HomeMy WebLinkAboutWTR2700873 w 873 Highland Neighborhood Center �
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FILE TITLE u) loom 873
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COST DATA AND INVLNTORY
SUEJLCT: CITY PROJECT 14UMBERS: W- 8 7,3
NAMT OOf PROJE�'CT--- S
TO: CITY OF RENTON FROM:
UTILITIES DIVISION --—.
200 MILL AVE. SO.
RENTON WA 98055
DATE:
Per your request, the following information is furnished concerning Costs for improve-
ments installed for the above referenced project.
WATER SYSTEM:
Length Size Type
L.F. OF WATERMAIN
L.F. OF WATERMAIN
L.F . OF WATERMAIN
L.F. OF —"_ WATERMAIN
EACH OF GATE VALVES
EACH OF GATE VALVES
EACH OF GATE VALVES
Size Type S08TO1.1L
EACH OF -5 " cot-!_ FIRE HYDRANT ASSEMBLIES S S
(COST OF FIRE HYDRANTS MUST bE LISTED SEPARATELY).
TOTAL COST FOR WATER SYSTEM
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
TOTAL COST FOR SANITARY SEWER SYSTEM E
STORM DRAINAGE SYSTEM:
Length Size Type
L.F. OF STORM LINE
L.F. OF _ STORM LINE
L.F. OF , " _ STORM LINE
L.F. OF STORM LINE
TOTAL COST FOR STORM DRAINAGE SYSTEM E
STREET IMPROVEMLNTS: (Including Curb, Gutter, Sidewalk)
TOTAL COST FOR STREET IMPROVEMENTS E
SIGNA U
(SIGNATORY MUST BE AUTHORIZED AGENT OR
OWNER OF SUBJECT DEVELOPMENT)
30 -�.( /a_ � - 3 `f
,Z
�� �� SIB• q7
P .3z 33. 28ii�.85
(o " �J 8 Pfer-- 37. 02- _
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od 0/!/ Y1 NYDI11N7
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STATE OF 4a ,;1,••vr uJN11 t11rJ INICr) I
fofs �� /�/ L/4n Oft- PC a
STATE OF WASHINOiON
DEPARTAMNT OF SOCIAL
0AND HEAL VICES 473
WATER BACTERIOLOGICAL ANALYSIS DEP" f OF SOCIAL AND HEALTH SERVICES
SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY ; WATER BACTERIOLOGICAL ANALYSIS
ON BACK OF GOLDENROD COPY
If Instructions are not followed, sample will be rejected.
$AMPLE COLLECTION. READ INSI RUCTIONS
II instructions are not followed,sample WIII be r010CIPd.
DATE COLLECTED TIME COLLECTED COUNTY NAME ,
MONT CIA YEAR DATE COLLECTED TIME COLLECTED COUNTY NAME
L r'1 (.(. ❑ AM PM , MONTH/ DAY EAR
�`.SY Q'AM PM ]
TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE: ���L" "�...
YPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE:
PUB IC I.D. No. // TIE c.Ass %)! - y E CLASS
❑ INDIVIDUAI � ' (,. 5 J L t 2 3 1 p�BIN I.D. No. "'� 1 5 9 /
yeBINDI l DUALy • D INDIVIDUAL
NAME OF SYSTEM Ywr �� �
., y NAMF,OF SYSTEM
SPLCIfIC LOCATION WHERE SAMPLE COLL Al" NAMEAND TELEPHONE
w 4r•IwY Iw A..Y..Y I..vulwY.re„Ylea • __ f^ I SPECWC LOCATKYN WHCF 'AMPLE COLLECTE SYSIEMOAMVI ANDTDERIOMF NO r
ly M4Nn 4p Y NYOq IY..41gn.rM41N •
Vr,\vr. cct I Li Ily •L.rl at a3o� �i L h
SAMPLE COLLECTED BY:INMa)
(( SAMPLE COLLECTED BY t(NAn0l
Now
SOURCE TYPE ----(�K-J`,t+ \ ,
❑ SURFACE ❑ WELL ❑ SPRING ❑ PURCHASED ❑ COMBINATION SCURCE TYPE
l COMBINATION
or OTHER C SURFACE ❑ WELL ❑ SPRING ❑ PURCHASED ❑ or OTHER
6END EPOF�T.�O'.IPr�nI Full Name.AeareFs eml Z2 Coal
• ELC7. ill17%I\ \. 1E+��C �' SEND REPOF1,j.I0:IPr�nl Full Henn.AU EA ene ZlD al ,
I1NC),\vI C
{ r
WASHINGTON ;r � '1 \ _WASHINGTON� ,
TYPE OF SAMPLE
61,•c.our w iY INu cw„Yn TYPE OF SAMPLE
IUycY mW yy.n IN.cWYYI
1. ❑ DRINKING WATER ❑ Chlorinatad(Resldual:_Totel—Fred ❑ OMBrinated(Residual: Total_free)
check Treatment� ❑ Filtered 1. DRINKING WATER
❑ Untreated r Other
Check btratment--I► ❑ Filtered
❑ UnI eated or Other
Q RAW SOURCE HATER RAW SOURCE WATER
9. NFW RIN TIl n or REPAIRS
A. OTHERR IS(Nr ISpe cily) 3. NEW CONSTRUCTION a REPAIR$
4. OTHER(Spaulyl
COMPLETE IF Tli1S SAMPLE IS A CHECK SAMPLE COMPLETE IF THIS SAMPLE IS A rHECK SAMPLE
PRt VIOUS LAB NO PNEWMUS I AS NO
PREVIOUS SAMPLE COLLECTION DATE
S PREVIOUS SAMPLE COLLECTION DATE
REMAR
REMAR S.
LABORATORY RESULTS(Foe LAB USE ONLYI LABORATORY RESULTS(FOR LAB USE ONLY)
y�py{ COLIFORM STD PLATE COUNT SAMPLE NOT TESTED
(/ /l BECAUSE: j MVN COL ki STD PLATE COUNT SAMPLE NOT TESTED
�(' S41�.Ywlir♦ _ /nN It /inl BECAUSE
$wu.w�•m„
MPN DILUTION TEST UNSUITABLE ❑ Sample Too Old TEST UNSUITABLE ElSample Too Old
/too MI 1, ❑ Conlluanl Ol"Ill ❑ Not In Proper Container MPN DILUTION
r
C 1. ❑ COnllubnl Growth Not in P oiler ConlslM r100ml
MF COUFORM Q. ❑ TNTC MFORM Intorma N ❑ TNTG ❑ Piovided-Please Read/,W nrl Provided-Please Read 2
Instructions on Form W n¢ Instructions on Fo
FECAL COLIFORM 3. ❑ EKoefa Debris instructions
❑ Excess Debris Instructions
FECAL COLIFOp
❑ MPN ❑ MF , ❑ ❑ ❑ MPN ❑ MF
�i00 ml 4. ❑--__ ❑
t LW TA
_
VFOP D NKING WATER SAMPLES ONLY,THESE RESULTS ARE: V FOR D KING WATER SAMPLES ONLY,THESE RESULTS ARE.
ATI$F ACTORY ❑ UNSATISFACTORY
SATISFACTORY ❑ UNSATISFACTORY
S ERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
LAB NOI DA ��-I f. INE RICEIVED- RECEIV aBY Y'IE !` ' 3r, U ii ���11 (I � " .
DATE REPORTED �(-� LABORATORY. PATE REPORTED 1 LABORATORY (y
REMARKS A[/� // ,.A `; q � 1 REMARNS � �• W�
'y7y\ L• WYr/''R// 1
I
WATER SUPPLIER COPY �r l WATER SUPPLIER COPY Qrr
q'7 S
CITY OF RENTON WATER DEPARTMENT
Pressure Test 6 Purification Test Form
PROJECT NO. 17y
NAME OF PROJECT: //,,F
PRESSURE TEST TAKEN BY,7 j ON
AT A PRESSURE OF 7/u PSI , FOR l MINUTES
TEST ACCEPTED ON-2--
PURIFICATION TEST TAKEN BYU +2 _ON_ `J
PURIFICATION TEST RESULTS, SAMPLE 01 ��
SAMPLE #2
SAMPLE #3
PRESSURE COMPLETE AND PURITY COMPLETE
No connections to mains or meter permits issued until above box is
checked by Inspector.
REMARKS:
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FILE TITLE
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