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HomeMy WebLinkAboutWTR2700690 HENRY BACON W-690 CITY Or RENTON L' UTILITY ENGINEERING No. 00 54$ • ♦ 200 MILL AVENUE SOON ------ �rSE�- REVON. NA 98055 rNONf TDS•2B)1 ORDER FOR WATER SERVICE INSTALLATION accOMnt M0. r T— T- NIII Charge 5 Lass SIu11 Serylce Credit wrk Order No. t Sundry Sale No. Srste" DevelopNent Chargs 'n City Yes NdC3 Lau-Cosers (Cit'v) _ --�--On Sear Yes Q No13 (Others) _-.__-- Water O.egs: No*:dentiol Coewercial d Industrial C1 TOTAL FEE ; Other - INSTALLATIUW� "ter Size f ✓L f '. /-2 tCt+r. Site Service Teepol.1y Nydrent Meter Yes No D Meter Make —_ 54r49e EAe pt Metal Yst Mo ri Meter N0. _— - Fire Protection Servlq Yes C k- Date Instellad '/rY 11 Co+vnt F: Service Address rtl q�_y Legal DesLN Ption 5qn4&te CPgSS CONNECTION CONTROL: Packflu. Protection Device aegul red Yes 0 NP 0 If Vas. Type of Oevlu: J•. Reduced Pleasure BacN1oN Davie Cl Opubla Chock Valw As s.noly� .r�r I ,- %'ir or bra sari vac heal., Make of Device Model Serial No. / Site _ Date Oev ice Installed Meter No J-- -- -- file Mo ONner's NarN •• _ C�p P%M _ tddrol City ?," �r �:L'. State i" /S tI _ Controctor's Nana ��, f [ .(�� _ -� ggne Address t.. i- City State tin Area Served by Renton Water Q Seattle Water Seett la wet*, Code No. - T,",,ry TPriq Anreaaant Yes 0 No l.11 If Too. Agro"mt Recording no. Service to Oa located 0n an Eas•y,,t Yes d ND O If Yes, Easenant bcordinq M0. Is There an EPisting Stub Seryica Yea Ll No if Yes, Water Project No. W__--_ f Misanq Late-r'Mre Ag,4~t yes a,l-.D If as, Ag'as,sant M0. in favor or Address _ City State tip — Charge S —_-_—_— SystaN DevatOp ..t fee Yet O NP r.3 If Yes, Syste,, Oere loPsenl fee lose' on �Y SOuara feet THE UNDERSIGNED SUaGcoistR REOVESrs THE CITY Of RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE MFTER AND PAY THE CITY OF RENTON TNEREFORr IN ACCORDANCE NIT" THE CITY OF RENTON'S SCHEDULE Of RATES WHICH SHALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR 'ME PURPOSE FOR WHICH THE WATER 15 TO EE USED I401E0 "EREON, AND 10 CONFORM TO AND ABIDE 81 THE CITY Of RENTON'S RULES AND REGULATIONS IN FORCE, RELATING SO THE P'JRCMASE AND SAt,# OF WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 1, SECTION, 1-201, %- Who - Utility Blllinq YalitW Engineering Pink • Water SMee •. .. ^.'.. ' PUBLIC WORKS DEPARTMENT BUILDING DIVISION CITY OF REWON, WASHINGTON APPLICATION ONLY - UNTIL VALIDATED PERMIT NUMBER gamer Location of Work Address INSPECTIONS FEES CONSTRUCTION Side Sewer `` -I Storm Sewer PERMIT Right-of-Way Construction ' Water System Dev. Fees _ (pablic Right-of-Way) Water Latecomer Fees ' Water Insp./Approval Fees s �) Sewer System Dev. Fees ' Sewer Latecomer Fee% Sewer Insp.;Approval Feer. Veto Issued --r---- —•— . Right-ot-Way Inep. Fees H - ! Special Deposit -'— ___ J Expiration Cate TOTAL FEE bescr .ption of Work and N=ber of Feet h(-.r.0 t a. .' i Contr wtar neas Address Bond l� / Telephone _. 1T IS UNDERSTOOD THAT THE CITY OF RENION SHAM BE HELD HARMLESS OF ANY AND ALL LIABILITY, DAMAI:E OR INJURY ARISING FROM THE PERYOP14ANCE OF SAID WORK. ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUST BE uONE BY A LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING. :ALL 235-25I1 FOR INSPECTION. ff .411 between B AM and 9 AM for APPLICANT -- .nspection in afternoc gall ,afore 12 voon the day .1 -.e / .or inspection in morn . q. PUBLIC WORKS DIRECTOR ;PDCIFY TIME FOR INSPL:`TI -:. L .ALL 235-2630 for stree- signs BY ,nd lighting, %ENRY ACON building materials Inc. ' .�v 9enmel pibcn 6 belNvue s1... 2360 - 1401h b.e. 9N006 0(106) 641 eye,- ae 811b 61" 411 ep19n Uenue • 98119/(266) 294,7844 tlrrkl e0 cur,sapo�8enre In. p.0. ba. BN6Y b*04VUe 98007 g ; July 19, 1982 Mr. Ron Olson A Engineering Department City of Renton y« 200 Mill Avenue South . Renton, WA 98055 Dear Roc: I just received a drawing from Wilsey & Hamm which is supposed to be the last go around between th1,+n and yourself regarding the incoming water for the fire system, etc. However, I made a call to their office when saw my copy was still stamped "preliminary". Are you still making changes, deletions or add iticns to this plan? For your {nfrroation, from the original plan (Nov.15,'81, they provided to the plan that has now been provided with your requested changes, the cost of installation has jumped $8,000.00. It's gone from $12,000 to $20,000. The two people that have bid this job tell me this is due strictly to your particu'ar specifications on materials. Are you forcing these peopl tc use brands that ere more expensive when other brands would meet the code requirements? if so. I want to know. This is the reason I tried by phone to react: you during Wednesday and Thursday of last week, and left requests for a return call. My phone number is 641-8000 in Bellevue. Regards, HE RV BACON[ BUiLD1Nu MATLGIALS, INC. Jack 8. Curran ^~ President JBC:ck cc Dick Houghton Renton file SPEED LETTER T0:—�_— �: � --- DATE:, PROJECT:— SUBJECT: igne j BUILDING A ZONING DEPARTMENT PRE-OCCUPANCY INSPECTION REPORT DATE Nov.-mher i, 191i TO: DESIGN ENGINEERING DIVISION DBUILDINC, FINAL OUTILITY ENGINEERING DIVISION FIRE DEPARTMENT 1:111AFFIC ENGINEERING DIVISION OLANDSCAPE/PARKING FROM: BUILDING 6 ZONING DEPARTMENT SUBJECT: HENRY BACON /(�)' /e 7O 9- r. '•/ PERMIT NO. B-fi925 56f, HAP.LTf: A'JWJ. S.W. TYPE BUSINESS LUMBER ,TORE The subject project is nearing completion. Please Investigate your area of responsibility and Indicate below either your acceptance or corrections necessary by 91)VE-BF.R 10, 199i m order that a Certificate of Occupancy may be issued. I no comment; are received by the above date, the Certificate will be Issued. TO: BUILDING 6 ZONING LcPARTMENT DATE //- /0 - Z.z- FROM: This project Is approved by this department subject to the following corrections: F G' ,e.F : 04% B&47, A1Ar.E /,EVE 0.PAse//A4L Q GOST DATA k T,L"v ney /iJ ,&4/A�4/N�_ _, © T.3/LL OF j AL.E War€,et�NJr 7W.W,e'tYioA/7 'Xi YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCVPANCY? &D'�ES p NO Authorized Signature BUILDING & ZONING DEPARTMENT PRE-OCCUPANCY INSPECTION REPORT DATL November ], 1992 G: DESIGN ENGINEERING DIVISION BUILDING FINAL OU 1LITY ENGINEERING DIVISION 0FIRE DEPARTMENT OTRAFFIC ENGINEERING DIVISION nLANE SCAPE/PARKING 'ROM: BUILDING & ZONING DEPARTMENT LL.Ja SUBJECT: HENRY BACON �J' /070 �/_ f PERMIT NO, n-R-25 560 HARD'E AVENUE S.W. L TvPE BUSINESS7;NBTiA STURE TFs subject project is nearing completion. Please Invesllgate your area of responsibility and indicate below either your acceptance or corrections necessary by NOVEmat.R 16 Certificate of Occupancy may be issued. ,_1�Fl � In order tha'. a If no co:oments iU :tcelved by Ins above dale, the Certificate will be Issued. O: BUILDING $ ZONING DEPAR I'M ENT DATE //"LO_'• as2 ROM: I�T This project is approved by this department subject to the following corrections: 8 'i,,i'r A AoBSLLN�' _ C7 /.J/LL Of�' ..�,A.L�F• l!✓r97.r-�LlAI�) __ _ S!e6 Sw/eA ,-mAe !-.Diianrs.�.�•S FE'.C' itL.A _,-__ Dr- YOU HAVE ANY OBJECTION 70 ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY' © 8 NO A-iMON�ndure _._. T0: CITY Of' RENTON FROM: UTILITIES DIVISION 200 MILL AVE, SO. RENTON WA 98055 ATTENTION: ARLENE HAICHT DATEt CORI DATA AND INVENT_,RY SUBJECT: Henry Baccm Inc. CITY PROJECT NC✓BFRS: -�`G¢.1[acgyc lrt�,tr n.__Ua, 6- NAME OF PROJECT - -- Dear Ms. Haight: Per your request, the followinK informati:m is furnished ecnretning costa for improvements installed for the above referenced prcjact. WATER SYSTEM: N Length Size Type —I„ I..F. OF j._" _r'-r- WATERMAIR t n L.F. OF - �_" r, 7 WATF-RMAIN e L.F. OF g^" � ` WATRMAIN y L.F. OF " _ WATERMAIN 1 EACH OF " F:r.E HYDRANT ASSEMBLIES EACH OF _�L_" GATE VALVES r EACH OF -_S" GATF VALVES EACH OF GATE VALVES Other: TOTAL COST FOR WATER SY67LY $ 14 ,687.rjO SANITARY SEWER SYSTEM: Length Size Type L.F. OF SEWER HAtN L.F. OF SEWER MAIN L.F. OF " SEWER MAIN EACH OF OTAMETEP MANHOLES Other: TOTAL COST FOR SANITARY SEWER SYSTEM 9 STORM DRAINAGE SYSTEM: Length _ L.F. OF " STORM i.1NE _ L.F. OF STORM 11NE L.F. OF " STORM LINE 1..F. OF " - STORM LINE Other: TONAL CO 0R TO DRAINAGE AGE. SY. T .� S STREET IMPROVEMENTSt (Including Curb, Gutter, Sidewalk) - TO-'WTCOST FOR TTREFT ..— S ILLUMINATION,, .fO-fAL COS'.e F0VMI U�t'AWO—T Very truly "to, S GNAYL ,.;gar•.;',:. ►ROJECT _ _ [,� Q /1 TAKEN INTO ►CANT IN 1982 J 'r s z r- L. I .. - n r i i • • Al.sev a HAM, INC. ; V 'wr"'r-�J . plarnkq • Surreykp L. EmkonmenJ Analysis Central Perk Busoeg / (0-•-_._ __ 190011 M Aver..e NE BE I.Ew[ WASHINGTCNI 9Pu0a an 1206I e5e-325U _ 1 r x1 4 GENTLEMEN: / WE ARE SENDING y0U (�! ANachr} Urder separate •:over via_ ___. __.._._—the fol(cwing items. ' r ` Shop drawings ✓Prints r- Rhos '3 &mples r7 Sf KNicat"s Copy of letter Change adtr CONE, pAlf nr). oLSgltterWN ..._—.._ _._ _. _ _ 1 r� a THESE ARE TRAIISMITTED is checv.ed t4di" „ For approval Approved as subm-tted Resuhmd_-.--copies for approval for your use Approved as noted Submit___._._copies for dirtn0ution As requested Returned for corrections .] Return,_.._Correded prints ,/for review and comment _ -_. . ._._._ _ __. FOR BIDS DUE _. -.___ ______--__ __.19 PRINTS RETURNED AF#ER LOAN TO US REMARKS_.. ropy to ,.� .. �, SIGNED :!''._.•,.:.�,:..1.1 :-- -`• - n•nnmw•.r en n•. n nel•n. ••neq^ . .•.> o ,. 7 , ' ww�erawwl�+c LEIT'TREM Corr TMRA�5f�,11�'FMAL La , BELLEVUE,Y111sN0470N 90ATO ii• tt'[,..�._„� tom"'._ — - "t r GENTLEMEN: WE ARE SENDING YOU V/Attached Under separate Cover via_ ..the followm` items r Plans samples Ci specdicabons Shop drawings 1! Prints Copy of letter Change order ✓.,!-E':/-: ' -- "----`--- ncscanrrow tOarE4 UarE NO. __ - _T THESE ARE TRANSMITTED as rhecked below. vfFor approval Approved as submitted Re%ubrnit__—LoV.eS for approval For your use Approved es naled iSubmit—_copies to, distribution As requested Ret, ned fry corrections Return­cderected prints For review and comment FOP RIDS DUE 19 PRINTS RETURNED AFTER LOAN TO US REMARKS I , COPY TO _ SIGNEO:. '�'• : ' ...f+- Y ". u•,..w•a.o•.• nw a rrr.e. e..ery.nlvr vs.r rim• - 14YYM1 f.vM i..w .I If wnW.i.Wi 6.l.n r 5T e I.i 1 WILSEY & HAM, INC. EnpararAq • PI..I.rP • wngnp L4,[�Tt"t1't��3 ®�' `lT(RiG1�� AIO`7'T�Ca1�, A�I;MgN PIN BW?M1J IWO 1121h Anisn a NE o. 71W royoj ° BELLEYUE WASHINGTON eeooe ' (2061 Aye-:tom] 10 f GENTLEMEN WE ARE SENDING YOU ✓AttAcheu Under separate covPr vu ._._—.._ .the following items' Shop drawings /P."Is Plans I.1 SamONs El Speuhcabons a Copy of leper LI•ange order COPI{9 dAi{ 1Iq oeaCRrIT _.._� THESE ARE TRANSMITTED as checkod below: 01 T For approval Approved as wbmltted RewbmM-____.copies fn, approval For your usP approved as noted Submn.._copies for distribution As requested Returned for comctlons Return__corrected prints For rev.e , and camment FOR 31DS DUE _......... . ..._. _..-__.__19 PRINTS RETURNED AFTER LOAN TO US REMARIL5.. r COPY III. If rnrMr.,rer PrP ml Pr nNPa.MPIIY.rcllAr Yr M eMe r syr«Q�' 1-1,11L11V3i 1. hUARD IDENTIFICATION INFORMATION NAME U.B.G. CLASS OF BU:L( ADDRESS FIRE MANAGEMINT A141A .__ Z. DETERMINE '.YPE OF CONSTRUCTION - CLASS (CIRCLE ONE) : IV III V FIREIRESISTIVE NON-COMBUSTIBLE ORDINARY '4000 FRAME MIXED (Note: If "Mixed", see. Special Instructions for Area and Basic Fire Flow) 3. OETERMINF. AREA: ( ftZ ROUND FLOOR AR;A: - f�� NUMBER OF STORIES: TOTAL BUILDING AREA: 4! 4. DETERMINE BASIC FIRE FLOW FROM TABLE 4 . USING AREA (A): 5. DETEP.MINS OCCUPANCY FACTOR ADJUSTMENT: ADJUSTMENT; if low Hazard, Subtract up to 25% of (B); If High Hazard, Add up to 25% of (3; . 6. COMPUTE SUB-TOTAL (B+C): (If D+C is less than 5OO GPM, insert 500 GPM) 7. i,ETCRMINE SPRINKLER ADJUSTMENT: ADJUSTMCNT: (If cmplete'v fire resistive orrnon-e - stibleact up to construct�,osubttractfupiLot75% ofd(U)c)pancY 2. OCTEIMINE EXPOSURE ADJUSj.j,dY: Using the table at left as a guide, enter the separation and adjustment for each 0, the "four faces' of the building in the table at the right: SEPARATION MAX. ADJUSTMENT EXPOSURE SEPARATION ACT. AOJUST P".IJ.' 0 - 10 25% a..x. North Aad__ 11 - 30 20% max. East Add 31 - 60 15% max. South AdU N 61 - 10 10% max. West Total % of Azjjstment l01 - 150 5% max. < (not to exceed 75%) 150 or 4-hr wall 0% max. (Total : au,lustment times (0)) ADJUSTMENT: t 770 GPT 1. nor noor.AI) SIDING cNERING ADJUST 4f-m: - add 5W GPM) ADJUy1(TTP. Gs N I (If stii.ngl.e covering, •- 10. COMPUTE ESTIMATED FIRE FLOW R:QUIP.ED: `''' y J (If O+E+F+G is less than 500 GPM, insert 500 GPM.) (:f D+E+F+G is greater than 12,000 GPM, insert 12.000 GPM.) 1 ()D v (D+E+F+G) REQUIRED FIRE FLOW: DATE: Il . SIGNED: l ' lKNTIFI yy� U.E.C, CLASS OF RUItO,' i FIRE' MANAGEMENT AkEA 2. DETERMINE TYPE OF CdKTRUCTIdt - CI (CIRCLE ONE): I - II IV III 11 _ IRE-RESISTIVE NON-COMBUVIBLE ORDINARY WOOD FRAME Q IXEO_� If •Mixed•. see;.'�peetal Intruetions for Area and Basic Fire F:ar) 3 KTERMIME AREA: GROUND FLOOR AREA: ft NUMBER OF STORIES: x TOTAL BUILDING AREA: ft`(A. 4. DETERMINE BASIC FIRE FLOW FROM TABIA /l, USINi AREA (A): %'SC) . ._. GP14 (8 S. DETERMINE OCCUPANCY FACiM ADJUSTMENT: ADJUSTMENT: ran (c If low Hazard, Subtract up to 2S% of (B); 7f High Ma.^rd, Add up to 25% of (D). 6 COIMUTE SUS-TOTAL (B+C): (If B+C is less than SOO GPM, insert SM GPM) E %. 0[TLRMINE SPRINKLER ADJUSTMENT: GPM (r (If ewglrtely sprlaklMftd. subtrata up to SOX of (0): If light hazard oecupa,cy a Tire resistive or non-combustible construction, Subtract up to 75f of (D).) DETERMINE EXPOSURE ADJUSTXW, : n;-.Using the table at left as a guide, enter the raparation and adJ:istment for each o:° ,Lie -fees faxs• of the building in the table at the right: TION MAX. AO,lUSTMEwr EXPOSURE SEPARATION ACT, AOJUSTY.C;i" G - 10 2S% mex. North — -- Add 7. `il - 30 20% mac. East Add 31 -'e0 1SS max. South vAdd Al - 100 10% max. Nest — Add' 101 - 150 SS wax. Total X us t 60 or a-hr wall OS mac. (not to exceed 7S%) �f (TMa; S adjustment times (D)) ADJUSTMENT: 4611 GPM (F 9' EMONIME ROOF-AND 5... 009IDtI1M ATUMMfr: (IE *dnglm ooverins, add 500 GF10 ADJUT<T3M[t: GVM (G 1�000NPUTE ESTIMATED FIRE IFT.OM REG lm: (if D+E+F+G is less tiara SOO UA, insert 500 GPM.) (If O+E+F+G !: greatar than 12,000 GPM, insert 12,000 GPM.) (OK046) REQUIRED FIRE FLOW: 9 U CVaa (N DATE: y ti _r WA coN building materials inc. y.n.r pl oll u;p. A bpW.+up store- 23b0 1401h p.p. 96005 •12Ub1 641 e000 napllip clots 1I pmon 0WruM W. 06f le 0(206) 784 7444 arlp•:1 .11 i Orrn sOOnarv��+'�. la; O.O. box 66e9• b.11". 96007 April 23. 1982 Mr. Dick Houghton Director, Public Works City of Renton 200 Mill Avenue South Renton, Wrshington 98055 Dear Dick: I just got a letter from Mr. Hansor of the Building Department. One of the areas I w01J1J like some help on is the request for easements by your utilities people. Like I said, I will be glad to sign whatever is necessary stating we will provide these easements requested and designated by . our Department, as soon as the final decision on location is done and an engineer ornwithtmythe construrtioo programn for nanlegal more than we have been. this hold me For the other articles the Building Department is requestinq, they are minor and the architect is handling those. I would say, regarding the measurement of the fire flow requested, that surely st be a job either the Fire Department or the City would handle. Someone has been giving us a fire flow (I assume that means volume and pressure at the hydrant) because the spriler systm at the eing designed nuobers.nksuperior�Fire Systems sintKent, Mr.time ii; bJack Durkin, is working ound someone's working on ou^ fire system. Please contact me personally if this creates any conflict with you. Regards, HEVRV BACON BUILDING MATERIALS. INC. I/I ;'Jack B. Curran President JBC:ck --� ���"rG����' '9��"r�-fir Y'�- __-..T yf-i T'�g' ,'"['I yTi�f.xA,j�t'O�r wla��� �I C)h.�_... .. _ — VAM AND 9EM PROJECTS PRESENTLY UNDER CONSTRUCTION IN THE CITY OF P.ENTON W-690 SEWF•R PROJECT I DATT! 8/17/8 WATER PROJECT I -- WATER PROJECT TITLE Henry Ha ron Bld . PROJECT LOCATION _ 560 Hardie Ave. S.W. DEVELOPER Jack Curran---- - — - ADDRESS 23`''-140tu�i.P,_. Bellevue WA 95008 PHONE 64. -8000 — CMERGEUCY PHONE Jim Breoi_, 481••0346 CONTRACTOR Henry Bacon b C.A.B. Construction ADDRESS Y.O. Box 10?4 Botheil WA 98011 PVIONE 481-0346 EMFP.GENCY PHONE FOREMAN Don Webber Si ht are Inc. PHONE EMIHGENCY PHONE Jim Brooks 481-0346 City of Fenton lnsPector H111 Ruilber -- Other - Other �YrYa! :� - ^'MIMq� ,reY�tn, :-nYaro�..w eiF,a1R YCITY DE REMTDM UTILITY EMSINE ER 1(4 MILL AVEMUC SOON N 00549 RENTON. WA 9BD55•.` PpM[: 2)5.26)1 ORDER FOR WATER SERVICE INSTALLATION Accepnt No. .�w-:o tnergt ) Work Order Mo. �(,�/� Lot, Stub Strrrlce Credit - Sundry Salt No. Down Peymenr � SYsteo OMrtio wnt 51N.rga F In City yes C goo Latr•.amo (i III) -- On Soeer Yes ID, No 0 ((-Sort) Water Usage; Residential o COMP01141 [3�Industr4l U TOTAL IF S - Other y Motor Site /11 t'CAs!.C�C IMS`ALLAf 10R: ToMperarr Hydrant Mate, Yes O Ma d Site $4,v;Cis Mote- Yeke_ Soeago Eva+pt M<o Yes L No Meter No, --_—� Firs, Protection Serviced yes ❑ Mo Date nstalled So,vice Address LS,67Een_' 4_�',t�/,G J W_' Legal Des,,iptlan ----. .. CROSS CONN::CTIOM CCNYAOL: Backfloe Protection Device Required Yes o M,J I, Yee, Type of Dovice: Roduud ►,assuro Yackfiae De,ico E] Dnuoie Check Val,e AsratalY LJ Air or Presser. Vae Breaks,- Make of Dovico - "doI Sers.l Mo. Site _ D.te Davice Installed Matt/ Oen"r s titme /.�s/7.'r "L'.f /1'D2 �.L[•vt ��✓ phone — —_ Address _;�) - ..>�' - —�— Ci tY ,�r(,LL F $tato G��_ Zip •_. Contractor's Nan" ,'/fiP P/!le� ' __, _. Phone . 4 -� cr Address '' ' ^,7i /. /� Ceti' State Sls' _ Area Served MY RAn'On date, Seattle Wet*,O Seett,o Water Code No. 1 i_ Ton,porary So,v ce Agreenent Yes Q NO If Yes, Agretnent Recording No. __-- Service to Be Located on an Cess,nent Yes O MOO If Yes, Gtement Aecarding No. 1, There an e.isting Stu! Sarvice Yes o MOO I, Yes, Water Project No. W- Ewisting Late-CoMers Agremnent yes J Ms,0 If Yes, Ag,eement No. In Favor of Address City State Zip ^_ Charge Systems aewlopeant FOR yet O No J If Yes, System DerNapeent Fee Based on - _ _ Square Fret THE UNDERSIGNED SUBSCRIBER REwtsr3 THE CITY OF RENTGM TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO FURCMASE THE WATER AND PAY THE CITY OF RENTON THEREPCRE IN ACC.OMJANCf WITH T+tE CITY Of RENTON'S SC09OULE Of RATtS WHICH SMALL FROM time YO TIME BE j.EGALLf IN EFFECT FOR THE PUWpOSE FOR WHICH THE WATER 13 TO BE USED NOTED HEREON, AND TO CONPURM TO AI ABIDE BY INC CITY Of RENTON'S RILES AND REGULATIONS IN rORCE, RELATING Tq THE PURCHASE AND SALE ,Os WATER. THIS IS IN ACCOPOANCE WITH CITY OF RENTON COOL, CMAPYEM 2, SECr30N11 205, r / Welu - driller sitting - "-- �-. E1 a von p yeilots - Enginring /� , Pink - Water Shop ;'/..L.4)- 11/� , %.1fe. 'l"" � / ' .. I-. n r-• 4, PUBLIC WORKS OEPARTMENT 1 BUILDING MIS!" - •• CITY OF RENTOYJ, WASHINGTON APPLICATION ONLY - UNTIL VALIDATED NiTaea, �WneT //Pi/f ✓4 L ilA��_"-_� I ��� ' I.. � f-/4. ._l3_1ic/ �� kddress J (� ard, B .We Ss✓. O-� I FEES INSPECTIONS CONSTRUCTION Side sewer ------ storm Sewer -- '---i PERMI f Right-o.-Way construction -�--- n � wate• System Dev. Fee, -- -' wster Latecomer Fees _,-_.----- (public Right-of-way) . water Insp./AYProva1 Fees ��- ._ -- sewer System Dev. Fees � sewer Latecomer Fees '7/ — �Z' Sewer Insp./APproval Fees /�•U Date Issued � Right-of-way Insp. Fees -' i special Deposit S / Exyiration Dote iTOTAL FEE �— jz' ^� :;escription of Work and Number of Feet T� T �,.. fG✓ �_,,,� / _ -J2zo g�aG �� Business Lirenss 7 9 Contractor / G/ Bona Address L Telephone 9 e 6 IT IS UNDERSTY'JD THAT 1'HE CITY OF RENTON SHALL BE HELD HAJiMLSA OF ANY AND AL., I LIABILITY, DAMAGEG FROM OR INJURy AFISSN THE YE.R1'ORMANCF OF SAD wORK. AI.Jy wCRK pERFURNEP wiTHIN THE OR ON SEwEY MAIN MUST BE DONE By A LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BII'ORI: E7CCAVATING. ALL 235-2631 FOR INSPECTION. APPLICANT ( -all between B AN and 9 AN for .nspectior. in afternoons call wfors 12 Noon the day before 7UBLIC WORJfi DIRECTOR .or irspection in morning, ;pp-Ipy 'CIN FOR FUR INSPECTION. BY _ ;ALL 235-2630 for street: signs Ind lighting. CITY Of RENTON UTILITY ENGINEER,% • • 200 HILL AVENUE SOUTH r. RENTON, We 96055 No. fC..'\I•('� FMON[: 73S-L631 ORDER FOR WATER SERVICE INSTALLATION Account --'— Pori, Order Mo. l— -� Motor charge _ --�— less Stub Service Credit '-- Sundry LI• No. Oown Pavem.r In City Yes L! No CD System Oewlolawent Charge On Sewer Yes d Mo F1 Lats-ConsIS (City) �J (Others) �'-^•---- Water' Usage: Resident"1 0 Co.wyrclel 4 Other Industrial r Industrial [f S .t ... . Hater Sip J -•--- I-' INSTALLATION: Theo nr N Y Ydran[ Mt<r Yu 0 Mu t"YI site service S ewaga 1-0-Pt Motor Vol Make O Ho Nato No. fire Irn[K:Ipn fervlq Yet Or B0 C Date Ins tolled Service Addrew ,r 1 -/ COMnentf: _- Legal 0efcrlption - CROSS CONNECTION CONTROL' Backfl ow Protection Device Required Y '�9na{w4 Reduced Irefsu re Backllow of too�I If Yes, T Device �t YM of Oevlcer Make of Device Onublo Check Valve Asaamb 1,lJ air or Pressure Vec Breaker Da --- Model Serl 1 ❑ n Device Model mo- • No. Site Owner's Name f. I _ ) Pile No. Address . , _ Phone ConfrK t01'f Nay " City i ' State Address --�_"'_-•..T - lip/'.. -„- AIea Served b R+ city -r Snte - , y Marton water 0 -- Pip Seattle Weter� Seattle Wa ter Code Mn. TenyogrY Service Agreement Yet O NO `- ' 1I Yes, Ag ryement A•cnrd l,y Mo. Service to be Located on an Eafeman[ Yof ( M' IS TExisting II ray, Easement Recording hap, 1 There an Eelrt In � 9 Stub Service Yes No IF Yes, Water Protect No. v. � La lfting La[.'Comers Agreement Yey In /Avo. n/ ltp E� If tea, Agreement No. City -----�i� Address State ,�-_-- �_Pip System Dovelopa.ent /ea Yes I-y Charge B ❑ No C3 If fee, Systen DeveloPeant Fat Based ou THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY pI S•uare Feet PROMISES TO PURCnASE THE WATER AND PAy TN! C(of RENTONT TO SUPPLY WATCR AT THE PR M RCNTON'S SCHEDULE OP RATES WHICH SMALL FROM TIME TO OF 7NMf NBE LEGAORY (N ACCORDANCE WSTN TH CES VOTEDITY OF NE REDN AND THE WATER IS TO BE USED NOTED MERLON, AND TD CONFORM TO AM() ABIDC BY ITMEFF IECT Pon THE PURPOSE F AND k E4VLA}IONS IN FORCE, RFLA7fN4 TO iNl' P� ! URPOSC FOR WNICN '/FNfOM COOP, CNAFTER O, SECTION 3� PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OP 107. 'Alto - Utility Bitting gwtwF o RA pR e _ Yellnw - fnginaaring • - water Shop r r MOW- PUBLIC WORKS DEPARTMENT BUILDING DIVISION CITY OF RENTON, WASHINGIO9 APPLICATION ONLY - UNTIL VALIDATED i Owner Location of Work Address —!� f INSPECTIONS I FEES CONSTRUCTION Side Sewer - Stom Sever PERMIT Right-of-Way Construction — — , Water System Dev. Fees - (Public Right-of-Way) jWater Latecomer Fees -.—_ }Water Insp./Approval Fees ;? / +. . rn / Sewer System Dev. Fees Sswor Latecomer Fees Date Issued i Bev es I— 'Approval Fees _... 1 1 I Right-of-Way Insp. Fps ,5 /. , / , . �`special Deposit -- - Expiration Data '. TOTAL FEE i Description of Work ."T and Number of Feat — I Contra:tor t) -� — busine L s / License Address �i Bond -I -- Telephone IT IS UNDERSTOOD THAT THE CITY OF RENT(,N SHALL RE HET.:, HARMLESS OF ANY AND ALL LIABILITY, DAMAGE OR ?NJURY ARISING FPOM THE PERFiRMANCE OF SAID WPAX. ANY WORK PERFORMED WITHIN THE RIGHT-OF wwY OR ON SEWER MAIN MUST BE DONE. BY A LICENSED, BONDED CONTRACTOR. LOCATt' UTILITIES BEFORE E`XCAVAT;tny p, :ALL 235-2E31 FOP INSPECTION. a 11 between B AM and 9 AM for APPLICANT inspection in afternoons call .>efore 12 Noon the day before for inspection in morning. P'1BLIC WORKS DIRECTOR , SPECIFY TIME FOR INSPECTION. BY f ;:J.L 235-:!630 Lor street elfin• _ ��. '' mnd light:.nq. j . . ..�- - "LIC WORKS DEPARTMENT BUILDING DIVISION (,Iry OF RENTON, WASH7NGTOt, APPLICATION ONLY _ UNTIL VALIDATED 3'eBxlr P-wner------- _. .vUHLaA Addreesy� _ --�_ .,.. ,..� Locrtion oP (_ Work INSPECTIONS `- --------.� � _ CONSTRUCTION `TES Storm Sewer ----. ____� PERMIT Algnt-of-way Construe IPebl w lien .. is ,t_of_>laY) I Water ystom Dev. Fees � " Latoromez Foes Water Insp•/Approval Sweer system D Fee, Sewer Data Z� ea"�v 'Sewer Latecomer Fey- ---�.— -- S ar 1118P"/Approval. !S g P-We p. Fives "'.'�-„--�. Y In pedal De — - ----1__ LxPiration Date Posit D f escription j T�'AI. FEE Y^�"""'! and Number of Fpet � ���1 •B Contractor �� "' rz--.,,, Addzeeus sinew as Bond Telephone'.'_`i,�,--. IT IS UNDEAS'IYiOD THAT [^HE C17Y F -- +aa LIABILITY. DAMAGE OR IN D AENCCN •+HALL e JUR}• ,R P.f5ING FA0;4 B_ HELD NARMLFSS OF ANY h::J ALL f ANY wORK TIIE PEFF JRNdNCF. OP SAID WOR1.. PF.P.FOAHED p(rN'THE %C'CATE/,:ITII.ITIES OBLF� cMAIN ''UST be D7!;d BY A LICEItSED, BC1lVDED „ r 'ALL 235-2631 FOA INSPECT10t1, JNE �rAvy•..,t-• :all between B AM and 9 AM Pnr.nepection in efbernoon !; , tali ^I'PL I C.'.NT :e£ora 12 Noon the day Sufa, -''or inspection in morning, -"`-�---^-- ;PECZFY TINE FOR It1SPECIInN, PUBLIC MI _ XS lyIRECTOA 'ALL i35-2630 for "rceC Ind lighting, "9nc , BY