HomeMy WebLinkAboutWTR2700756 Plat of Fernwood North
r W--756
Union Ave. `.i:. at 1st: Place
BEGINNING
OF FILE
FILE TITLE
75�
r,os YKI aYMD Wi■rOme.f,IY
�gM 1Patlgsgl ifMa Y�g 0�)
waae,irra+enu orvu�w
Filed for Record at Request of QFA (� 1115 Q4 �d)
BYTNEt 1)F
RECORD: N)
KING
To r RECD F 3.00
t CASHSL w*wr3.O':
./+cam �:II Ave S 55
11 'e0in' t., A- QRns-r
I _
iM" l ii•
BILL OF SALE
® LNOW' All MEN BY THESE PRESENTS. That CHAFFEY CORPORATION
County of t;r:�.i d Kirkland
p SUN d iWYBtK do party d 1M Mt Mrs.
0) for and in canudcntim of the sum of one and no/100----- ------ Whim
N
lawful mosey of the United Sots of America,to them le hand poW by City of Renton
11�
Q1 the party of the nand Part, the receipt whereof is hereby acknowledged, it by that promou peat.
bargain, add and d18vs=to this MW pan Y Of tlm aeand pact,the folbwtog dm.rdxd perim" property now
located at Union Avenue and N.E. 1st place
is the City of Renton ,o naq d King aid State of Waa►isgtm, tomit:
Approximately 3,658 L.F. of 6" and 8" ductile iron pipe and 5 each
of fire hydrant assemblies and 10 each gate valves, and all other
appurtenances pertaining to said water main expr--ssly warranting
said water main against any expenses, costs or liens hereto incurred
thereon by, through or under eel_._ herein.
TO HAVE AND TO HOLD the same to to nid parti ups of the sand p_rt, their bon, rsecutors.
administrators and a ms fortser. And said pan t, of the San pan, for their Mrs.
eaecutoes, admauniaro-s,co.mant and agree, to and • ,h the said paty W the aacand pat, t h, :r
esacutors, administrawn and aligns, that said part of the first part is tht owner of the said
property,goods and chattels and ha good ngbt and full authority to sell the saes. and that they
will warrant and defend the We bersby made Lou the mid part of the moond pan, t he i r
moruton,admusiaraton and aaYgns, agi iat all and every perwo a peraom, whosrsoever, IswfuBy dnimtog or to
claim the most,
IN WITNESS WHEREOF, The said pan y of the Am pat In b to ad its hand
and road tlW 19 ui deyof April, 1985,
(ma)
(eau)
(aa.0)
sTArE of wASHINOTON, l
(rare)
`` 4
Coumy of 1. t- �
Oa thus dry personally appeared before in �E�('�L� }r Ore,S q C Mtttty W-p
to mer ►sown to be the todrAdual deorntwd m and who aratotad the within and fongeiM Imr,m,r( and
aeknowladfin that r. , aigoed tl.e acme as k" fear and aQlmtuy ga dtaw list the
uss and purposes thedo wealsmed. .
GIVEN under my bond asd amdsl]/oral chi. + � day of ^��'l/
YY I,,. 1 1)t _ l YL
a Nei"Pohltt do and/a,Ilw 3sme 1.1►'
act �l
TO: CITY OF BEN'TON FROM: R.L. Shaffer
UTILII DIVISION
2W MILLLL AVE. S0. SUbdi Vision Management Inc
RENTON WA 98055 16031-119th Pi, N E,
ATTENTION: ARLENE HAIGHT DATE: p e - O11
CCST DATA AND INVENTORY
SUBJECT: _ CITY PRuJECT NUMBERS: W-�
I rnwood North
_ NAME OF PROJECT
Dear Ms. Haight: �p
Per your request, the follminR information is fumirhed concerning coats for ?_t
improvements installed for the above referenced project. (A`!
WATER SYSTEM:
Length Size Type
1780 L.F. OF _ i ' n. I WATERMAIN
L.F. OF 8 n_r WATERMAIN
L.F. OF " WATERMA:N
L.F. OF WATERMAIN
-_3--_ EACH OF r " _ FIRE HYDRANT ASSEMBLIES
EACH OF 6 GATE VALVES
EACH OF 8 GATE VALVES
_ EACH OF " _ GATE VALVES
Other:
TOTAL COST FOR WATER SYSTEM 88,095.77
Including Tax $
SANITARI' SEWER SYSTEM:
Length Size Type
2978 L.F. OF 6 " PVC SEWER MAIN SIDE SEWER
L.F. OF -" -VVr- SEWER MAIN
L.F. OF SEWFR MAIN
_ EACH OF �$�- DIAMETER MANh.".ES
Other:
TOTAL COST FOR SANITARY SEWER SYSTEM .439,153 73
Including Tax S 439.73
STORM DRAINAGE SYSTEM:
Length
381 L.t. OF 8 " CMP STORM LINE
-T L.F. OF 77- -" 79V- STORM LINE
L.F. OF —" Z'$ES- STORM LINF.
5 L.F. OF TSB-" -Zff- STORM LINE
Other: Rip Rap 100 L.F, of 42" CMP Storm Line
TOTAL COST FOR STORM DRAINAGE SYSTEM S 72.479.00
STREET IMPROVEMENTS: (Including Curb, Gutte, Sicrualk)
Cleari ng_ grading, curhs, sidewIaks, driveways and asphalt
TOTAL COST FOR STREET IMPROVEMENTS
5 166.038.13
ILLUMINATIO'
TOTAL COST FOR—ILLUMJNATION
$ 64108.00
Very truly yours,
at.c wnre a rer rmes nr.c• ww•r ror. PUL ar areww.o wnn w♦PLr
SUBDIVISION MANAGEMENT, INC.
16031 - 119th Place N.E.
�n�;'NCG`liry 1x,t�Ii,;+yryx.rlf Bothell, NA 98011
f.to't, 4BA-11111362-1052 .
Y'C' k-\I L �1,; CC4t'rt2�'f J
w4:�eh. hlv1, b:Ia�ti .�,�rv'c� h,s CC,ct r-In�.e�. «.•� ,
fit✓ I,'i:t'VRe.,c
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♦ ru rv. a \ .nn rr 11a PLr rO NI`µ f'L.' `r1` 'C.
yv — if�lC6.4+P C wG ^ld /+ceww.a�
MiY�4111 W ry/� rr "a•••••
DECLARATION Of RESTRICTIVE C04ENAN')
WHEREAS, WICK HOMES, INC.
are the owners of the following real property in the City of Renton ,
County of King, State of Washington, described as EKhibit 'A'
attached hereto.
WHEREAS, the owner(s) of said described property desire to
_ impose the fallowing restrictive covenants run^ing .,ttn the .and as
to use, present and future, of the above described real property.
NOW. THEREFORE , the aforesaid owner(s) hereby establish,
grant and impose restrictions and covenants running with the land
hereinabove described with respect to the use by the undersigned.
their successors , heirs, and assigns as follows:
INSTALLATION OF OFF-SITE IMPROVEMENTS
The owner(s ) of the above described property, their suc-
cessors, heirs and assigns, hereby agree and covenant to
participate in, sign A petition in support of, and accept
any future Local Improvement District (LiD) or city initia-
ted proposal , and pay their fair share therefore, for the
purposes of providing the necessary off-site improvements
required by the Renton Subdivision Ordinance. Said Improve-
ments shall include but may not be limited to the installa-
tion of curbs, gutters , sidewalks , street paving, sanitary
sewers, storm sewers, undergrounding of utilities, and
street lighting.
These covenants are imposed In lieu of Section 9-1106(6)
of Title IX of Ordinance 01626 of the City of Renton.
DURATION
These covenants shall run with the land and expire on
December 31, 2025, If at any time improveeients are
installed pursuant to these covenants, the portion of
the covenants pertaining to the specific installed ,mprove.
ments as required by the Ordinances of the City of Renton
shall terminate without necessity of further documentation.
Any violation or breach of these restrictive covenants may be
�•`' enforced by proper legal procedures 1n the Superior Court of King
County by either the City of Renton or any property owners adjoining
subject property who are adversely affected by said breach.
jt`.C4 • 7
,
STATE OF WASHINGTON)
COUNTY OF KING )
On th1S day of ] 19 , before me
personally appeared x. , u r 1, rc I T'i 'I
1 .
the person(s) who executed the within and foregoing instrument, and
acknowledged said instrument to be the free and voluntary act and
deed of said persons) for the uses and purposes therein mentioned,
IN WITNESS WHEREOF, I laVe hereunto set my hand and affixed my
Official seal the day and year first above written.
J . Y
Notary Public In and for the taee
Of Washington, resit at
EXHIBIT "A"
Lots 1, 2, 3 and 4, King County Short Plat Number 877132,
recorded under Recording Dumber 7808240800, said Short Plat
being described as folaows;
The North halt of the Southwest quarter of the Northwest quarter
of Section 15, Township 23 North, Range 5 East, W.M. , in King
County, Washington;
EXCEPT the West 30 feet thereof for 132nd Avenue Southeast;
1ND
EXCEPT the North 90 feet of the East 170 feet of the West 200
feet of said subdivision.
® PPOFESSIONAL MANAGFMENT OF
LAND PLANNING 6 OEVCLOPMENT
Subdivision Management Inc
1 1 vl.
�� �1111 RICRARD 1.S/MFFFR
]6!F067
SPEED LETTER
TO:'-�e�C � ¢c �^//I DATE: ,
c PROJECT: yam_
SUBJECT:
�2ornC�S
/e le-1- Z'A,;;e
a
TIMAL Put 0=1 LIST
FIAT BAKIt Fi.n e�Ar�_Ne rg
OAT&
COI L?= STATUS _
a s 71oalInspection
Completion of Ito" os
Punch List
load A Stars
Original Drawing-As Built
Easements
*iyr',Swer S. 3S'/
luck Ciz•dN iJn AGLEPlARl.6 s. cur Original Drawing-As Built
pK Easeaents
Bills of Sale
�y Cost Data
y 2 _ P llii[ow Vtar Water W_ 7.r6
iJiiD-� S•3.t-$ Alor AGCEA-74mAs _"8 'Atr Original Drwing-Am Built
1t.m7i •G�mKn�' Easemeate
Bills of Sale
Material Inventory
„„��,.,,z� Cost Data
��_-� Covenants And Deferrals
Maintenance land
Ass Paid
Letter of Acceptance
400 A Sao Sul* loductios
a1.f4l- a44UE L w �! crCtamE .ts- ate+ �•�l w. )
04,� w
SPEED LETTER
TO: DATE:
PROJECT:
SUBJECT:
(Siqned)
VI AGREENENf
(DEVELOPER INSTALLED STUIS)
A developer will be granted a credit of 60% of the current 3/4" water service cost
for Installing the stub portion of the water %service when he makes a water &pollce-
tion. This credit is based on a portion of Ordinance 03OS6, City of Renton,
Washington, which amends Chapter 2 of Title III (Departments) of Ordinance 01628
entitled "Code of General Ordinances of the City of Renton" pertaining to the Water
Department, relating to charges, Installations, fees and procedures.
Section 3-206, Subsection (f) as amended:
(F) Yhandvsr it is doomed prudent, in case cf a new development
of subdi"on, to install the service from the main to the
pn)porty Iine, hwvinafter referred to as "stub service"
prior to oomplstion of street c,nstrwnion, the City wi.I
provide suoh serviow for sirty ,rent (80f) of the than
current installation cost for eu h servics. At such times
that motor installation is rsquestsd, the remaining balanoe
of the then current rate shall be ooilooted and paid for by
such developer or aub-divider.
It is agreed by Hick Homes, Developer of Farnwood North
and, THE CITY Of RENTON. that at the time of water mater installation the
difference between the stub service charge or credit and the service charge then Ir
effect when the meter is installed (as ostabl shed by City Council) will have to be
paid. This agreement Is for the following Isgally described property:
Date
Sheet la of �_
W. 756
STUB SERVICE AGREEMENT
DEVELOPER INSTALLED STUBS
(INFORMATION SHEET)
Has the plat or total property participated in a system development charge "Tap
Fee" (Section 3.241 Subparagraph F),
If Yes, how such? ✓Vies 520,400.00 No
Mork Order a 4381 Date Issued May 22, 1984
Is the meter fee being paid for mow?
YES ND,,-
If "Yes", how much?
The Stub Service Credit per lot is 60t of $400 is $240 credit for 68 lots
The following is a list of lots that the stub service has been installed by the
Developer of Fermwod North/Nick Homes
FERNMOOD NORTH
Lot Legal Service Lot Square Lot
Description Order a Footaae Address
Lot 1
' Existing Meter 106 Union Ave. N.E.
2 cor. 00802 r118 "
101 N.E. !St. Place
3 00803 112 Union Ave. N.E.
4 00804 109 Union Court N.E.
5 00805 108 "
6 00806 114 "
7 cor. C0807 20 Union Court N.E.
4109 N.E. 1st. Place
8 00808 4203 N.E. 1st. Place
123 Vashon Court N.E.
Sheet 1 of 4
M 756
STUB SERVICE AGREEMENT CONT.
(INFORAMON SNEFI)
LOT LEGAL SERI'ICL L07 SQUARE LOT
DESCRIPTION ORDLk 0 'FOOTAGE ADDRESS
BLK f LOT
9 00809 117 Vashon Court N.E.
10 00810 111 Vashon Court N.E.
11 00811 110 Vashon Court N.E.
12 008 2 116 Vashon Court N.E.
13 00813 122 Vashon Court N.E.
14 car. 00814 128 Vashon Court N.E.
4209 N.E. 1st. Place
15 00815 4215 N.E. 1st. Place
16 cor. 00816 3301 N.E. lst. Place
1125 Anacortes Court N.E.
17 00817 119 Anacortes Court N.E.
18 00818 113 Anacortes Court N.E.
19 00819 107 Anacortes Court N.E.
20 00820 106 Anacortes Court N E.
21 00821 112 Anacortes Court N.E.
22 cor. 00822 1118 Anacortes Court N.E.
14311 N.E. 1st. Place
23 00823 4317 N.E. 1st. Place
24 cor. 00824 I4403 N.E. 1st. Place
105 Bremerton Place N.E.
25 00825 101 Bremerton Place N.E.
26 00826 106 Bremerton Place N.E.
27 00827 110 Bremerton Place N.E.
28 00828 116 Bremerton Place N.E.
29 00829 150 Bremerton Place N.E.
30 00830 156 Bremerton Place N.E.
31 00831 170 Bremerton Place N.E.
32 00832 185 Bremerton Place N.E.
33 00833 179 Bremerton Place N.E.
34 00834 173 Bremerto.i Place N.E.
Sheet 2 Of 4
N- 756
STUB SERVICE AGREEMENT CONT.
(INFORMATION SMELT)
LOT LEGAL SERVICE LOT SQUAPE LOT
DESCRIPTION ORDER I FOOTAGE ADDRESS
BLK I LOT I
35 00835 169 Bremerton Place N.E.
36 00836 165 Bremerton Place N.E.
37 00837 161 Bremerton Place N.E.
38 00838 157 Bremerton Place N.E.
39 00839 151 Bremerton Place N.E.
40 00840 Ill Bremerton Place N.E.
41 00841 4314 N.E. lit. Place
42 00842 4308 N.E. 1st. Place
43 cor. 00843 '4302 N.E. 1st. Place
',152 Whitman Court N.E.
44 00844 156 Whitman Court N.E.
45 00845 164 Whitman Court N.E.
46 00846 170 Whitman Court N.E.
47 00847 176 Whitman Court N.E.
48 00848 179 Whitman Court N.E.
49 00849 173 Whitman Court N.E.
50 00850 167 Whitman Court N.E.
51 00851 161 Whitman Court N.E.
52 cor. 00852 I155 Whitman Court N.E.
L4216 N.E. 1st. Place
53 cor. 00853 F4210 N.E. 1st. Place
L154 Vashon Place N.E.
54 00854 160 Vashon Place N.E.
55 00855 166 Vashon Place N.E.
56 D0856 172 Vashon Place N.E.
57 00857 178 Vashon Place N.E.
58 00858 183 Vashon Place N.E.
59 00859 177 Vashon Place N.E.
60 00860 171 Vashon Place N.E.
61 00861 165 Vashon Place N.E.
Sheet 3 of 4
r
M 756
STUB SERVICE AGREEMENT CONT.
(INFORMATION SHEET)
LIT LEGAL SERVICE LOT SQUARE LOT
DESCRIPTION ORDER M FOOTAGE ADDRESS
SLK a LOT
('. 0OB62 159 Vashon Place N.E.
63 cor. 00863 "153 Vashon Place N.E.
_4202 N.E. 1st. Place
64 00864 411E N.E. 1st. Place
65 00865 4112 N.E. 1st. Place
66 00866 4106 N.E. 1st. Place
67 cor. 00867 �4100 N.E. 1st. Place
j 66 Union Avenue N.E.
68 00868 174 Union Avenue N.E.
69 00869 176 Union Avenue N.E.
70 Exis,ing Meter 180 Ilnion Avenue N.E.
Sheet 4 of 4
OF RF
ZPUBLIC WORKS DEPARTMENT
DESIGN/UTILITY ENGINEERING 9 235-2631
R MUNICIPAL BUILDING 100 MILL AVE.90. RENTON,WASH,98055
b'
rEO SEPISP
BARBARA Y. SHINPOCH May 24, 1984
MAYOR
MEMORANDUM
TO: Ted Bennett, Finance Dept.
FROM: Ron Olsen, Utility Engineering
SUBJECT: Over payment of Special Utility Connection Charqe
for water under Permit 05693 to Wich Homes/Fernwo,d North
W-756
Please perpare a warrent payable to Wick Homes in the amount of $600 a; a
reimbursement for an over charge under Permit 05693 (cop) attached) for
the Special Utility Connection Charge for water.
The Special Utility Connection Charge should have been based on 68 lots x
$300 ea. at$20,400 instead of 70 lots x $300 ea. at $21,000.
The account number for the Special Utility Connection Charge for water is
128/343.79.19. Thank you.
Ron Olsen
:ckd
Attachment
SPEED LETTER
TO: F" uATE:
PROJECT:
SUBJECT: 6WM
S — 3S`I 7 says
OlUO1NeL-S _
IA60Jd 2o6Cuco 04r To
96003
12
c
CITY OF RENTON WATER DEPARTMENT
Pressure Test 6 Purification Test Form
PROJECT N0,JEV(/ —7�
NAME OF PROJECT�_
PRESSURE TEST TAKEN gy C r
AT A P C 1 � 7 7__ _
PRESSURE OF ON `—i '�—=
FOR —"—
TEST ACCEPTED ON 4 '� Q `.%7 MIN,
PURIFICATION TEST TAKEN RY_
ON
PURIFICATION TEST RESULTS, �_
SAMPLE II
SAMPLE 02
SAMPLE s3
REMARKS:�,�/�
NOTICE OF NEW FIRE HYDRANT IN-SERVICE
/C
MY41E OF DEVELOPMENT
ADDRESS
INSTALLATION CONTRACTOk
WATER PROTECT NO.
M"ER OF HYDRANTS
HYDRANT LOCATIONS
(FOR FIRE DEPT. USE ONLY)
I�. ;', ;..A' • HYDRANT NO.
3.
4.
S.
6.
INSPECTOR
WATER AND SEWER PROJECTS
PRESENTLY UNDER CONSTRUCTION
IN
THE CITY OF RENTON
WATER PROJECT f W-756 SEIT:R PROJECT R_�-I;q DATE March 5. 1984
WATER PROJECT TITLE Plat of Fern`aood North
PROJECT LOCATION Union Ave, G Ist Place N.E.
DEVELOPER Wick Homes;ReP. Subdivision Management
ADDRESS 16031 119th Place, N.E., Bothell , WA 98011
PHONE 488-1111
EMERGENCY
PHONE 488-1111
CONTRACTOR Land Construction
ADDRESS Woodinville
PHONE 481-1300
EMERGENCY
PHONE 488-4963
FOREMAN Bob Sticks
PHONE _
EMERGENCY
PHONE 488-4963
City of Penton Inspector Elmer Shaver _
Other Inspector __
r PRECONSTRUCTION CONFERENCE
PROJECT.• Fernwood North DATE: March 5, 1984
ADDRESS/LOCATION: Union Ave N.E.
PROJECT f PERMIT I WORK ORDER I
• ♦ f f w f I f f w f w w ♦ r r f f f f f f f f f f f f f f f f f f r f f f f
THOSE IN ATTENDANCE
NAME COMPANY PHONE
Don Monaghan City of Renton Engineering 235-2631
George Morman Group W Cable 433-3420
Mike Bunce
Cal Goddard Stepan E. Associates 682-4771
Charlie Bold Land Construction 481-II11
Abdoul Gafour City of Renton Engineering 235-2631
Rick Kokko City of Renton 255 -2641
Elmer Shaver City of Renton Engineering 235-2631
Cliff Bates City of Renton Street Dept. 275-2641
Gary Morrison City of Renton Sewer Dept. 235-2641
n......I nip.,. City of Renton -Utility Engineering 235-2631
Richard L. Shaffer Subdivision Management 481-1111
Jim Gray Fire Department 235-2642
Tom Binoaman Renton Police Department 235-2600
Willie Abadilla Washington Natural Gas Co. Ext. 251
AUTHORIZATION Of SPECIAL BILLING
DATE:
PROJECT NAME:
PROJECT NUMBER:
WORK ORDER NO.: Ti�
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:
BILLING0 BE IT TO:
Name:fh
Address Ak�4/
��.e,�N
City:-.ti�'1rJ2Y',&, c. SLatev— [:C.
ALten: .iWiyG
Phone No.:
i �J
A y f . `/
lSwner,'eve oilefr, ont ctor or
Authorized Agent
J*
PyBL1C WORKS DEPARTMENT
BUILDING DIVISION
CITY OF RENTON. WASHINGTON
APPLICATION ONLY - UNTIL VALIDATED PERMIT
HIs�ERf�SE,y 3
owner Location of Nock
Address ,� sf S .ne
Ad L
e/ d %
INSPECTIONS FEES
CONSTRUCTION side se~
Store Sever
PERMIT Right-of-Nay Construction
Water System Dee, Feaa �i C
(Public Right-of-Way) ,Water Latecomer Feaa .Oil
Water Inap./Approval t'see S'14, i7
sever System Dee. Foos ,y Qom' �C
.; •< satyr Latecomer roe//��F__`'-~.� Z—
Date Issued sever Inap./ApprovInsp, Foot
Right-of-Way IMP. Feu
ipeclal Deposit
33Xpiratlon Date _~ TOTAL FEE -
�rt
Description of Work
and Number of Feet � 1� ti�i.. .I-f f n, r"'r r�'ai •,"/�S .r-�-",'
--z�5 r" ''
Contractor BusiMss
License
Address of y Bond
To1/{phgne
IT IS UNDERSTOOD RUT THE CITY OF RENYTON SMALL BE HELD HARMLESS OF ANY AMID ALL
LIABILITY, DAMAGE OR INJURY ARISING PROM 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 13S-I631 FOR INSPECTION. /I
Call batvaon 8 AM and 9 AN for APPLICANT .,�4t//
inspection in eftenmoni call
before lI Moon the day before �{
for inspection In morning. PUELIC MORES DIUCTOR
Ere VY TIM FOR INSPECTION.
CALL 235-2630 for street signs
and ItektiRt. L
SPEED LETTER
TO: FILE DATE:
PROJECT: 7 7
SUBJECT: �i (�NIl7S - IJ1K�6O
7 salS
W - 5CD 2 sd�s
,
RP+1�b QlIhCKG♦7 OyT � '
1
L9003
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' � lL/g7lflLgG4 � D7J�a�1G�r?O�IIGRllL
Y
STEPAN i ASSOC IATES, Inc
930 South 33EIn 31nN
FaEarai Way,Waanm91on 9l003
.`cw...t 927.78SO 6624771 •"�T'a+
To .a FERAJLjccp
GIT± OF V'ENTOAj
U711-I T4 EN&WECAJAJ& -----.__��
WE ARE SENDING vw: [�ANppn.d �❑/Spoil/eelion!
❑ C"y O/ 41 Nr ❑ A*v* Ly7 R'OM ,p�^. C//Ory. Pad., ❑ F-Woo.,
uo.,n e.n .a � O.waa,prJ
9 s Tc
THESE AMC TRANSMITTED, O! cn.casd
❑ Far ODprova ❑ ADD•ay.d o! wbC &NO f[]R..uO.nJ/—__coDb! /ar agorora'
FOr YaW u!. ❑ AD lvd m nD Iod ❑ a^yDnU/ tOR,yH b• db,rib¢,On
❑ A! •. Vlled ❑ R./urn.d br C rr.C,/Gn. ❑R.r✓n,—Oyr.d/.d p.n/.
FOr vlo.. and oampnJ❑__._ _.—
O FO BIOS DUE 17_LJ PRINTS PWruRNED ALTER LOAN To us
AEAIARKE__ ._.__
�.. oz1c.+ILALc
Co"
v l.c�o�..w o•. eer a nor.++..rr.enry n a an
PUBLIC WORKS i
BUILDING DIVISION
CITY OF RENTON, bASHINGTON
APPLICATION ONLY-UNTIL VALIDATED HUMBB6P-S6?
DNte" location of Work
INSPECTION I i FEES
CONSTRUCTION Side saw"
store sever
PERMIT Right-cf-Way construction
Water system Dee. Fw
(lublic Bight-of-way) IWater Latecomer teem 7c•n ct�
!!Water Insp./Approval Fees .9w., ,S
* Sever System Dev. Fees 2� OOt^.00
r I Sever Latecomer Fu//,���'K• C. Al
4b 2 cued I Sever Imp./Appep. Fees 2 i
' (Right-of-May Inap. Fen + ' -•
special Deposit CC hDizat ion Date ITO.LL FEE 7•*�C'�,C'�l
■
Description of Work
am NlaDer of rest �r`.157A
fewBusiness
w License
Bond
IT IS UNDERSTOOD THAT THE CITY OF RENTON SHALL BE HELD HARMLESS OF ANY AND ALL
LIABILITY, DAMAGA OR IM3URY ARISING FROM THE PERFORMANCE OF SAID WORT(.
ANY WORK PERFORMED WITHIN THE RIGHT-OF-MAY OR ON SEWER M N MUST BE DONE BY A
LICENSED, BOKXP CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING.
7e1 FOR IWSPECTION. ^,/
1 Wtv"Atveea i AM and 9 AN for APPLICANT X
spactico to afternoon, call
tote 13 Noon the day belgrs
inspection in morning. - PUBLIC WORKS DIRECTOR
'SET TIME FOR INW5=104.
M-2610 for a set eiln
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ENDING
OF FILE