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HomeMy WebLinkAboutWTR2700783 reenitiood Memorial. Perk :Mortuary W--783 BEGINNING OF FILE FILE TITLE �e,e 4t yae���W� �y.����y,. y{i nM)IaRE■MN'i<a 4'.SITY W r� PAW TO kwm a CIOW raaMlxat OM<,nJ wv-s1 'pled Inr R.cord at Rapuam of y.. w CAIN--_ «rs3.00 R R BILL OF SALE ~" ` Ina, KNOW ALL MEN BY THESE PRESENTS That 1\r ,. .. I in,. m of Renton County of 6, Sure of W'auiyra,tlw lsaaty r tha firm pan for and a toned<nilna of the rum of ;,.r n.. _-_-_____-________ Doh ors urlul tiinney of 14 United States of America,to ED had pa4 hpthe Coy of Renton the party of the wood pan, the receipt Thereof u benoy ecknorledged, do's by that prexent, grant borgaia, Oil and dmlive' veto the aid put of the serund pan,the following t1mriLrd pnYosl property nor Wasted at 350 Monroe Ave. N.E. In the City of Rv;aon ,County of K,. and State of Washuflton, lore Approximately eight I.I. of 8' durtile iron pipe, and all one fire hydrant assembiie including gate valves, and all appurtenances pertaining to said watermam, expressly warranting said watermam against any expenses, ,osts or liens hereto incurred thereon by through or under seller herein. TO HAYS AND TO HOLD the same to the rid part, of use second p:rt,its ben, esecutors admmatrators and aYIga1 forcer And raid pane of the first pan, for its rein. exavvtoes,adminutnton, covenant and spree to and with the rid -art v of th second pact, its executors, administration and attlpif, that Yid pant of the drat part , oo,On , of the and property,goods and chisneb and has flood riabt and full authority to sell tb< mine and dbat its ,ili Comm and defend the ale benby made unto the Yid pan, of the Keond pan, . msruun, administrators and augm,against all and every pervm or person, rbomsoe et. is.luily dwoing or to Chaim the mast, IN WIIN ESS WHEREnF,The Yid pan, of the n has hereunto art buid and xW des day of LjL—(out) (ans.) —_$71T7: vi WASHINGI'ON, (UAL) Y County of On 1W day pertmally apparod before me to ar ►nowt to be the individual draibod in Lod wtw awuted the snth.-. Lod twegouy instrumend aid acknowledged that signed the same Y free, and .-.Junury an and deed fur the uses Lod purpose therein mentioned. GIVEN undo my►sad and amdal IW this day of r N:=,:w it and Iw W Sew a/ udagsm, r UTILITIES 01 E A S E M E N T THIS INSTRUMENT, made this-d—day of LLMN 19�[ Dy�� Jand between _and 4Lku,el a uNS yll t and 1 E 1VAs and and hereinafter called "Grantor(s)", and the CITY OF RENTON, a Municipal Corporation of King e4 County, Washington, hereinafter called "Grantee". Oa a WITNESSETN: NThat sold Grantor(s) , for and In consideration of the sum of $de�_ __ g aid by Grantee, and o6er valuable conslrat on, ' Y these presents, grant, bargain, sell , convey, and warrant unto the said Grantee, Its successors and assigns, an easement for public utilities (Including water and sewer) with necessary appurtenances over, through, across and upon the following described property In King County, Washington, more particularly described as follows: An easement over the West 10 feet of the South 15 feet of thr. North 245 feet of Tract A, Greenwood Cemetery as recorded in Volume 22 of Flats, page 35, Records of King County, Washington. ou-491 E 4.C", ao FILED for Record at Request of 14MNIIR J w IIErI.1 Said heretofore mentioned grantee, its successors or assigns, shall have the right, without prior notice or proceeding at law, at such times as may be necessary to enter upon said above described prope- y for the purpose of construct- ing, maintaining, repairing, altering or reconstr .ing said utilities, or making any connections therewith, without incurring any legal obligations or liability therefore, provided, that such construction, maintaining, repairing, altering or reconstruction of said utilities shall be accomplished in such a manner that the private improvements existing in the right(s)-of-way shall not be disturbed or damaged, they will be replaced in as good a condition as they were immediately before the property was entered upon by the Grantee. The Grantor shall fully use and -njoy th4 aforedescribed rremises, including ^ the right to retain the right to us the surface of said right-of-way If such use .�j. does not interfere with installation and maintenance of the utilities. However. O the grantor shall not erect buildings or structures over, ender or across the etV right-of-way during the existence of such utilities. O This easement, shall be a covenant running with the land and shall be binding q, on the Grantor, his successors, heirs and assigns. Grantors covenant that they a e the lawful owners of the above properties a ttat they have a good and lawful r t to execute this agreement. �Vcc and DAA t e-Y and and and CORPORATE FORM: STATE OF 1AJ oshinaton ) SS COUNTY OF Klnn ) On this Il�th day of D mm _ 19 8e before me, the undersigned, a Notary Puhl1�an7 for the tate5 of �'k; tw � duly commissioned and sworn personally appeared Dniel E. Ho1,, ana tc me known to be thr Nv ,;d..,,t and respectively, Of the corporation that executed the fore- going Instrument, and acknowledged-- the said instrument to be the free and voluntary act and deed of Said corporation, for the uses and purposes therein mentioned, and on oath stated that authorized to execute the said it, trument and that the seal affixed is t e corporate orporate seal of said corporation. WITNESS my hand and official seal hereto affixed the day and year in this certificate above written. ar i nland for the SLate o residing at f' .. .�, w�. OF RtM o PUBLIC WORKS DEPARTMENT DESIGN/UTILITY ENGINEERING 0 235.2631 LR MUNICIPAL BUILDING 200 MILL AVE.SO. RENTON.VIASN.ee06S e P lep ST r.E� BARBARA Y. SHINPOCH MAVOR July 24, 1985 Greenwood Memorial Park 3401 - N.E. 4th Street Renton, MA, 98056 SUBJECT: 2' IRRIGATION METER W-783 Dear Sirs: Per Section 3-205 of the Renton Municipal Code, the owners of the premises to be supplied with a water meter shall file an application at the office Of the Utility Engineer and shall pay the cost in full for such an instal- lation. It has come to my attention that a non-approved irrigation meter was set by your contractor sometime in January 1985, for the new Greenwood New ial Park, and has been in use since that date. Please be informed that you are accountable for said water consumption from January 1985 to present. Representatives from the Memorial Park have indicated they will be in to make meter application and pay a deposit of $800.00 to have the City in- stall a 2" irrigation meter, but so far no one has come to apply. If we do not here from you within thirty (30) days from the date of this letter we will be forced to take further action against you for the vio- lation of City Code. CO truly yours, nald L. Olsen Utility Engineer ANH: cc cc: file N-183 Utility Billing - E. Sumpter Water Shop - R. Sled r Q (ITT Of MOTOR L. OTILITY [NCIRf[RIN[ No. • • 100 AILL A[tllOt SOUTH ---- 2 At WON. NA SApSS PHONE 21S'7511 ORDER FOR WATEk SERVICE INSTALLATION AccWnt w. meter Cb,q• Week Orhr MD i`Y S/aC. L•[q StW Mrvl» CMIt Se+, wrr.t Y— fu.drT Sole w. svvet Da»I, t Cwrp <. I. Clty rnd%O l/a�te-CIpta's ItltYl 4 — O. sew, Tot w% ( --y C --I.Aeka..t7tcc�. Water use"! Mgl.lentlsl 0 C.,clai Y I.P at Aal O TOTAL Fit Ottw fr INSTALLATION: weer $1» 1 LLtC si» se,a<t Trnpaw"y NYdrem Hour, ..t 0NDy Note, wk• SaNata E.e t meta, Yet We0 Hotel Nq. Eire P,otectlea S.eYlu Toot 0 mo,[3� Sob b,Ataljed 3 Aea.et. L —Y .lfi. t.F7icu .. vnt pe•If It /ICd d• ta ` D.tcrlDl, i` lC. -tr t / ye . E eu t r • It Lt,E com CONNtCTloN CONTROL- SerNlo, hollclie. SoH<e RpNIeN Ye,Wit, if Yet. I," of Owco, Reduced Pre+tu r. s.<kflo. Of.it.0 0.01, CA11k Net" a....61,[, At, e. hq.e,e V. M.lk., Hok.of »rice Noael S.,1.1 me Slee Dole price 1.4.1lod Ho tar No FIT. No. 0.n.,*, Nete �It��rr�{ f1I1(.4LI4rr4(e- -11. fTen' Addre.. `1,� �-4 [.t{�.0 R^1L.�}�(<y Clt C.4&A, Title _I? It. , elv""IJ U Co„lratla, fL ��J.[Ae ,t1 l/.tJtltl SLL i,\ Moe. 7.1 to C.7J ANreat �j�tLl - t hYEE ;� I' ( Citr ,L 1,4IF su»l 11,A. tip L!'• At" Se,Hd by Rka On were, [� Seattle were, sgtile eagle, Iwo We Ta^p+grr S111il. w,e.rN.t ve. w W if Yet. wraano.t Ra»rdl.q No. �etT �ttlu�.7eE- 611.1ca to be, tocalatl e. or, feaen.ol Per[] w[e 11 Y•t, Eatewent eacsrdily Np. �•l ,// agfo. /- p� E1 Tmeq a. tots,I.q Stub Sou4e Yn(3 w[r to Yet. Hot., PYDIt<t ft. M ! �t J E.lal.q tawt•Mn Ayt...i rof Q NOV II Vt.. cyreeHont We. Ll qq ZZ I. Fare, M ANY•tt CIt, State tip Cm," S Bitten D"witHI.e.t tea »S GrNo0 If vet, %rhea M"Item N.t Rea "led an taeare feat •'E V•.O[et I0NE0 SMCRIRTR ■TIIOf STS THE CITY bf RENTINR TO S'..", NA AT THE PAENISES NOTED N[gON -ND ea"HISE5 ID PWRCHASE THE WATER AND PAY THE CITY Of PENTON THEREFORE IN AC[ORDA`1CT WITH THE CITY OF Rl rtON'S SCHEOTBE Of tAtFS VI jNALL iRp1 TIME TO T1.! PE IEOALLv IN EFPltT FOR THE P\rlPOSE TOR WIC"teat WATER IS To St USED NOTED HENF.ON. PRO TO [O#ORN TO AND ASIDE SY THt CITY Of RENTON'S ROLTS AND REDOLATIt1NS IN FORCE, RELATING TO THE PLACTMSC 00 SALE OF WATERS THIS IS IN ACCOkOANCt WITH CITY Or RENTON CODE, CHAPTER t, SECTIOV -E01, t will ' Wtllttt still" /) r.11p, I.11NearIM [ � /� .( Flwk - W.it, twp VtE � poltl - water e. n.�n.� f� axtu ,I d�C tt BUILDING & ZONING DEPARTMENT PRE-OCCUPANCY INSPECTION REPORT DATE MICH 29, 1905 TO: DESIGN ENGINEERING DIVISION OBULD94G FINAL � aUTILITY ENGINEERING DIVISION 1n�FIRE DEPARTMENT ❑TRAFFIC ENGINEERING DIVISION " ❑LANDSCAPE/PARKING FROM: BULDING 6 ZONING DEPARTMENT c LJ SUBJECT: UREERIDOD I�DKIUARY (Ai 7 P PERMIT NO. B-10503 3401 N.F. 4th ST. TYPE BUSINESS The subject project is nearing completion. Please Investigate your am of responsibility and Indicate below either your acceptance or corrections necessary by Nail 5, 1985 In order that a Certllcate „1 Occupancy may be Issued. I no comments are received by the above date, the Certificate will be issued. TO: BULDING 6 ZON94G DEPARTMENT DATE FROM: 1(e�It f u.//� This project is approved by this dpa4ment wtbleet to the foMowing corrections: _1 DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY? ❑YES NO Authonted 51gnatur. iJ PDpy 1 1'0 t� 1a1 BUILDING & ZONING DEPARTMENT PRE-OCCUPANCY INSPECTION REPORT DATE .,'- H 13, I°I+' _ TO: ©DESIGN ENGINEERING DIVISION BUILDING FINAL UTILITY ENGINEERING DIVISION ❑FIRE DEPARTMENT TRAFFIC ENGINEERING OMSION ❑LANDSCAPE/PARKING FROM: BUILDING 6 ZONING DEPARTMENT SUBJECT: GREENWOOD MORTUARY PERMIT NO. 11'10503 3401 N.E. 4th St. TYPE BUSINESS MOMMARY The subject project Is nearing completion. Please investigate your area of responsIb"Ity and indicate below either ypur acceptance or corrections necessary by W1RCH '0. 1905 In order that a Cerllhcate of Occupancy may be Issued. ( no comments are received by the above dale, the �erllficate will be Issued. TO: i3U1LDING 6 ZON114G DEPARTMENT DATE FROM: AI>Wklk Cafvua - Car(slala 14 IAtflrlpA This project is approved by this department subject to the following corrections: I. 12fmwt 4 IZEfu(t. pottl4N of ')10rWA1K nN %ONR.t. AOL N ( . lU'anN LOAS UNOLQMINfh A4 mA1fQ LINE in f1eL NYbQANT. a .'AY MORA LING 10 'Alta (bAuN Z ' RfpMR aa(ri"GWU D(V1(k IN U11L114 001E1 IN:Ibf AUILnINu - ti(NG0111L fuQ A N(W 1W Win R(PAiR9, 1AU, Ulmm E464 IT( IN1pk CfIN Af SLISI.IiAOk. AM(k h(alelNb NhJ 41rik WiI.W. DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCL!PANCYT p�' ®YES El NO f1'nP 0( b t Authoriz Signature BUILDING a Z0NIh3 DEPARTMENT PREOCCUPANCY INSPECTION REPORT DATE MARCH 13, 1985 TO: DESIGN ENGINEERING DIVISION BUILDING FINAL UrILITY ENGINEERING DIVISION FIRE DEPARTMENT TRAFFIC ENGINEERING DIVISION ❑LANDSCAPE/PARKING FROM: BUILDING 6 ZONING DEPARTMENT SUBJECT: GREENWOOD MORTUARY PERMIT NO. R-10503 3401 N.E. 4th St. TYPE BUSINESS MOR711ARY The subject project Is nearing completion. Please investigate your area of responsibility and Indicate below either your acceptance or corrections necessary by MARCH 20. 19115 in .rder that a Certificate of Occupancy inay be Issued, 9 no comments are received by the above data, the Certificate will be Issued. TO: BUILDING 6 ZONING DEPARTMENT DATE 3/22/ic5 FROM: h44D(rIL 6111foua - Cewsle M%n%a IAsffrmA. This project is approved by this department subject to the following corrections: 1. RetROVt a RLfWL lbolsN al blbtc:AtK 3t4 11dNQ.L Au! Nt. Wdwe WAS UNOsttllllto AV WhAtQ L1N4 it, ftec a-tife NT a t1Y susta L1Ar. to (AlcA p,Af 2 • RtO�IA BA(tttew DEeut IN u1H.114 C1oSe1 EUILt k0& - S(eetrue. fat A Ntsu 1W Aet[d QtfA1Re. (,AIL u1uA" f: IL iEL IIL51140 cis nt Wief b Aliff4f, 106116 AIW 41%LuaAut DO YOU HAVE ANY OBJECTION TO ISSUANCE Or TEMPORARY CERTIFICATE Of OCCUPANCY? ®YES NO Authoriz Slgnalure BUILDING i ZONING DEPARTMENT PRE-OCCUPANCY INSPECTION REPORT l DATE MARCH 13, 1`81, TO: DESIGN LNwNEERING DIVISION BUILDING FINAL UTILITY ENGINEERING DIVISION FIRE DEPARTMENT TRAFFIC ENGINEERING DIVISION ❑LANDSCAPE/PARKING FROM: BUILDING& ZONING DEPARTMENT SUBJECT: GREENWOOD MORTUARY PERMIT NO. B-1U503 3401 N.E. 4th St. TYPE BUSINESS MORTUARY i t t The subject project m nearing completion. Please investigate your area of responsibility and Indicate below tither your acceptance or corrections necessary by MARCH 20, 1titl5 in order that a Certificate of Occupancy may be Issued. C no comments are received by the above date, the Certificate will be Issued, TO: BULL.DING 6 ZONING DEPARTMENT DATE FROM: This project I approved by this depa ant Subject to the following corrections: j . Cdc" Z 40_zi fin, c; i� i DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY? YES ©NO re,tZs,,t It- Authorized Signature VATS OF waMMNTON GUNIA MEMT of MICIAL aM"ll"TN pIEYIOB WATER BACTER10100ICAL ANALYSIS SAMPLE COLECIIDN READ UIStR"I'DI S ON MCI 0 1WLDENROD COW 11 mabuctiorq an Not rollowg0.EarrlpM will DR raµUao. DATE COLLECTED NME COLLECTED COUNTY HAME T IN a. •AE.. :12. k�w4 1 � i 4M W TYPE OF;YBIEM IF PUI LIG SYSIEM.COMPLETE t ��� I.D.NO. O REV. 1 NAME BYBTEM � [ny of R�awFl ERLIFI LUGtgA fmtM UYNF EQIIliI SYSRMRYG�Mp1 MM MC RU AKKNO M.wIMlavti ..ura..,won / A .'7��1�I�YMRLE ARfMEEYR. CaY,Nr � R� Y SAMPLE GOILECfEO YY MMnR AWUL 6P WIL_ 11U'r IMS�tI�t SOURCE TYPE FACE C WELL 7 SPRING ❑PURCHASED S!COMNNATION ❑SURFACE I •M VAW" SEND REPORI T ENolt �jOMu W!q r lt 354s• NE IllST Ef ow N.ANworON g 8a Sb rYPf Ur LYRE 1 1.�DRINRrNO WATER ^❑ GmwnflaF IIMMUN.-�.rulu,�,f�Nl cnwaa R4HMM�► ,-1 flllan0 ❑ u,".utA U,OEW �. ❑ RaW SOURCE WAtER D•IgRJ NEW GONEtRUGTtON a REPMRS 4 OTHER APave,l COMPLETE If rAVS SAMPLE I$A CNBCK SAMPLE we vials I M ru fREV10US SAMPLE COILECI WN DATE REMARKS LMORATORY RESULTS PON LAa USE ON", MON COII.ORM STO PLATE COUNT SAMRd NOT RESTED BECAUSE MEN DILUTION' TEST UN3WTABLE n5A w Too,OW I.❑ Can"..m G...tn ❑ Not,.FrofMCo tb. } Y•COLHOIq II--tt TNiG � msullagnl InlwmAllon Pror,PW-Plqu RFq Irolruclwnf on iwm L:OIIF y-0 EFEaae pWlF :mN GT MF a. FSR 03woo MATIR MORES ONLY.THESE RESULTS ARE IC SATEVACTORY ❑UNSATISFACTORY SEE REKREE SIDE OF OMEN COPY FOR W LAUATION OF RESULT; WNO pAq MN aECErvED- RECEI40%, L1SI5 1 � t'S (/- yi!AIFMYl1) IAfN^PAtpRY :•s AM TEST INC.W.�' 4900 9tn Ave. N WATER SUPPLIER COPY SEATTLE.. WA 98101-3697, CITY OF RENTON WATER DEPARTMENT -1 Pressure Test d Purification Test Form PROJECT NO._ r Y \6w raCnntcm y 444q NAME OF PROJECT; 6Yfvm%uA '11xRipoeQ PRESSURE TEST TAKEN BY . A1ptl,gAA'a,�tsLl AT A PRESSURE OF j.00 _PSI, FOR S MINUTES TEST ACCEPTED OH 1/3/95 PURIFICATION TEST TAKEN BY ydwQ 6g.�au,/ ON PURIFICATION TEST RESULTS, SAMPLE pl CrC VII000lf CSw _ SAMPLE k2 SAMPLE ♦3 PRESSURE COMPLETE AND PURITY COMPLETE No connections to males or meter permits issued until abo>e box is checked by Inspector. REMARKS: No i►.k ai h��nr4 �wlPq h�A+`fE+esa2 %[ AM4Q _A(cr h ��otl ._ aSwm. �.�� ne a2A gat dnQee - NOTICE OF NEW FIRE HYDRANT IN-SERVICE NAME OF DEVELOPMENT ADDRESS INSTALLATION CONTRACTOR WATER PROJECT NO. NUVGER Cf HYDRANTS HYLLMT LOCATIONS (FOR FIRE DEPT. USE 011LY) HYDRANT NO. 1. 3. 0. 5. 6. INSPECTOR TO: CIT)' OF RENTON FROM: UTILITIES DIVISION 200 KILL AVE. S0. RENTON WA 98055 ATTENTION: ARLENE HAIGHT DATE: y / COST DATA AND INVENTORY SUBJECT: [ [rj�T//1[y1r Cy'�()((4+1 ��kCITY PROJECT HUMMERS: W- -IA-S S- NARE OF PROJECT (� Dear Ms. Haight: �O Per your request, the following informtton is furnished coaceminA costs for 7�1 iaproveaencs installed for the above referenced project. A1' WATER SYSTEM: Length Size Tyre L.F. OF - l " �_ WATERMAIN L.F. OF _" WATERMAIN L.F. OF WATF.RMAIN _ L.F. OF _" WATERMAIN EACH OF FIRE HYDRANT ASSEMBLIES —�— EACH OF GATE VALVES = EACH OF —_ GATE VALVES EACH OF CdTE VALVES Other: TOTAL COST FOR WATER SYSTEM S pC SANITARY SEWER SYSTEM: Length Size Type L.F. OF SEWER MAIN L.F. OF _' SEWER MAIN L.F. OF " —� SEWER MAIN EACH OF DIAMETER MANHOLES Other: TOTAL COST FOR SANITARY SEWER SYSTEM S_ STORM DRAINAGE SYSTEM: Length L.F. OF STORM LINE L.F. OF _" STORM LINE L.F. OF _" STORM LINE _ L.F. OF _ STORM LINE Other: TOTAL COST FOR STORM DRAINAGE SYSTEM B _ STREET IMPROVEKENTS: (Including Curb, Gutter, Sidevalk) TOTAL COST FOR STREET IMPROVEMENTS S ILLUMINATION: TOTAL COST FOR I 0 S Very truly you A E HAILv PROGRESS REPORT • Project Greenwood jebx& 5905.1_ Client of Renton www.r Du" 12/I1/19E4 Con Truckingtractor as". _ Plus PROGRESS: ltxravatine for retention :system. Plsling crushes; rack base and ■ix filter fabric walls. Started lal ne pipe. EQUIPMENT b PERSONNEL: REMARKS: AS5nCTATES INC Wistributson s All e.: White - Main Office Yellow - Field Office Pink - Inspector r ee ��eter City of Renton Engineering Department 235-2631 PRECONSTRUCTION CONFERENCE DATE: Tue, Dec. 11, 1984 ___ TIME: 11:00 a.m. PLACE: 4th Floor Conference Roan DEVELOPER / CONTRACTOR OR SUBCONTRACTOR / NAME OF PROJECT Name: Easy Trucking - Dennis Swartzenburger Phone: Project: "reenwood Memorial Park Proj. A: 'Water, Sanitary and Storm 3401 N.E. 4th St. f NAME OF APPOINTED INSPECTOR Abdoul Gafour Please check departments to be notified and specify person to attend. x Engineering Dept. x Fire Dept. _ x Police Dept. x Street Dept. x Traffic Dept. _ x Utilities Dept. x Water Shop Other Additional outside departments you may wish to notify. Department of Transportation x Pacific N.M. Bell Company x Puget Sound Powe- 8 Light Company x Group W Cable TV Company x Washington Natural Gas Company Other _�__ cm oP µgtiTUA pfiuvi ♦tl 6bb'fK �T[M W 11W55 4pn OAD48 go't D"T Ns, iifi®ttt: '�'' d ep•xiMat eiu: ritad to ba f tte fin You err, beraby +udra b t pamu: )) Cityi r' Tef aTanCed dcteation: wte* cork oa the above d mRtex Sal toz for timm an the r$81fn11oaa: prefect. The York to ds,ribed tralf yattf. WATER AND SEWER PROJECTS PRESENTLY UNDER CONSTRUCTION IN THE CITY OF RENTON WATER PROJECT M 7S3 SEVLR PROJECT �I_ _ DATEL2.-//-Pal WATER PROJECT TITLE `'_ ,�/t..e%�, .)J"j�.�D-..,(ntil_tI PROJECT LOCATION Y( ,E Y a-u..L-/'ICn C4cs-ti y( . DEVELOPER r ^` Y• Ip j1C ADDRESS �,+ - ,q( PHONE � [J- 7'',C. cr, �`ii `l 4 C'J ,4 EMERGENCY PHONE CONTRACTOR �!q a.y �'xvn�t N..�. - ✓t-"..L,.r...l.a yilc�i-•vyx 4 .pr A[t4l.C� ADDRESS .n C. .S F. ,..2/ C %) '.:;^f���i G �1 t I D C'.� •S' PHONE EMERGENCY PHONE POMERAN PHONE EMERGENCY PHONE V ; c• 's / City of Penton Tnaaector_- .�stG.,C ���• Other Insnecto[ ENDING OF FILE ILEnv y 4.0or l �