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HomeMy WebLinkAboutWTR2700862 W 862 Austin Co. BCS SW 16th 1 BEGINNING ' OF FILE FILE TITLE ;;zoo LLst I r? e�o des sw llo � Erl9ineey � n9 CITY OF RENTON , UTILiT, ENGINEERING ♦ • 200 MILL AVENUE SOUTH RENTON, WA 98055 PHONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account No. '�Se �/� Meter Charge $ Mork Order No. Less StuS Service Credit -- Sundry Sale No. Down Payment System De+elopment Charge In City Yes0 No O Late-Comers (City) On Sewer Yes 0 No�''! (Others) Water Usage: Residential Commercial lyQuatrial 0 TOTAL FEE S Other - _ --- INSTALLATION: "r Meter L:ze Size Service Temporary Hydrant Meter Yes a No 0 Meter Make Sewage Exempt Meter Yes 0 Na ❑ Meter No. Fire Protection bervice Yes Me Date Installed - Comment.: Service Address Legal Description , r r- — Stgnatme CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes Q No If Yes, Type of Device Reduced Pressure Backflow Device El Double Check Valve Assembly Q Air or Pressure Vac Breaker Make of Device Model Serlal No. Size Date Device Installed Meter No. File No. Owner's Name - Phone Address _ _ _ City State Zip `_- Contractor's Name Phone Address City `— State Zip _ Area Served by Renton Water 0 Seattle Water Seattle Water Code No. Temporary Service Agreement Yes No If Yes, Agreement Recording No. Service to be Located on an Easement Yes No If Yes, Easement Recording No. Is There an Existing Stub Service Yes D Moo If Yes, Water Project No. W- Existing Late-Comers Agreement Yes 0 No© If Yes, Agreement No. IC . In Favor of Address City _ ^_ State i Zip Charge S System Develorment Fee Yes 0 NOD If Yes, System Oevelnpment Fee Based on Square Feet THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPU WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHICH SMALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED NOTED HEREON, AND 10 CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULPT;ONS IN FORCE, RELATING TO THE PURCHASE AbO Sak OF WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SEf{PTOtI 7-203. -7Z7 If WA It* - Utility Bilking StqKatwte o en on Agent vate Yellow - Engineering a , Pink - Water Shop Gold - Customer City 06 eM on cuzutg Agent Date 1'C O CITY OF RENTON V UTILITY ENGINEERIM.: Ao, 't ♦ ♦ 200 MIL: AVENUE SOUTH RENTON, WA 90055 PHONE 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account NO. 2 5 - // - Meter Charge 5 _ Work Order No. <- Less Stub Service Credit _ Down Payment Sundry Sale No. - System Development Charge In City Yes O No Late-Comers (Cityl On Sewer Yes No (Others)O' - Water Usage: Residential Commercial Industrial TOTAL FEE $ Other I NS',4LLATION: e Meter Size /// Size Se:vice �_ ' Temporary Hydrant Meter Yes No Meter 0 Make 72'4 Sewage Exempt Meter Yes o No O Meter No. — _ Fire Protection Service Yes Q' No ❑ Date Installed_ _ Comments: Service Address Lecal De>.rlption • \i I' , ♦Q CRCSS CONNECTION CONTROL: Backflow Protection Device Required Yes No If Yes, Type of Device: Reduced Pressure Backflow Device LJ Double Check Valve Assembly Air or Pressure Vac Breaker Mdke of Device Model Serial No. Size Date Device Installed Meter No. File No. , Owner's Name - Phone Address City __ State :_ Zip Contractor's Name Phone _ Address City State Zip - Area Served by Renton Water [3 Seattle Water 0 Seattle Water Code No. Temporary Service Agreement Yes 0 No© If Yes, Agreement Recording No. Service to be Located on an Easement Yes Q No If Yes, Easement Recording No. Is There an Existing Stub Service Yes No If Yes, Water Project No. W- Existing Late-Comers Agreement Yes No Q !f Yes, Agreement No. °In favor of Address City State Zip Charge $ . l System Development Fee Yes [3 No 0 If Yes, System Development Fee Based on , -r i Square Feet THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHI',H SWILL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SA�E..05.-WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 5.20i�• Write - Utility Blllinq "A%L#e 0J URNVA Olt A#Me Yellow - Engineering Pink - Water Shop 'tit- I Gold - Customer —i— My oJ Renton Authotizing Agent � - ♦�Y 0� CITY OF RENTON �= UTILITY ENGINEERING p ^ ) l ♦ ♦ 200 MILL AVENUE SOUTH 1\0,__ RENTON, WA 98055 1' PHONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account No. Meter Charge S Work Order No. _ j�" Less Stub Service Credit Sundry Sale No, Down Payment System Development Charge In City Yes No Late-Comers (City) ' On Sewer Yes No Q (Others) Water Usage: Residential Commercial 13/industrlal DTOTAL FEE $�—__ Other yy- Meter Size - �/ ' Y 11rp INSTALLATION: �l . A.{.a.t1 � v Temporary Hydrant Meier Yes'o No 0, Size Service Meter Nake Sewage Exempt Meter Yes © NO ❑ Meter No. Fire Protection Service yy No 0 Cate Installed I • Service Address Legal Description CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes Q NO ❑ If Yes, Type of Device: Reduced Pressure Backflow Device 0 Double Check Valve Assembly Air or Pressure Vac Breaker Make of Device Model Serial No. Size Date Device Installed Meter No. File No. Owner's Name - Phone Address - e City " ' State zip Contractor's Name Phone Address City State _ zip Area Served by Renton Water Seattle Water D Seattle Water Code No. Temporary Service Agreement Yee D No If Yes, Agreement Recording No. Service to be Located on an Easement Yes D No If Yes, Easemenr Recording ro. Is There an Existing Stub Service Yes ❑ No D If Yes, Water Project No. W- Existing late-Comers Agreement Yes D No D If Yes, Agreement No. In Favor of Address City State Zip Charge S System Development Fee Yes O No 0 If Yes, System Development Fee Based on Square Feet THE UNDERSIGNED SUBSCRIBER REQUESTS THE CIT'f OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'$ SCHEDULE OF RATES WHICH SHALL FROM TIME TO T'ME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE By THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE, RELATI 'Tq THE PURCHASE ANQ,3ALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 1, Sit M 5� 2M I(ffi Whits - utility Billing Ain pR 9eDate yellow - Engineering Pink - Water Shop Gold - Customer y o Renton t `t.<z<rtg ert e CITY OF RENTON V UTILITY ENGINEERING 'NO r ♦ ♦ 200 Mitt AVENUE SOUTH RENTON, WA 98OS5 PHONE 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account No. ^L s.. ! �� Meter Charge $ T York Order No. Less Stub Service Credit - Sundry Sale No. Down Payment ---- System Development Charge In City Yes No Late-Comers (City) _ On Sewer Yes 0 No (Others) Water Usage: Residential Commercial Industrial TOTAL eEE S Other INSTALLATION: t Meter Size Size Service Temporary Hydrant Meter Yes 0 No Meter Make Sewage Exempt "eter Yes No LJ Meter No. Fire Protection Service Yes C1 No Q Date Installed COmner is: Service Address - '.-♦i11'r Legal Description ';,gndtuhe CROSS CDNNECTION CONTROL: Backflow Protection Device Required Yes No If Yes, Type of Device: Reduced Pressure Backflow Device 11 Double Check Valve Assembly 0 Air or Pressure Vac Breaker Make of Device Model Serial No, Size Date Device Installed Meter No. Pile No Owner's Name Phone Address _ - City State Zip Contractor's Name Phone ` Address City _ State 21p Area Served by Renton Water 0 Seattle Water Seattle Water Code No. _ Temporary Service Agreement yes No[3 If Yes, Agreement Recording No. Service to be Located on an Easement Yes 0 No 0 If Yes, Easement Recording No. Is There an Existing Stub Service Yes ❑ No 0 If Yes, Water Project No, W- Existing Late-C.nmers Agreement Yes No 0 If Yes, Agreement No. In Few of Address City State Zip Charge $_ System Development Fee Yes 0 No 0 If Yes, System Development Fee Based on Square Feet THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER RHO PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHICH SHALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION. 3-203_ J ' White - Utility Billing 34SMaMe 0 OAIneA as Agenta c Yellow - Engineering t Pink - Water Shop r Gold - Customer y o EA on AuthoUz,n.9 Agent Date I 1 Ilk 1 Cjz 60--,UL -. Woo 45, Date Device Instalied y Meter No. Owner's Name C�V't.r-vt Address Contractor's Name Address Area Served by Renton Water I J" �.�••�. ��-•-- h I OF RF i PUBLIC WORKS DEPARTMENT @"s o DESIGN/UTILITY ENGINEERING AD 235-2631 o � R MUNICIPAL BUILDING 200 MILL AVE. SO. RENTON,WASH.98055 9q �. O 94TF0 SEPt E�'9'�P T0: Auctin Cn. T • :11,1 /R7 JOB NO,; NO SW 16th St. RE Recorded Easement 1:-86. Renton, WA 98055 ATTN: GENTLEMEN:WE ARF SENDING YOU ?7 A-TACIED o UNDER SEPARATE COVER VIA THE FOLLOWING ITEMS: a SHOP DRAWINGS o PRINTS a REPROAXIBLE PLAMIS ❑ SPECIFICATIONS o COPY OF LETTER o COKES DATE NUMBER QESCRIPTION AND REMARKS � na.»t L_.8(:> 1`nr b.m.r rwr•nrr1.: THESE ARE TRANSMITTED AS CHECKED BELOW: a FOR APPROVAL o APPROVED AS SUBMITTED a RESUBMIT COPIES FOR APPROVAL 10 FOR YOUR USE o APPROVED AS NOTED O SUBMIT COPIES FOR DISTRIBUTION a AS REQUESTED o RETURNED FOR CORRECTIONS ❑ RETURN CORRECTED PRINTS a FOR REVIEW AND COMMENT o D PRINTS RET11I! D APIER LOAN TO US COPIES T0: SIGNED _ Arlene M. Haight TITLE Utility ..ng. neerIng IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT MM FEE"FFBECRrCM 87'0Z•"10 utS?5 r C.1(ON MURVALBBG. RE CD F 5.00 M kill AVE so, cGSHs� N:N:N:N:S.o0 kiNKWA83055 BILL OF SALE KNOW ALL MEN BY THESE PRESENTS, that Equity Valley II Venture, a Colorado general partnership of the City and County of Denver, State of Colorado, the party of the first part, for and Ln in consideration of the sum of One and no/100 Dollars lawful money of the United States of America, to it in hand paid by the City of Renton, Washington, the party of the second part , the w4 receipt whereof is hereby acknowledged, does by these presents, Q grant, bargain, sell aad deliver unto the said party of the second part, tYe fallowing described personal property now f'? located at 1601 Eas_ Valley Highway, in the City of Renton, nCounty of King and State of Washington, to-wit: approximately 870 linear feet of 10" ductile iron pipe, approximately 40 linear feet of 4" ductile iron pipe, approximately 60 linear feet of 3" ductile iron pipe, one fire hydrant assembly, and 7 grate valves, and all appurtenances thereto, as shown on the Water Main Plan and Details, Drawing W-862, Sheets 1 and 2 attached hereto as Exhibit A. TO HAVE AND TO HOLD the same to the said party of the second part, its heirs, executors, administrators and assigns forever. And said party of the first part, for its heirs, executors, administrators, covenants and agrees to and with try said party of the second part, its executors, administrators and assigns, that said .party of the first part is the owner of the said property, goods and chattels and has good right and full authority to sell the same, and that it will war -ant and defend the sale hereby made unto the said party of the s ^_ond part, its executors, administrators and assigns, against all and every person or persons, whomsoever , lawfully claiming or to claim the same, by, through, or under the party of the first part. IN WITNESS WHEREOF, the said party of the first part has hereunto set its hand and seal this � day of March, 1987. EQUITY VALLEY II VEN^.URE, a Colorado general partnership By: BetaWest Properties, Inc. , a Colorado corporation, as general partner �- IJ By: X. 4ce President STATIL OF_ .CoLoRADO ) 4 r G�l ) Ss. CITY AND COUNTY OF DENVER ) On this day personally appeared before me to me known to be the individual described in an w o executed the within and foregoing instrument and acknowledged that he signed the same as his free and voluntary act and deed, for the uses and purposes therein mentioned. 1987.Given under my hand and official seal this J�L- day of March, My commission expires: //- 1/- 90 !} J*otary Publc n or t o State of Colorado BILLSALE W-%z UTILITIES /1 EASEMENT THIS INSTRUMENT, made this 8thday of July 19,�_; by and between NORTHWEST COMMERCIAL REAL ll100t2 FSTATF COMPANY >l laYtll *Nd hereinafter called "Grantor(s)", and the CITY OF RENTON, a Municipal Corporation of King County, Washington, hereinafter called "Grantee". WITNESSETH; That said G►antor(%) . for and In consideration of the sum of $ 1 .0() (One and no/100 f)nllars) paid by Grantee, and other valuable consideration. 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; WATER LINE EASEMENT DESCRIPTION The South 32 feet of Lot 4 (EXCEPT the South 10 feet thereof n1� The West 10 feet of the East 15 feet of the South 190.24 feet of Lot 4� R: n: The South 52 feet of the east 70 feet of the West 350 feet of Lot 4 L (EXCEPT the South 32 feet thereof) ; .r i CThe East 15 feet of the West 25 feet of the North 40 feet of the v, n South 135 feet of Lot 4 ; s The East 15 feet of the West 25 feet of the North 15 feet of the South —.j -c 330 feet of Lot 4; Lot 4 being a part of Valley Office & InddstrialPark Subdivision No. 2, according to the Short Plat Survey Recorded under Kfng County Recording No. 8507169002; AND The West 10 feet of the East 20 feet of that portion of Lots 8, 9 and 10 in vacated Block 19 of C.D. Hillman' s Earlington Garden Addition to the City of Seattle, Division No. 1 , as per Plat Recorded in Volume 17 of Plats, Page 74, Records of King County, lying West of the East Valley Frontage Road, as conveyed to the State of Washington by deed recorded under Recording No. 5442597; Situate in the City of Renton, County of King, State of Washington IL,-j I i(t�DRD �i 1��(lb�di ,'rf v'If"IF 1MFC"cm 87/07:26 w184a D N'..X MUNWAL NK RECD F 6. 00 &t,(u CIE A CGSHSL ****6.00 IIE 41,WA Wffi UE/l-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 property for the purpose of construct- ing, maintaining, repairing, altering or reconstructing 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 rights)-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 enjoy th& aforedescribed premises, including the right to retain the right to use the surface of said right-of-way if such use does not interfere with installation and maintenance of the utilities. however, the grantor shall not erect buildings or structures over, under or acr-ss the right-of-way during the existence of such utilities. This easement, shall be a covenant running with the land and shall be binding on the Grantor, his successors, heirs and assigns. Grantors covenant that they are the lawful owners of the above properties and that they have a goad and lawful right to execute this agreement. Paul S. C iado, Vice President 1 lft h CORPORATE FORM: c c STATE OF WASHINGTON ) } SS a COUNTY OF zing )) t� On this 8th day of July 19 85 before me, the undersigned, 1N a Notary Publ c�Tn—an7-for the State of WasfiM�ton duly commissioned and sworn Zl personally appeared Paul S. Chiado Aft4-4 to to me known to be the Vice President AD" yp gay of Northwest Coiiiiiercial Realstate Co. the corporation that executed the fcre- going instrument, and ac now a ge _tFe7s_a17 instrument to be tine free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and (1 on oath stated that authorized to execute the said instrument anJ that the seal affixed is the corporate seal of said corporation. WITNESS my hand and official seal hereto affixed the day and year in this certificate above written. Aofa`ryFuLilip in and for the State oi— Washinaton , residing at Seattle My commission expires SeptrToer 15, 1986. W- UE/2-2 b COST DATA AND INVENTORY SUBJECT: Boei ce, CITY PROJECT NUMBERS: W- 862 Pahse II S- NAME OF PROJECT -- — TO: CITY OF RENTON FROM: The Austin company UTILITIES DIVISION 200 MILL AVE. SO. 300 S.W. 16th Street RENTON WA 98055 Renton, WA 98055 DATE: February 10, 1987 Per your request, the following information is furnished concerning costs for improve- ments installed for the above referenced project. WATER SYSTEM: Length Size Type D.I. 870 L.F. OF 10 " CI-52 WATERMAIN _ 450 L.F. OF 6 " - WATERMAIN ao L.F. OF n WATERMAIN _ c n L.F. OF a " n• I_� WATERMAIN p 2_ EACH OF ,� "�ryq_ GATE VALVES Kennedy I EACH OF —_6 _ NRS GATE VALVES Kennedy _ 2 _ EACH OF ` 4 NR_ GATE VALVES Kennedy Size Type SUBTOTAL $ 65,10 1__ EACH OF 5�MVD _ _Iowa___ FIRE HYDRANT ASSEMBLIES $ 1,300 (COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY). TOTAL COST FOR WATER SYSTEM $ 66,402 SANITARY SEWER SYSTEM: Length Size Type SDR-35 40 L.F. OF 6 _ " PVC _ SEWER MAIN L.F. OF V SEWER MAIN L.F. OF SEWER MAIN EACH OF DIARE'TER MANHOLES TOTAL COST FOR SANITARY SEWER SYSTEM $ 1,840 SIORM DRAINAGE SYSTEM: Length Size Type 670 L.F. OF 21 _" CMP STORM LINE _ 85o L.F. OF 12 crp STORM LINE L.F. OF STORM LINE L.F. OF STORM LINE TOTAL COST FOR STORM DRAINAGE SYSTEM $ 79,274 Storm includes lift station at loading dock STREET IMPROVEMENTS: (Including Curb, Gutter, Sidewalk) TOTAL COST FOR STREET IMPROVEMENTS $ ��trQ ��-(S I GNA IURE) (SIGNATORY -WOr BE AUTHORIZED AGENT OR OWNER OF SUBJECT DEVELOPMENT) DATE-,, ti ATTENTION: FIELD t c45 K rtt t. ATTACHED ARE AS-BUILT PRINTS FOR / PROJECT: - S�a`l. a t,a �+ � OT¢ PI.EASE FIELD CHECK AND 9fj_QBN THIS SLIP WITH YOUR COMMENTS TO:___ ` INSPECTOR'S COMMENTS:_, �Oft f Y 2 OF RE PUBS iC WORKS DEPARTMENT `s '� z z y DESIGN/UTILITY ENGINEERING • 235-2631 0 .� MUNICIPAL BUILDING 2OO MILL AVE.SO. RENTON,WASH.99055 9'O P 99�FD Sf.PtE AO� TO, 19ATE• ,i,1 `otml JOB NO.: ATTN: — GENTLEMEN: WE ARE SENDING YOU ATTACHED O UNDER SEPARATE COVER VIA THE FOLLOWING ITEMS: ❑ SHOP DRAWINGS a PRINTS o REPRODUCIBLE PLANS o SPECIFICATIONS p COPY OF LETTER ES TE APT ON AND REMARKS r- 1m11 LV I k THESE ARE TRANSMITTED AS CHECKED BELOW: a FOR APPROVAL p APPROVED AS SUBMITTED ❑ RESUBMIT COPIES FOR APPROVAL p FOR YOUR USE a APPROVED AS NOTED p SID41T _ COPIES FOR DISTRIBUTION b AS REQUESTED o RETURNED FOR CORRECTIONS o RETURN CORRECTED PRINTS a FOR REVIEW AND COMMENT o o PRINTS RETURNED AFTER LOAN TO US COPIES TO: SIGNED ism— TITLE r IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE TKE AUSTIN COMPANY 800 SW 16TH STREET amm. MASHINGTON 99055 _ 206-226-88D0 • r r • r r • r r . . . . . . . . . . . . . . . . . . . . . . TO: 1 orJ �. DATE: (all _ 0 tUSJECT.�%s� - I�aI � M.O. N0. GENTLEMEN; WE ARE TRANSMITTING THE FOLLOWING: I DRAWINGS SPECIFICATIONS . TRACINGS �1.1'��c�a��cs GD►n5 VERY TRULY YOURSo FOR YOUR APPROVAL THE AUfTiN COMPANY AND/OR COMMENTS I FOR YOUR INFORMATION 1 THE AUSTIN COMPANY 800 SW 167H STREET RENTON* WASHINGTON 98055 206-226-8800 • w w w w w w w w w w w w w w w w w w w - . . w w w w w w To O ' �� DATE. v CG.O. NO, I GENTLEMEN: ME ARE TRANSMITTING THE FOLLOWING: j DRAWINGS c SPECIFICATIONS la,Lv(:r., 4t . TRAC I NGS I�r.� you �u�r �1 •b�2 c � • VERY TRULY YOURS•,. c � FOR YOUR APPROVAL THE AUSTIN COMPANY AHD/OR COMMENTS FOR YOUR IMFORMATION d' 'LDING • ZONING DEPART ENT PRE-OCCUPANCY INSPECTION REPORT DATE 1ANnARY 2 1987 TO: OOESIGN ENGINEERING DIVISIONBUILDING FINAL 0UTLITY ENGINEERING DIVISION FIRE DEPARTMENT 13 TRAFFIC ENGINEERING DIVISION ❑LANDSCAPE/PARKING FROM: BUILDING 6 ZONING DEPARTMENT SUBJECT: A STIN COMPANY PERMIT NO. B-12279 1601 EAST VALLEY RD. TYPE BUSINESS OFFICE BUILD: 1G The subject project Is nearing completion. Please Investigate your area of responslbllly and indicate below either your acceptance or corrections necessary by JANUARY a 1987 in that a Certlflca'e of Occupancy may be Issued. / no comments are recelvo by the above order date. this Certificate will be Issued. Ot BUILDING 4 ZWM4G DEPARTMENT DATE 01111111 &1 r/,L/T This project is approved by this department subject to the following corrections. UTILirY ENGINEERING L C E Cliff INVENTORY AS•BUILT PLAN �/✓STsjLGgT,fW SUBJECT TO FIELD INSPECION BY DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY? YES O'NO Aulhorized Signature . rOhr4 4 170 B WING A ZONINU DEPARI ENT PRE-OCCUPANCY INSPECTION REPORT DATE .IANUAEY 2, 1987 TO: ESIGN ENGINEERING DIVISION BUILDING FINAL UTILITY ENGINEERING DIVISION FIRE DEPARTMENT TRAFFIC ENGINEERING DMs10N LANDSCAPE/PARKING FROM: BUILDING 6 ZONING DEPARTMENT SUBJECTt AUSTIN COMPANY PERMIT NO. B-12279 7601 f!A-T VALLEY RD. TYPE BUSINESS OFFICE BUILDING The subject project is nearing completion. Please Investigate your area of responslDtAty and Indicate below either your acceptance or corrections necessary by JANUARY 9, 1987 In order that a Certificate of Occupancy may be issued. Q no comments are received by the above date, the Certificate will be issued. TO: BUILDING 6 ZONING DEPARTMENT DATE ROM: E- i / This prof Ct Is approved by this department subject to the tollowtng corrections: v t/� ___A5 ® _ /Z/( le'llk r- Z—Aw6 o6- e,l /-fed f7>4!d i1-ircc le-i9#�S7. I DO YOU I4AVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY? YES D NO i Authorized Signature row4 4 170 Ba THE AUSTIN °°° °° T I°TN ST RENTON 2NTON. WA 98055 COM PA N Y PNONa 206/225-5°00 TELEX wo.+a s.oe°a DESIGNERS • ENGINEERS • BUILDERS 22501 •U-°TIC-TS]'Na January 21, 1987 Dept , of Public Works City of Renton Municipal Building 200 Mill Ave. S. Renton , WA 98055 Attention : Arlene Haight Subject : Relocaton of Fire Hydrant BCS Office Facility Phase II Austin W.O. 86-5371 Dear Ms . Haight : This letter is to authorize the City of Renton' s Public Works Department to relocate a fire hydrant from its present location 28 ' from the south curb or 16th Avenue Southwest at Fast Valley Highway to a location 12' from the curb. Specific location, elevation and scheduling may be coordinated with our field superintendent , Bill Barkley at 226-2737. It is our understanding the work will be billed to The Austin Company on a time and material basis . If you have any questions , please contact me. Sincerely, / e S. R. Southerland Project Manager SRS/ddl AUTHORIZATION OF SPECIAL BILLING DATE: (� PROJECT NAME: _ 1 PASE 7r (LoT 4 ) T PROJECT NUMBER: L J—Wo - WORK ORDER NO. : 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: BILLING TO BE SENT TO: Name: 41 ee f _ 14L cZy Address City: A'Fti-%d.-oltate:Ae�iZ.C. Atten: w Phone No. : 2 z 22 �- 973� owner ,Dev oiler, Contrac.W or Authorized Agent L ' PUBLIC WORKS DEPARTMENT BUILDING DIVISION CITY OF RENTON, WASHINGTON PERMIT APPLICATION ONLY - UNTIL VALIDATED LNUHBER/ Owner /L ation of Work Address h>_.. ;''��(f"� - oFAST A44& oeAl> 4,7'¢ V'A.ct,Ey 0FP/C0F Ale+, L INSPECTIONS FEES CONSTRUCTION Side Sewer 3u, Storm Sewer so v i Right-of-Way Construction PERMIT Sp. Utility Conn. Fee - Water Water Latecomer Fees / (Public Right-of-Way) Water Inap./Approval Fees Sp. Utility Conn. Fees - Sewer Sewer Latecomer Fees .- p - Sewer Insp./Approval Fees Date Issued Inspection Fees Special Deposit - CASH BOND Expiration Date TOTAL FEE �( Des,ription of work and Number of Feet ... Contractor - c Business License w/d �/ J f0 Address 1 21 - �, :,1 . 160 id �U Telephone 4p IT IS UNDERSTOOD THAT THE CITY OF RENTON SH.,LL BE HELD HARMLESS OF ANY AND A•J, LIABILITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE OF SAID WORK. ANY WORK PERFORMED WITHIN THE RICHT_O�cy- HSQR' .6EW$R MAIN MUST BE DONE BY A LICENSED, BONDED CONTRACTOR, LOCXT' "UTI1 BEFORE EXCAVATING. C7.LL 235-2631 FOR INSPECTION, Y4� ��1 I tii�Yl�I Cell between 8 AM and 9 AM for APPLICANT '-nspectian in afternoon; call before 12 Noon the day before for inspection in morning, PUBIC WORKS DIRECTOR SPECIFY TIME FOR INSPECTION. CALL 235-2620 for street signs CALL BEFORE YOU DIG BY _ and lighting. 48-HOUR LOCATORS 1-800-424-5555 DETACH CHECK NERORE DEPOSITING DATE INVOICE Y 'BER AMOUNT TISCOUNT NET Utility ConStluction Permit 28,C9F.29 THE AUSTIN TTTACN[C CHICK T.NGER[D 1M I... ...M.NT OI COMPANY ITEM. .NUM.RAT.O NER.ON. 1I CORR.CT NO R.C[IIT 16.[COIR[O O[i1GN.R5 [NG�NE[RR BW LD6 R] II NOT CORR[CT R.TURN CHICK ..RLAININO DIII...NCIIS IORM AC.1 {p pyrwwur yrw p Rurow w... ..O{f -9 7 -77 �7 l .I 510. 6t�12 2�'�T I - 1;X15T MsO tD MAN GJCf . 1Qa GllQGa5 A1JGNOK'S -_��1Q�1 M� —5 l & Fr.lo,W M --- GIA En — AS ��2 CT..I.) � ---- _ tirr� tQ" vat_v� I �iTY OF 12GNTON L I 5TA. 5 6 30 I�18W Idbt 1d1oE1.►n(Ntl.� ,�,� I W/THNLU ? 5L.00K WlT�+Iw�T�.xx 'STA lit0o loll pi W, IQIJF.C,D12N bI2 5TA. 5t85 - 0 TEMI°. bLo W-OFF A•54F.MIGI.Y N012TM WE.05r COMMff.KUA! I t2E.A.t< le vrAT E COFJ NU GoM F'UTGIZ 5E�'I z5-II AL901T1ON TO WATEIe 141AIN I I - 5-bco I�I.C7t bfi - E571 os's 11 1731R11 DSBS 111r U%14111) STATE OF WA511N0 TON I ! STATE OF WASHINGTON DEPARTMENT OF SOCIAL.AND HEALTH 5...ACES` _ DEPARTMENT OF SOCIAL AND HEALTH S. IK:ESI'� WATER BACTERIOLOGICAL ANALYSIS I WATER BACTERIOLOGICAL ANALYSIS °ION. nr . `IONS CN BACK OF W OENROO COP ;1 IONS GN BA t GI F It siructions are not followed,sample will be rejected. It instructions are not followed,sample will be rejected. qTE COLLECTED TIME COLLECTED COUNTY NAME DATE COLLECTED I TIME LLECTED COUNTY NAME DAY YEAR BN MONtN DAY pYEAR / /I ❑ PM /1AM ❑ PM `yT�YPE OF SYSTEM, IF PUBLIC SYSTEM,COMPLETE: TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE. li�'Puellc GAGE CUSS PUBLIC I.D. LIC - ? �) X zcLE CLASS j / ❑ INDIVIDUAL I I. NO. �r / 3 4 ❑ INDIVIDUAL (/ - 9 f na,wzal la.nas am r nsa.m.n NAME OF^ YSTEM//'1 NAMMF SYSTEM [` SPECIFIC LOCATION WHERE SAMPLE COLLECTEqSYSTEM UWMEa tMGR SAMEE AND TEIEPIONE NP SPECIFIC L AT ION WHERE SAMPLE CALL CTEO SSTEM DINNER,MCA NAML AND TELERM NO MlKlnnl O.c�,n!eN1,011.1�I/� '`� „ � ♦ 14 XOCMnIW Y NMd 1 �r Ld �OO�r/, -• l lA)4' (/A"!/� lY S✓7� ;L ? I SA E COLLECTED BY:tlRlmal rMPLL�r OLLECTED BY:IN.")/ SOURCE TYPE SOURCE TYPE OMBINATIDN N ,�N:OMBINATION ElRFACE ❑ WELL ❑ SPRING ❑ PURCHASED or OTHER ❑ SURFACE El WELL ❑ SPRING ❑ PURCHASED �l'a OTHER I N _ ! SEJ fTFjPORT TO:IPum 1 U Na:ne AagHiss an/z/�;ye/apel�.. SEN REPORT TO:(Print Full Name.Aeeross a e 2m COCe) —i f �7 / )l 'f WASHINGTO� ' ^�'// J WASHINGTON`i!/I r TY % OF SAMPLE TYPE OF SAMPLE ! CMCY Mlr oM,n IM1r tWumnl dwc4 My Wv,n inn.n,umnl F 1. ❑ DRINKINGWATER ❑ Chlorinated(ResiduaF._Total_Free) 1. ❑ DRINKING WATER ❑ ChlonnateaoesiduaP_Total_Freo) fF _ check treatment—) ❑ F01ninf l Check treatment—/ ❑ Filtered ❑ Untreated or Other ❑ Untreated or Other 2.Q RAW SOURCE WATER 2 ❑ RAW SOURCE WATER 3. NEW CONSTRUCTION or REPAIRS 1 0 NEW CONSTRUCTION or REPAIRS i 4. OTHER iSPecily)___ 4. ❑ OTHER fSPecity) ' COMPLETE IF THIS SA M LE IS A CHECK SAMPLE COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PREVIOUS(AP NO r y �/ PPF VIOUS 140 N0.. ' _ — E PRE IOUS SAMPLE COLLECTION DATE.�ILL:-.� PREVIOUS SAMPLE COLLECTION DATE RE RKS: �„ L./✓ (-- REMARKS: ' LABORATORY RESULTS(FOR LAB USE ONLY) LABORATORY RESULTS(FOO LAB t=ONLY) MPN-COUFORIA " STD PLATE COUNT SAMPLE NOT TESTED MPN COLIFORM STD PLATE COUNT SAMPLE NOT TESTED BECAUSE'. \ BECAUSE: �/5 worX Poml„. �m, +/5 wnesa „ �mI MPN DILUTION TEST UNSUITABLE ❑ SamPie Too Old MPN DILUTION a TEST UNSUITABLE ❑ Sample Too Old /1OO in 1. ❑ ConPuenl Growth ❑ Not in Proper Container �pO mI 1. ❑ Coot went Growth ❑ Not m Proper Fontaine MF COLIFORM MF COUFORM 2. ❑ TNTC ❑ ProZed- Information 2. ❑ TNTC ❑ Insufficient l"se Read /�mI Provided-Pleaso Read __/OO,nI Provided-PlDase Read Instructions on Form Instructions on Form FECAL COLIFOR $. ❑ Excess Debris FECAL COLIFOR 3. ❑ Excess Debris ❑ MPN ❑ MF 4 ❑ ❑ ❑ MPN ❑ MF 4 ❑ ❑ m1 1 /1(W IT FOR KING WATER SAMPLES ONLY,THESE RESULTS ARE. FOR D KING WATER SAMPLES ONLY,THESE RESULTS ARE: G7TISFACTORY ❑ UNSATISFACTORY �TISFACTORY ❑ UNSATISFACTORY LE REVERSE SIDF IF GREEN COPY FOR EXPLANATION OF RESULTS SEE:IE JERSE SIDE OF GREEN COPY FOH EXPLA IATION OF RESULTS DATE.TIME RECEIVED- RECEIVED BY LAB NO OAT TIME i�CE1VED- RECFJVEO NY DATE REPORTED LA DATE REPORTED ; LA kiORT:.,REMARKS � "t 1 REMARKS r! 1, 1 7 f I 52 %Ott/�� f� WA 98952 WATER 3UPPLIER COPY �X + WATER SUPPLIER COPY 0)r I . . TI OOHS 191731R1 u•i pSNS 1.1-1Te(I141) / \ STATE OF WASHINGTON %�^'` /'� - \, STATE OF WASHINGTON \V( DEPARTMENT OF SOCIAL AND HEALM. /110Eit, DEPARTMENT OF SOCIAL AND HEALTH�- ACES WATER BACTERIOLOGICAL ANALYSIS I WATER BACTERIOLOGICAL ANALYSIS ' SAMPLE COLIECIION. READ Ill BACK OF GOLDENROD COPY 4 'OLL E.CI ION READ INSTRUCTIONS ON BACK OF GOLDENROD COPY i • If instructions are not followed,Sample will be rejected. II. It instructions are not followed,sample will be rejected. DATE COLLECTED TIM OLLEC'IT[F7JD I COUNTY NAME HSYSTEM ECTED TIME COLLECTED COUNTY NAME MO H DAY YEAR YV Y/EAR .. El TYPE OF SYSTEM IF PUBLI SYSTEM,COMPLETE'. T EM IF PUBLIC SYSTEM,LD. ND. . CIRQC(LASS IRCLE CLASS j / d J Q LZ O 4 AL i.D. No. . 4 2 a4 ..tn t NAME OF V3TEM NAME OF SYSTEM SPECIFIC NON WHERE COLLECTS SYSTEM Owl MR NAIE AND TRFAgNE NO SPECIFIVILOCA1104 WHERE SAMPLE COLLECTE SYSiEMOMIMiNKIR.IMMEADTELOMEND. IN 41eMfnf�V a Kaa�.ppll 1 N/�/J�11y4.N�y //'' � j SAMPLE COLLECT BY:INarry) f 9AMPj.E COLLECTED BY:INa e) SOURCE TYPE �(,, SOURCE TYPE El SVURFACE ❑ WELL [ISPRING ❑ PURCHASED �^"^^BINAT'ION COMBINATION or OTHER ❑ SURFACE ❑ WELL ❑ SPRING ❑ LLh a PURCHASED OTHER PO T I. "i.//'�FulyHeme�, 2lpymn §f,NO RT ;HpM Fu Name, a� t./ 4 , L✓.r/ �71 TYPE OF SAMPLE v WHINGTON ASHINGTON —> ICMex onw se �1nq cownml TYPE OF SAMPLE r 1� chc.Mly.In MN tdumq �, lJ DRINKING WATER ❑ Chlorinated(Residual rj�I check treatment—* ❑ Filtered 1. lJ checkDRIN treatmenWATERt ❑ CHtered eo lRealtlueC_Total_Free) � (Neck treatment�� Q Filtered ❑ Untreated or Other f Q Untreated of Other j Z.Y❑�r RAW SOURCE WATER 2. Q Raw SOURCE WATER 3. 9,NEW CONSTRUCTION or REPAIRS T��I 4•El OTHER(Specity) 3. ICE NEW CONSTRUCTION or REPAIRS 4, 0 OTHER ISPemfy) PLATE IF THIS SAMP EIS A CHECK SAMPLE COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PREV10USiABNO e571z-1G 6 `'t'--" Y PREVIOAMPLE COLLECTION DATE r ^4'' SA j-al r i PREVIOUS SAMPLE COLLECTION PATE I RENARKSUS S'. E. I,; ..e: .f_..,-a _ ... is '�".. REMARKS: LABORATORY RESULTS(FOR LAB USE ONLY) LABORATORY RESULTS(FOR LAB USE ONLY) MPN COLIFORM STD PLATE COUNT SAMPLE NOT TESTED I MPN-COLIFORM STD PLATE COUNT SAMPLE NOT TESTED 1 i�5 wws ws.u.. �,n, BECAUSE'. _ 4 �5 wo.. BECAUSE: o„�n. �m1 MPN DILUTION TEST UNSUITABLE ❑ Sample Too Old 4I Al DILUTION n TEST UNSUITABLE ❑ Sample Too Old /'W ml 1. ❑ Confluent Growth ❑ Not in Proper Container /1OC m1 D I. ❑ Confluent GrowlN ❑ Not In Proper Container MF COLIFORM 2 ❑ TNTC Inautticiem information MF COLIFORM IL ml ❑ Provided—Please Read 2• ❑ TNTC ❑ InauNli lent information ReadInstructions on Form �UO ml Provided—Pleads Read 3. ❑ Excess Debris Instructions on Form FECAL COLIFORM FECAL COLIFORM 3• ❑ Excess Debris ❑ MPN ❑ MF 4 ❑ ❑ ❑ MPN ❑ Al 4 ❑ ❑/im,.v _ /W m+ FOR DRINKING WATER SAMPLES ONLY,T SE RESULTS APE: FOR DR KING WAM aAMPLES ONLY,THESE RESULTS ARE. ❑ SATISFACTORY 0 UNSATISFACTORY TISFACTORY ❑ UNSATISFACTORY aEE REVERSE SIDE OF GREEN COPY FOR EAP1 ANA 7,0N OF RESULTS SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB No. DATE.TIME RECEIVED— FNICE EO SY LAB NO. DATE. YE AECENED— IRECEIVEDRY DATE At,DATE, LGCIRATOA`r i - . DA E REPORT D LAaORA,TOIIY'. PEMARKS REMARKS WATER SUPPLIER COPY , WATER SUPPLIER COPY 0i CITY OF RENTON MATERIALS ISSUED s.o.w. .s WATERWORKS UTILITY Q�w.o.w. TO STOREKEEPER: �7 Debver Ibe blb.ing rnalerwl* DAM�' oUANT ACCOJNf UNIT DEUVfEEO MATERIAL UNIT NUMBER CCST AMOUNT mel j rt. Gam. Abev inole�wl r,.ived in food pwnwn I AyR {Uen filled by, Above m ,W wdwN by Signed J Rlfpei':rfi1rL 1,i' f•" signed _ SS�I fL4 CITY OF RENTON MATERIALS ISSUED s.a Ale. WATERWORKS UTILITY TO STOREKEEPER: Deb.e.Me Wta.ing—wwi le MM j l 6 OUANI. UNIT AccouNy MATERIAL UNIT COST AMOUNT DEUVFRFD NUMBER G7 zz� /j rep' ed pndlwn Above egeMiNen fll.d by _ Abeve nrwrwl wdwed by — s signed n t MATERIALS ISSUED S.0.N.. CITY OF RENTON 3 WATERWORKS UTiLIIY w.o. N.,©�4 TO STCREKEEPER: D.br.,*.bl»ring ewr.r»I w _ UNIT AMOUNT OUANT. ACCOUNT MATERIAL COST ._ DEUVERED UNIT NUMBER r� /i Aber•�nsN.iel naivd in y fly.ea- 5.9..4 _ DSH51>1T9(Riaq 3 1 "�'^^' DSHS 11173 IR1 all I ' l (�•�\ STATE OF W ASHINGTON t \F ba STATE OF W ASHINGTON I• I S )' DEPARTMENT OF SOCIAL AND HEALTH SERVICES ' DEPARTMENT OF SOCIAL AND HEALTH SERIll 11R" S WATER BACTERIOLOGICAL ANALYSIS ANATER BACTERIOLOGICAL ANALYSIS {{ SAMPLE COILECI ION READ INSTRUCTIONS ON BACK OF GOLOFNROD COPY ♦5,1':'Otl L:,U EMIu)G RLAI. ed. it Instructions are not followed,sample will be rejected. It instructions are not followed,Semple will be reject « DATE COLLECTED TIME COLLECTED COUNTY NAME DATE COLLECTED TIME WLLECTED COUNTY NAME MONTH DAY YEAR /� MONTH/ DAY YEAR .t•� AM L❑.GPPM_ L��..li J' P fir. ❑ PM 1F PUBLI(,SYSTEM,COMPLETE' --- "YPE OF YSTEM IF PUBLIC SYSTEM,COMPLETE, d TYPE OF SYSTEM j�2 E ..ss (PUBLIC nee 3 4 a uc I.D. No. S G 3 a LD. No. 2 3 4 NDIVIDUAL ❑ INDIVIDUAL U L eanaa mM1„a.. ocy'nvw.cn NAME OF SYSTEM -- NAME OF SYSTEM // SPECIRC ATION Y/NERE MPL COLLECIFO SYSIW lEIARIMaYA:NAME A1fD'F1ER10FE NJ. - SPECIFIC il!w laaeWNWNE���LawLLECTEO SYST€F1O @1 171,NMIEAND'UERIgNF NO.. /l Ll! 10 ! J SAMPLE COLLECTED BY:(H SAAM.PLE C ECTED BY:(Hamel amel S SOURCE TYPE SOURCE OMBINATION k-,Cr OTHER � SURFACE ❑WELL ❑ SPRING G PURCHASED Xa OTHFR ❑ SURFACE ❑WELL ❑ SPRING ❑ PURCHASED dr OTHER SPORT 7O;.JPnn1 Full Name,Add,",and ZIP Co0e1 D PORT G/`/p Int Fu11 Name.AOddddu1 rM�lp Ode) 1C V ' W�SHINGTON(J� _.� Ct ��/ // Yr; .y -Y' a WASHnWTON'.. TYPE OF SAMPLE TY aE OF AMPLE mroc.ma oz .,n.•:women ,c•«a o.,lr oae e ma caum� El C iR ❑ Chlorinated eslduaC_Total_Freel 1 1 ❑ DRINKINGWATER ❑ ChlonnalediResidual:_Tolal__Freel 1. DRINKING WATER ❑ Filtered check treatment-1 ❑ Untreated check treatment—� ❑ Untreated or Other ❑ Untreated or Other 2. ❑ RAW SOURCE WATER 2. ❑ RAW SOURCE WATER 3�,F!Z NEW CONSTRUCTION or REPAIRS 39 NEW CONSTRUCTION or REPAIRS —_ 4. ❑ OTHER iSpecityl 4. ❑ OTHER(Slacityl_ "IMPLETE IF THIS SAMPLE IS A CHECK SAMPLE COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PI#VI„US LAB NO i :PE)pOUS IAO NO PREVIOUS SAMPLE COLLECTION DATE-- � PREVIOUS SAMPLE COLLECTION DATE REMARKS: /liy0/ G G/�' �.• C ✓l?/.'r-T'/ .�=D f J/. IGoZ A�F3 LABORATORY RESULTS(FOR LAB USE ONLY) LABORATORY RESULTS(FOR LAB USE ONLY) MPN-COLIFORM( STD PLATE COUNT SAMPLE NOT TESTED MPN-COLIFORM STD PLATE COUNT SAMPLE NOT TESTED BECAUSE: �ml D 41 5!onaaowmw —' ❑ Sample Too Old MPN DILUTION TEST UNSUITABLE ❑ Sample Too Old MPN DILUTION TEST UNSUITABLE /100 ml AVO nn 1. ❑ Con luent Growth ❑ Not in Propr ComelrleT 1. ❑ Confluent Growth ❑ Not In Proper Container MF CCUFOR'�A MF COLIFORlti ❑ Ine Afticlenl Intormalon 2.12 TNTC inst. Information 2. ❑ TNTC Provided—Please Read �00 ml Provided—Please Read �00 ml Instructions 01 F'�rm Instructions on Form FECAL COL FOR 3. ❑ Excess Debris FECAL COUFOR 3• ❑ Excess Debris ❑ MPN C MF 4 ❑ ❑ ❑ MPN ❑ o 4 ❑ ❑ �00 all ��IK)M FOR DRINKING WATER SAMPLES ONLY.THESE RESULTS ARE: FOR INKING WATER SAMPLES ONLY, fHESE RESSULIS ARE: ❑ SATISFACTORYQ,EN£ATISFACTORY _ SATISFACTORY ❑ UNSATISFACTORY SEE REVERSE SIDE OF GREEN COPY FOR E%PLANATION OF RESULTS SEE REVERSE SIDE OF GREEN RECFOR E%PLANATION OF RESULTS RECEIVED BY � LAI`NG. pppAAATE TIME RECEIVED— RECEIVED BY LSB NO. DATE, RECEIVED—� �� "/7/1 �r 7- 7 �() 7 f Z D (/`� DA k LABONATORY. DATEEIEPL,RTEO it LABORATORY LA'lS.IL•S TELLS'-1 NC. LPucu Fes,:_ .. .. REMARKS I, Y�„ ' REMARKS 4900 yth �Av,`\ N. Wr ER CO�ATTLE, WA 9Atn7_11PO? ®a WATER SUPPLIER COPY �'' WATER SUPPLI I CITY OF RENTOr WATER DEPARTMENT Pressure Test, g Purification Test Form PROJECT NO. ! W ;j NAME OF PROJECT� �/,(`� I/jjil�/jam PRESSURE TEST TAKEN BY 4!57, VZ: e ON [g-Fa C�rc AT A PRESSURE OF ,�.�D PSI, FOR MIN. TEST ACCEPTED ON rjl -L/, ' PURIFICATION TEST TAKEN BY ON PURIFICATION TEST RESULTS, SAMPLE M1 SAMPLE *2 SAMPLE M3 REMARKS: f 77 i y � , vim•. j R � � � d/,d_, �� .��'.. .�! i .c � � ,n /� • J. - - , - I �� ,. PUBLIC WORKS DEPARTMENT BUILDING DIVISION CITY OF RENTON, WASHINGTON APPLICATION ONLY - UNTIL VALIDATED PERMIT r' Owner Location of Work Address Y I � INSPECTIONS FEES CONSTRUCTION Side Sewer Storm Sewer PERMIT Right-of-Way Construction Sp. Utility Conn. Fee - Water Water Latecomer Fees (Public Right-of-Way) Water Insp./Approval Fees Sp. Utility Conn. Fees - Sewer Sewer Latecomer Fees 11 1 Sewer Insp./Approval Fees Date Issued lnspectior. Fees I —] Special Deposit - CASH BONI) Expiration Date TOTAL FEE _ Description of Work and Number of Feet Business usiness r. +� i* -, License Address Bond Telephone T IS UNDERSTOOD THAT THE CITY OF RF.NTCN SHALL BE HELD HARMLESS OF ANY AND ALL LIABILITY, DAMAGE OR INJURY ARISING FROM 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 235-2631 FOR INSPiXTION. P ; �� i ` f ,, et t 0 Call between 8 AM and 9 AM for APPLICANT inspection in afternoon; call before 12 Noon the day before for inspection in morning. PUBLIC WORKS DIRECTOR - SPECIFY TIME FOR INSPECTION. y CALL BEFORE YOU DiG BY 14f' CEO[ 1 ALL 235-2620 for street signs 48-HOUR LOCATORS and lighting. 1-800-424-5555 Sly THEAUSTIN J00 SOUTHWEST 161N ST RENTUN WA 00055 COMPANY YNONE ZO."2CS000 IEIt% L,U.42,.0002 DESIGNERS . ENGINEERS • BUILDERS 223'41 AU-ST IC TJ17NJ March 26, 1986 City of Renton Public Works Department Municipal 5uilding 200 Mill Ave, s. Renton, 'AA 98055 Attention: Ronald L. Olsen Reference: Utility Availability Verification , Water , For Lot 4 , Valley office and Industrial Park Subdivision II - W.O. 86-5371 Dear Mr. Olsen: Rased on our conversation of March 25, 1986 and March 26, 1986, it is our understanding that the above described utility service is available under the conditions listed herein: 1. Main Water lines are installed in streets adjacent to the property. 2. They are located on Lind at 16" diameter , on 16th Street at 1211 V, on East Valley Frontage Road at 12" aiameter , and on Southwest 19th Street at 1.6" diameter . 3. Although charges for time and materials are made, there is no fee for water hook-up. 4 . An application for a hook-up to the main line should he made in person at the utility engineering counter at the Renton Municipal Ruilding. Application require- ments are listed below: A. Name and address of. owner . T3. Name and address of party to be billed for water . C. Service address. D. Legal description of property. E. Square footage of property or number of apartments/condos. F. Size of meter. Type of meter . t1. Name of contractor (if applicable) . City of Renton Ronald T.. Olsen March 26, 1986 Page 2 5 . Service will be immediately available upon completion of application, payment of fees , acceptance of design and compliance with tests . 6. To date there are no czinditions disrupting the continuous supply of i.tility. Sincerely, Wm. Stewart Fetterley, ATA Project Architect WSF:CM/ddl cc : Paul S. Chiado Concurrence RoI d L. Olsen Date Utilities Engineer GJ �u d tl°° =° N ='THE AUSTIN NENTON W^ 9tl059 CO M PA N Y PHONETELf% 91041423 2 tltl°° TELEX DESIGNERS • ENGINEERS • BUILDERS 22301 •U si-IC-i 377143 March 26, 1986 City of Renton Public Works Department Municipal Building 200 Mill Ave. S. Renton, WA 98095 Attention: Ronald L. Olsen Reference: Utility Availability Verification , Sanitary Sewer , For Lot 4 , Valley Office and Industrial Park Subdivision II - W.O. 86-5371 Dear Mr . Olsen: Based on our conversation of March 25 , 1986 and March 26 , 1986 , it is our understanding that the above described utility service is available under the conditions listed herein: 1.. Main Sanitary Sewer lines are installed in streets adjacent to the property. 2. They are sized and located as listed : 1.6th Street - 8" diameter Lind Street - 15" diameter 19th Street - 8" diameter Through Property - R" diameter 3 . The cost of tap fee to the main line is $I00 each connection . 4 . An application for a hook-up to the main line should be made in person at the utility engineering counter at the Renton Municipal Auildinq . Application require- ments are listed below: A. Name and address of owner . B. Name and address of party to be billed for water . C. Service address . D. Legal description of property. F. Square footage of property or number of apartments/condos. F. Size of meter . r,. Type of meter . N. Name of contractor ( if applicable) . City of Renton Ronald G. Olsen March 25, 1986 Page 2 5. Service will be immediately available upon completion of application, payment of fees, acceptance of design and compliance with tests. 6. To date there are no conditions disrupting the continuous supply of utility. Sincerely, wm. Stewart Fetterley, AIA Project Architect WSF:CM/ddi cc: Paul S. Chiado Cong-grrence 1 1� - oc 1t Rpnald L. Olsen Date utilities Engineer c Co ° — NW 3 IRQ(A—Frar kK Pr�o4E I --- ------- 0 u ) -4QaUj6U 3 w9 , ms S� T 000 ui }s» d 311� d0 ONiaNg ,,.._ _ ._ ..