARTMENT REPRESENTATIVE
PART t PRELIMINARY REQUEST
Department—C1 NAa. [- Division rI m. /t t /se(,—
Record Series To Se Filmed 1� ra1g,.r L ),tte, e, .•��.•
Inclusive Dotes Of Records / H 7h fJ 2 / 83
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Number Of Documents Size
Department Representative C �'ti1. Date r 2. + ='
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PART E TO BE COMPLETED BY DEPARTMENT REPRESENTATIVE
PART 2 DECLARATION OF INTENT AND PURPOSE
It is 'he express intent and purpose of the Records Management Division to destroy or
otherwise dispose of the original records after being microfilmed.
The destruction or disposition of the records microfilmed is only to be accomplished after
inspection of the microfilm to assu,u completeness of coverage,and that: This inspection
will be accomplished within ninety(%0)days following the completion of the microfilm project.
Authorization of destruction of records:
Department Representative Date
Sentlun
PART 3 TO BE COMPLETED BY MICROGRAPHICS AND RECORDS MANAGER
PART 3 PROJECT APPROVAL
Projected Year Of Microfilming Microform
Special Instructions
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Approved By Date
MbreerepnRr
Approved By Date
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WHITE COPY.MICrogrePhiCe,YELLOW'.Records Maneaer
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y MICROGRAPHICS
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Project Request
- PART T TO BE COMPLETED SY DEPARTMENT REPRESENTATIVE
s PART 1 PRELIMINARY REQUEST
Department Utility Ln9lneerin9 Deft' Division
Record Series To Be Filmed
inclusive Dates Of Records
Water and Sewer Projects 1985
Number Of Document% Ti Site legal
Department Representative Data May 12, 1986
swan�re
PART!TO EE COMPLETED NY DEPARTMENT REPRESENTATIVE
PART 2 DECLARATION OF INTENT AND PURPOSE
It Is the express intent and purpose of the Records Management Division to destroy or
otherwise dispose of the original records altar being microtilmed.
The destruction or disposition of the records microfilmed is only to be accomplished after
inswill bs accomplished on of the microfilm to assure completeness of coverage.and that: t is Inspection
ccomplished within ninety(W days following the completion of the microfilm PPr It
ect.
Authorization of destruction of records'
� 11 � '-
Dafarlmant Representative it ,i l aeaewn." Date
PART 3 TO BE COMPLETED BY IAICROGRAPNICS AND RECORDS MANAGER
FPART3CT APPROVAL Of Microfllmng May 12r 1986 Microform
tion$ Box A 1985 Water Projects. Taken into plant. To be micro-
x 8 1985 Sewer Projects. Annual take into plant. To br; micro-
s filmed Box C Archives thily. gnx If return to archiggg ha nt r IarL rant. :.-
Box E work orders to be microfi lmed1Return to archives. _
Approved By oats
Mw,ryr�oncr
Approved B•, Data
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WHITE COPY Mi,ographlCa,YELLOW Records Manager
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