HomeMy WebLinkAboutWTR2701014 W-1014 Renton Retirement Center l+
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PIIIIIf 1400181 Title Institute Compaly +nu srata uunro to.uco•ou s wt
WAaN,NOrON rIry O,V,eiON _I
Filed for Record at Request of
To COISM S COL" CONSTRU17TION CO.
Attentinn: Sharon 1. Parent
P.O. Pox 14111
Salem, OR 973N
BILL OF SALE eaaw a son
KNOW ALL MEN EY THESE PRESENTS: That EV^iYi. eW 40"If 0VF77,Erl7�r's-+v7- rPa�SjL�rp
County of IL) AJ/L' ,Stale of Washington,the of 19&L rV /
j for and in cansidenllon of the sum of Da of the Arm part,
1 uwlul money of the United Statesof America,to t>fid I►'r Dodos
in hand paid by -#f er7r'Oic afar da&l
the Pa04' of the seennd pan, the rseelpl whenol is hereby scknuwledged, dots)by properly now
these pmenu grant,
bargain, sell and deliver unto the said Par�Y4. 091 the second Part, the following described per
located atly/s, INwmeor A✓ENUE N.f
in the City of�.�ta ,Courtly of 1.%aq
n"'^" Y - / and 54te of Wuh:..pan, to•wic
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�i LL . r♦,aawtx�N rive art d / :.«
tr �/ IIt;Lt L(i ,,Ca e..f k t .(�►t s w dlt a� r+xsE Aiaf
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o �,w� . ttc- '+elf "K4..r+cL1[AJC�
TO HAtr6 AND TO HOLD the saw -h t lGo.�-�/_f,�a-a{'
to, said gay!)/!-i/fy( the ,•coed pit, J/?'W/V' heirs, executors,
adminb,ntors and auigm lorcvrr. And said parlyhg,o No Red par,, tw executors, administrators, cove^anL. and agree, to and with the Yid tyy����/�t*W'Ve heirs,
executors, administratora and amilnsyy that uid Pa' vyof the eeeond part,
lwoporty,goods and ehanels and he ah t IYnysw of the fist part T�dCCtt of the Mid
will warrant and defend the Bade nehl and full authority to Nil the same, and thar��f-•rs
ule hereby made unto the Yid put);nioI the second par,, ,�;�
"mulon,administrator and auigns, against all and every person br Psrsnns, whomsoever, lawfully claiming or io
claim We same,
IN WITNESS WHEREOF,The said pan y/s✓of the firat pan he and art this Axy of K hereuntosetJ hand
-( aak)
—-- (saat) ,
STATE OF WASHINGTON, l -- _(But)
County of It,
On this day Perwnally APPeared before me N^
to me known to be the lodividual describ, r ry
aknowledged that ,KKAA �' a within and foregoing insrrumeni acd
Ylee and u t u obS,Jteµr/, ✓ Tree and wlwury act and deed b, drz
p rposrs the i enti A33��'''
�rG '�^ and alhnal snl this
day of •.sl
N ro{Hw wet he eM/ar 4s S/err eJ Wuliwgran,
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SIGNATURE PAGE FOR BILL OF SALE
RENTON HIGHLANDS RETIREMENT RESIDENCE LTMITED PARTNERSHIP
DATED: , 1991
RENTON HIGHLANDS RETIREMENT RESIDENCE
LIMITED P NERSHIP, an O egon
llait nor hi
ay: ��
ORMAN L. BRENDEN,
Gen I Partner
by:_
.TE Gft
Gs Y W artne
By: COLUNSIA-PACIFIC GROUP, INC.,
a Washington corporation,
General Partner
s� p ,�--
.y'Yl...�J�( Ov. VQJ( �.►
� - - DANIEL R.
President
law
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STATE OF OREGON )
aa.
County of Marion� 1) /
/1l� ` ) a S , 1991. before me, the
undersigned, a Notary Public in and for said State, personally
appeared NORMAN L. BRENDEN, personally known to am (or proved to as
on the basis of satisfactory evidence) to be the person who
executed the within instrument, as general partner. on behalf of
RENTON HIGHLANDS RETIREMENT RESIDENCE LIMITED PARTNERSHIP, an
Oregon limited partnership, and acknowledged to se that such
limited partnership executed the same. 4
IN WITNESS WHEREOF, I have hereunto met my hand and affixed my
f
of seal of the date in this certificate first above written.
Notary Public for Oregon
My Commission Expires. i0'/,5 - 3,3 a
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STATE OF WASM2WOTOW )
as.
county of <y )
' On • /AJ , 1991, before me, the
undersigned, a Notary Public in and for said State, personally
appeared JEFFREY WRIGHT, personally known to me (or proved to rr on
the basis of satisfactory evidence) to be the person who executed
the within instrument, as general partner, on behalf of RENTON
HIGHLANDS RETIREMENT RESIDENCE LIMITED PARTNERSHIP, an Oregon
1 lisicatl partnership, and acknowledged to we that such limited
j partnership executed the same.
IN
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Official Goal 3at�thhee date l ina this ve e certificate first above reunto set my hand and twritten.
••�•,amnar4 N Lary Public for Washiington
•o N�cig1�� muLesion Expires J;_K
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STATE OF WASHINGTON )
( ea.
County Cf_/&ULZ_
On ���...,.nCl : a1�o 1991, before me, the -
undersigned, allNctary Public in and for said State, personally
appeared DANIEL R. BATY, personally known to no (or proved to se on
the basis of satisfactory evidence) to be the person who executed
the within instrument as President of COLUMBIA-PACIFIC GROUP, INC. .
a washington corporation, the corporation therein named, and
acknowledged to me that such corporation executed the within _
instrument pursuant to its by-laws or a resolution of its board of
directors, such corporation being a general partner of RENTON
HIGHLANDS RETIREMENT RESIDENCE LIMITED PARTNERSHIP, an Oregon
limited partnership, and acknowledged to me that such letter-
mentioned partnership executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my _
official coal of the date in this certificate first above written.
L. Notary 1id1c for Washington
fee 9� f4.
my is ion expirest
Np1ARY j
N� PUB��� J`ot
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4'IIrry RECORDEn 0.E111RN'10
l 001c<OfIM CITY :rt , .o.. -•
,I Ramon MnnMllal Rmlal„a Utilities
M MIA AY .W Soa(h
1 Rrnlon,WA 9WSS SEWER EASEMENT
THIS INSTRUMENT,made this_day of,_ '"L
by and between REIMN HIGHLANDS RETIREMENT RESIDENCE. LI14ITED PARTNERSHIP, an ,
Oregon limited srfneNaaRip and
and
and
hereinafter caDcd"Gnntor(s),'and the CITY OF RENTON,a Municipal Corporation of King County,
Washington,hereinafter called"Grantee'
That sold Gnrttor(s),for and in considention of the sum of$'-"--Ten and No/100 Dollars
($10. -----------paid by Grantee,and other valuable consideration,receipt of which i.S
hereby acknowledged,do by 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
j necessary appurtenances over,through,across and upon the following described property In King
County,Washington,more particularly described as follows:
SEE. EXIUBIT "A" ATTACNET) 1112 Mn .a
AND By THIS REFEgENCE IWoRPt1RATFP MEIN.
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UWhb Fi.rmem
sMal t w t
rA...S..r�aA�•,IAwur
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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 constructing,maintaining,repairing,altering or reconstructing said udUtiea.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
accowplished 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 hilly use and enjoy the aforedemribed premises,including the right to retain the right
to use the surface of said rightof-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 across the right.
of-way during the existence of such utilities.
This casement,shall be a covenant running with the land and shall be binding on the Grantor,his
successors,heirs and assigns. Grantors covenant that they arc the lawful owners of the above properties
and that they have a good and lawful right to execute this agreement.
Sisnaturcs of Grantors:
RENTON HIGHLANDS RETIREMMU RESIDENCE And
an regon m e
and
SEE ATTACIlb) SIGNATURE PAGE and -r
�. and
elf Ali\'!Rn0.N OF ACKfJnMUKEMENJ
�y
SPATE OF WASHINGTON ) ``
) SS
COUNTY OF KING ) _
I certify that 1 know or have satisfactory evidence that a a
signed this instrument,on oath stated that he/sheAhey was/were authorized fe the instrument
and acknowledged it as the of
to be the free d vol ch party/patties for the uses and , ^
purpose mentioned in the instrument.
Dated
Notary Public in and for the State r
of Washington residing at
My appointment expires,
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u�mrK.tix�.,
rmlrvwu.�r.,N�
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SIGNATURE PAGE FOR UTILITIES EASEMENT -
RENTON HIGHLANDS RETIREMENT RESIDENCE LIMITED PARTNERSHIP
DATED: _ 1991
RENTON HIGHLANDS RETIREMENT RESIDENCE
LIMITED PARTNERSHIP, an Oregon -^+
lied art erehi
By
NORMAN L. BRENDEN,
Cana Partn �
By:
JEF R IGHT,
Gen r artmr
By: COLUMBIA-PACIFIC GROUP, INC. ,
a Washington corporation,
General Partner
By. � }
I I DANIBL R. BATY,
Prerident
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STATE OF OREGON )
) ss.
County of Marion )
l
On n»�.t^J dS 1991, before me, the
underZ ied, a Nary Public in and for acid State, personally
appeared NORMAN L. ERENDEN, personally known to se (or proved to se
on the basis of satisfactory evidence) to be the person who
executed the within instrument, as general partner, on behalf of
RENTON HIGHLANDS RETIREMENT RESIDENCE LIMITED PARTNERSHIP, an
Oregon limited partnership, and acknowledged to me that such
limited partnership executed the same.
IN WITNESS WHEREOF, I have hereunto set ay hand and affixed my
official Reel - f the data in this certificate first above written.
Urn
Notary Public for Oregon
My Commission Expires: tQ-JA -
STATE OF WASHINGTON )
on.
County of )
On 1991, before me, the
undersigned, ■ Notary Public in and for said State, personally
appeared JEFFREY WRIGHT, personally known to me (or proved to as on
the basis of satisfactory evidence) to be the person Who executed
the within instrument, as general partner, on behalf of RBNTON
HIGHLANDS RETIREMENT RESIDENCE LIMITED PARTNERSHIP, an Oregon
limited partnership, and acknowledged to me that such limited
partnership sxscuted the saaa.IN 1
HEOF,
W
official sulSofwthhee datel ina thissrcertifio to first above tWritt n.
Nw� ary Public for Washiin on
faNA '`tiyr\, lasion EMplresc *-✓
PALr )
OF W1.Sa\P`
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.sv- �...y..111g1YI.�rM.1.►Yw',IwN .YV.—.�.w._.. .. __a sn Y� 1.
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STATE OF WASHINGTON )
f� a.
County of 11
On� 1991, before so, the
undersigned, aolary Public in and for said State, personally
appeared DANIEL R. SATY, personally known to me (or proved to a on
the basis of satisfactory evidence) to be the person who executed
the within instrument as President o[ COLUMBIA-PACIFIC GROUP, INC.,
a Washington corporation, the corporation therein named, and
scknowladged to as that such corporation executed the within
instrument pursuant to its by-laws or a resolution of its board of
directors, such corporation being a general partner of RENTON
HIGHLANDS RETIREMENT RESIDENCE LIMITED PARTNERSHIP, an Oregon
limited partnership, and acknowledged to ma that such latter-
mentioned partnership executed the same.
1N WITNESS WHEREOF, I have hereunto set my hand and affixed my ,'..
1 official sal of the date in this certificate llrst above written.
�- '
L Notary bloc for Washington
P �/ Commission Coiaaion Expires'�t yl� ly.�
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HEBRANK MIBiT "A" MR.I.I HJMaek,PIN
AND
_SSOCIATES _ _ ---
Profeaaiontll Surveynn i Cwnnl iluiidinA.Suite in ai td moms; n Sauk,W.t 91 1' (Y 1D6_ )447 )no
LOCATEDPINFTHATU is PORTIONTOFNTHEI)EASTTP OB A HALFSOFITARY SEWER THE NORTHWEST EASEMENT STQUARTER
OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 4,
TOWNSHIP 23 NORTH, RANGE 5 EAST WM. LYING SOUTH OF THE SOUTH LINE
OF THAT PORTION CONVEYED TO THE STATE OF WASHINGTON BY INSTRUMENT
RECORDED UNDER KING COUNTY RECORDING NO. 1111160156, RECORDS OF
COUNTY OF KING. STATE OF WASHINGCON, THE CENTRELINE BEING MORE
PARTICULARLY DESCRIBED AS FOI.LOWSI
CGWNEi;C1NG AT THE NORTHEAST CONNER OF THE ABOVE SAIn PORTION OF
THE EAST HALL' OF THE NORTHEAST QUART" OF THE BDUTHWEST QUARTER
OF THE SOUTHEAST QUARTERI THLNCX S 01 11 - 43" W ALONG THE FAST
LINE 9'MERLOF A DISTANCE OF 48.00 FEET TO THE CENTRELINE OF AN
EXISTING SANITARY SEWER LINE AND TRUE POINT OF RNGINNINGI THENCE
1� N 88 66' 17• W A UISTANCE OF I.0C FEET TO THE CENTRE OF AN
EXISTING SANITARY SEWER MANHOLKI THENCE CONTINUING N S8 48' 17"
W A DISTANCE OF 7.50 FEET TO THI' TERMINUS OF THIS BASEMENT.
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HEBRANK EXHIBIT "A"
AND
PAAP i AIArn 1 Het ank.►LS
ASSOCIATES
Peo(eeeio"Al Sumevon G Orel Building,Suite 402,810JTd Avenue n Se6ttle,WA 9610E ❑ (206)447-1729
A STRIP OF LAND FOR A WATER MAIN EASEMENT LOCATED IN LOT 2. BLOCK
2. SHEPARD HEIGHTS ADDITION, ACCORDING TO THE PLAT THEREOF
RECORDRO IN VOLUME 46 OF PLATS, PAGE 70. RECORDS OF KING COUNTY,
WASHINOTM EACEPT THAT PORTION THEREOF DEEDED TO THE STATE OF -
WASHINGTON FOR S.R. 900 BY DEED RECORDED UNDER RECORDING NO.
71031on2BB: TOGETHER WITH THAT PORTION OF THE EAST HALF OF THE
NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF THE SOUTHEAST
QUARTER OF SECTION 4, TOWNSHIP 23 NORTH, RANGE 6 EAST W.M. IN
KING COUNTY, WASHINGTON. LYING SOUTH OF THE SOUTH LINE OF THAT
PORTi N CONVEYED TO THE STATE OF WASHINGTON BY INSTRUMENT
RECORDED UNDER KING COUNTY RECORDING NO. 7111160166,
SAID STRIP OF LAND BEING 16,0 FT. IN WIDTH LYING 7,60 FT, ON EACH
SIDE OF, UNLESS SPECIFIED OTHERWISE, THE FOLLOWING DESCRIBED
LINES;
COMMENCING AT THE SOUTHWEST CORNER OF SAID LOT 21 THENCE N. 1'
16' SO' E. ALONG THE WEST LINE THEREOF A DISTANCE OF 24,60 FT, TO
A POINT LYING 2.6^ FT. NORTHERLY OF AN EX,STINO WATER MAIN, AND
TRUE POINT OF BEOINNINO; THENCE N. 76' 30' 00 E. PARALLEL TO AND
2,60 FT, NORTHERLY OF SAID EXISTING WATER MAIN A DISTANCE OF
115.0 FT. ; THENCE S. BB' 04' 48' 6, PARALLEL TO AND 2.80 FT,
NORTHERLY OF SAID WATER MAIN A DISTANCE OF 10,0 FT, TO A POINT
DEBIONATSO AS "A" HEREIN; THENCE CONTINUING S. 86' 04' 46 ' E. A
DISTANCE OF 12,0 FT. TO A POINT DESIGNATED AS '0" HEREINI THENCE
CONTINUING 5.86' 04' 44 E. PARALLEL TO AND 2,60 FT. NORTHERLY OF
SAID WATER MAIN A DISTANCE OF $1 .0 FT, TO A POINT DESIGNATED AS
'C" HEREIN; THENCE CONTINUING S. 80' 04' 44" E, PARALLEL TO AND
2.60 FT, NORTHERLY OF SAID WATER MAIN A DISTANCE OF 2,0 FT, 1
THENCE N, 46' 66' 12" E, PARALLEL TO AND 2,50 FT, NORTHWESTERLY OF
SAID WATER MAIN A DISTANCE OF 76.0 FT, TO A POINT DESIGNATED "0"
HEREIN: THENCE CONTINUING N. 44' 96' 12 ' 6, A OISTANCS OF 20.0
FT. TO A POINT DESIGNATED "6" HEREIN: THENCE CONTINUING N. 49'
86' 12" E. A DISTANCE OF 10.0 FT, TO THE TERMINUS OF THIS SAID
STRIP OF LAND,
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Mwiweel IAn4llmm ,— ,....,.,--,.01111d1 mnam NrewW!kMwv a t#4exMIW FMAvan.AerAYW Oml a ewgYI WA MV01*
HEBRANK FMIRIT "A" AllcnJ Heannk,PIS
AND PaRe
ASSOCIATES
Professional Surveyors [1 Centmi Building,Suite 402.8104td Avenue o Seattle,WA 98104 O (206)447-1729
ALSO BEGINNING AT DESIGNATED POINT "A" HEREIN; THENCE N. 1 ' BV
12" E. PARALLEL TO AND 2,60 FT. EASTERLY OF AN EXISTING WATER
MAIN A DISTANCE OF 27.0 FT TO THE TERMINUS OF THIS STRIP OF LAND.
ALSO BEGINNING AT DESIGNATED POINT 6" HEREIN; THENCE S. 1' 13'
51' W, PARALLEL TO AND 2.50 FT, EASTERLY OF AN EXISTING WATER
MAIN A DISTANCE OF 116,0 FT, TO THE SOUTH LINE OF THE ABOVE
DESCRIBED PROPERTY.
ALSO BEGINNING AT DESIGNATED POINT 'C" HEREIN; THENCE S. 1' 66'
12" W, PARALLEL TO AND 2,60 FT, EASTERLY Of AN EXISTING WATER
MAIN, A DISTANCE OF 22,50 FT , TO THE TERMINUa OF THIS STRIP OF
LAND.
ALSO BEGINNINO AT OESIGNATEO POINT "D"I THENCE N. 42' 04' 44" W.
PARALLEL TO AND 2.60 FT, WESTERLY OF AN EXISTING WATER MAIN, A
DISTANCE OF 44.0 FT, TO A POINT DESIGNATED "F ' ; THENCE CONTINUING
N.42. 04' 49 ' W. A DISTANCE OF 26,0 FT. ; THENCE N. 46' 65' 12" E.
PARALLEL TO AND 2,50 FT. NORTHWESTERLY OF SAID EXISTING WATER
MAIN, A DISTANCE OF 26.0 FT, ; THENCE N. 14' 34' AS W. PARALLEL
TO AND 2.E0 FT, WESTERLY OF SAID EXISTING WATER MAIN, A DISTANCE
80.0 FT. TO THE NORTHERLY LINE Of THE ABOVE DESCRIBED PROPERTY
AND TERMINUS OF THIS STRIP OF LAND,
ALSO BEGINNING AT DESIGNATED POINT "F" HEREIN: THENCE S. 47' Be,
It" W. PARALLEL TO AND 2.60 FT. NORTHWESTERLY OF AN EXISTING
WATER MAIN, A DISTANCE OF MO FT. TO THE TERMINUS OF THIS STRIP _
OF LAND.
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ItII'aLL. DESCRIPTION FOR WATER EASIMM
FIFTEEN (15) FEET STRIP OF HAND T.5 FEET ON EACH SIT* OF THE
FOLLOWING DESMUFO CENTERLIN:;
CONTNUING AT THE HONINNEST CORNH DE LCVT 3, UAXX 2, SHF39R3D)
REIOITS ADDITION, ACCORDING TO THE PLAY T*M% HECIWED IN
VOLOE 46 OF THE PLATS. PAGE 79, IN KING COUNTY, WASHINGTON;
THENCE NORTH 01"I6'12" EAST A DISTANCE O 27.00 FEET TO TIE TRUE
POUR OF BEGINNING;
THENCE SOUTH 87"68'61" LAST A DISTANCE (F 16.00 FEET;
THENCE NORM 74•00'34" EAST A DISTANCE DE $0.00 FEET;
THENCE SOUTH 88•O4'68" EAST A DISTANCE OF 0.00 M- "M A RANI'
DESIGNATED "A' FOR FTIHRH RE'EREM E;
THENCE CONTINUING SOUTH 88'04'48" FAST A DISTANCE: OF 80.00 FEET
TO A POINT DFSICHATED "B" FOR FUTURE: REFERENCE;
THENCE CONTINUING SOUTH 88"01'4e" FAST A DISTANCE OF H6.00 FET
TO A POINT DESIGNATED "C" FOR "'PURE REFERENCE;
THENCE CONTINUING SUM 28-04-48" EAST A DISTANCE OF 1.00 FU-r;
THENCE NORTH 49'65'12" EAST A DISTANCE DE 80.00 FEET TO A POINT
DESIGNATED "D" FOR FUTURE REFERENCE; -
TH•NCE NORTH /3OW'89" FAST A DISTANCE OF 82.00 FEET TO A POINT
DESIGNATED "E" FOR FUTURE REFERENCE;
THENCE CONTINUING NORM 43"01'48" EAST A DISTANCE OF 30.50 PUT;
THENCE NORM 48'55-12" EAST A DISTANCE DE 22.00 FAT;THENCE NORTH NORTH 14•34'48" WEST A DISTANCE Q T8.06 FEET AND TEIMNUS
OF ABOVE SAID CENTERLINE;
ALSO, TOGETHER WITH A STRIP OF LAND FIFTEEN (m FEET IN WIDTH
T.6 FEET GN EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE;
;EGINNING AT ABOVE HF7.YE0NCED POINT "A"; THMM NORTH 01'66'12"
EAST A DISTANCE DE 19,50 FEET;
ALSO, TO(EE IHM WITH A STRIP Or LARD FIFM N (15) FEET IN WIDTH
7.5 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE;
BEGINNING AT ABOVE IR}TEEICED POINT 'B'; THENCE SOUTH 01.66E 12"
• WEST A DISTANCE OF 123.50 FEET;
ALSO, TOGETHER WITH A STRIP OF LAW) FIFTEEN (15) FEET IN WIDTH
7.5 FEET ON EACH SIDE GN TTE FOLLOWING DESCRIBED CFNMILINE;
BEGINNING AT ABOVE HEFER EN]D POINT "C"; THENCE SOUTH 01'66'12"
VEST A DISTANCE OF 19.50 FEET;
ALSD, TOGETHER WITH A STRIP OF LAND FIFTEEN (15) FMT IN WIDTH
7.6 FEET ON EACH SIDE OF THE FOLLOWING OESMIBED CFINRE LIFE;
HMNRING AT ABOVE FEENE XID POINT "D"; THENCE NORM 18.65'12"
EAST A DISTANCE OF 20.00 FEET TO A POINT DESI'?IATITD "F" FOR
FUTURE REFYMEINE;
ALSO, TOKETHM WITH A STRIP OF LAND FIFIlEN (20) FEET IN HIM
1C.0 FEET GN EACH SIDE OF THE FOLOWING UMNIVED CENTERLINE;
BaNNNING AT ABLIVE NkFEMNCED POINT "F'; TIENF SOUTH 43"04'48"
EAST A DISTANCE: OF 4T.50 FYER;
ALSO, TOGMR WITH A STRIP DE LAND FIFTEEN (15) FEET IN WIDTH
7.5 FEET ON EACH SIDE OF THE FO.IDWING DFS(RIH•:D CENTEMINE; -
BE)GINNING AT ADOVL NMMENIE) POINT "E"; TllNCE SgIRH 46'66'l2"
VEST A DI STANCE OF 21 60 FEET; /
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HEBRANKAICrn 1 He4nnC Pi-"
AND
ASSOCIATES
Pro6vaional Surveyors ❑ Central Building Suite 402,810-3td Avenue o Seettle,WA 98106 n W6)H7.1T29
91066WLL
AN EASEMENT FOR A WATER MAIN LYING WITHIN LOT 2. BLOCK 2.
SHEPARD HEIGHTS ADDITION. ACCORDING TO THE PLAT THEREOF RECORDED
IN VOLUME 46 OF PLATS. PAGE 72. RECORDS OF KING COUNTY
WASHINGTON. EXCEPT THAT PORTION THEREOF DEEDED TO THE STATE OF
WASHINGTON FOR S.R. 900 BY DEED RECORDED UNDER RECORDING NO,
7103150268: AND LYING WITHIN PORTION OF THE EAST HALF OF THE
NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF THE SOUTHEAST
QUARTER OF SECTION 4. TOWNSHIP 23 NORTH, RANGE 6 EAST W.M. IN
KING COUNTY WASHINGTON. LYING SOUTH OF THE SOUTH LINE OF THAT
PORTION CONVEYED TO THE STATE OF WASHINGTON BY INSTRUMENT
RECORDED UNDER KING COUNTY RECORDING NO. 7111160168. SAID
EASEMENT BEING 16.0 FT. IN WIDTH LYING 7.60 FT . ON EACH SIDE OF
THE 6 FOLLOWING DESCRIBED LINES:
- COMMENCING AT THE SOUTHWEST CORNER OF SAID LOT 2: THENCE N. I .
16' 65 F. ALONG THE NEST LINE THEREOF A DISTANCE OF 18,47 FT. TO
A POINT LYING 2.60 FT. NORTHERLY OF AN EXISTING WATER MAIN, AND
TRUE POINT OF BEGINNING: THENCE N. 89' 30' 17' E. PARALLEL WITH
i AND 2.60 FT. NORTHERLY OF SAID EXISTING WATER MAIN A DISTANCE OF
76.00 FT. : THENCE N. 48. 23' 37 E. PARALLEL WITH AND 2.60 FT,
NORTHERLY OF SAID EXISTING WATER MAIN A DISTANCE OF 61 .09 FT. :
THENCE S. 87' 29' 31 E. PARALLEL WITH AND 2.60 FT. NORTHERLY OF
SAID EXISTING WATER MAIN A DISTANCE OF 6.00 FT. TO A POINT HEREIN
AFTER REFERRED TO AS POINT -A' : THENCE CONTINUING S. 67' 29' 31 '
�i E. PARALLEL WITH AND 2.60 FT, NORTHERLY OF SAID EXISTING WATER
MAIN A DISTANCE OF 13.00 FT. TO A POINT HEREINAFTER REFERRED TO
AS POINT B" ; THENCE CONTINUING S. 87' 29' 31 - E. PARALLEL WITH
AND 2.50 FT. NORTHERLY OF SAID EXISTING WATER MAIN A DISTANCE OF
IIII 76.00 FT, TO A POINT HEREINAFTER REFERRED TO AS POINT 'C' ; THENCE
CONTINUING S. 87' 29' 31 ' E. PARALLEL WITH AND 2.bO FT. NORTHERLY
OF SAID EXISTING WATER MAIN A DISTANCE OF 3.64 FT. : THENCE N. 49'
13' 05 E. PARALLEL WITH AND 2.60 FT. NORTHERLY OF SAID EXISTING
WATER MAIN A DISTANCE OF 74.63 FT. TO A POINT HEREIN AFTER
REFERRED TO AS POINT "D": THENCE N. 36' 18' 35 W. PARALLEL WITH
AND 2.60 FT. WESTERLY OF SAID EXISTING WATER MAIN A DISTANCE OF
43.00 FT. TO A POINT HEREINAFTER REFERRED TO AS POINT 'E THENCE
CONTINUING N. 38' IS' 35 W. PARALLEL WITH AND 2.60 FT WESTERLY
OF SAID EXISTING WATER MAIN A DISTANCE OF 30.09 FT. ! THENCE N.
66' 30' 29 ' E. PARALLEL WITH AND 2.50 NORTHERLY OF AN EXISTING
WATER MAIN A DISTANCE OF 23.91 FT. ; THENCE N, 13' 06'26 ' W.
PARALLEL WITH AND 2.60 FT. WESTERLY OF SAID EXISTING WATER MAIN A
DISTANCE OF 76,44 FT, TO THE NORTHERLY LINE OF THE ABOVE
DESCRIBED PROPERTY AND TERMINUS OF THIS DESCRIBED LINE;
W."of Land Dun eaun Mnxwwn M WnnmpNn NMInnM SwMa M ITrkanonM`urvm,n.Amrncet:nrynsa nn Surmlryt and Mapptmp
L J
•<v
L
�a
t
.e
F
4• `F
Y �r'ayy.�yy.
[ r
i"
5
ALSO BEGINNING AT IHE HEREIN REFERRED POINT "A THENCE N. 2' 30'
29 E. PARALLEL WITH AND 2.60 FT. EASTERLY OF AN EXISTING WATER
MAIN A DISTANCE OF I8.00 FT. TO A POINT THAT IS AT RIGHT ANGLES
TO AND 2,60 FT. EASTERLY OF AN EXISTING FIRE HYDRANT; THENCE
CONTINUING N. 2' 30' 29 E. A DISTANCE OF 7.60 FT. TO THE
TERMINUS OF THIS DESCRIBED LINE;
ALSO BEGINNING AT THE HEREIN REFERRED POINT B" ; THENCE DUE SOUTH
PARALLEL WITH AND 2,60 FT. EASTERLY OF AN EXISTING WATER MAIN A
DISTANCE OF 136.03 FT. TO THE SOUTH BOUNDARY OF THE ABOVE
DESCRIBED PROPERTY:
ALSO BEGINNING AT THE HEREIN REFERRED POINT 'C': THENCE S. 2' 30'
22 W. PARALLEL WITH AND 2.60 FT, WESTERLY OF AN EXISTING WATER
MAIN A DISTANCE OF 16.50 FT, TO A POINT THAT IS AT RIGHT ANGLES
TO AND 2.60 FT. WESTERLY OF AN EXISTING FIRE HYDRANT; THENCE
CONTINUING S. 2' 30' 20 W. A DISTANCE OF 7.60 FT. TO THE
I TERMINUS OF THIS DESCRIBED LINE:
ALSO BEGINNING AT THE HEREIN REFERRED POINT "D : THENCE N. 40'
13' 06 E. PARALLEL WITH AND 2.60 FT. NORTHERLY OF AN EXISTING
WATER MAIN A DISTANCE OF 36.00 FT. TO THE TERMINUS OF THIS
DESCRIBED LINE:
ALSO BEGINNING AT THE HEREIN REFERRED POINT "E.. ; THENCE S. 61'
41 , 26` W, PARALLEL WITH AND 2.60 FT . NORTHWESTERLY OF AN
EXISTING WATER MAIN A DISTANCE OF 20.00 FT. TO A POINT THAT IS AT
RIGHT ANGLES TO AND 2.60 FT. NORTHWESTERLY OF AN EXISTING FIRE
HYDRANT: THENCE CONTINUING S. 61' 41 ' 26 W. A DISTANCE OF 7.60
FT. TO THE TERMINUS OF THIS DESCRIBED LINE.
ALSO BEGINNING AT THE HEREIN REFERRED POINT "D" : THENCE N. rY
13' 06 E. PARALLEL WITH AND 2.60 FT. NORTHERLY OF AN EAISTING
WATER MAIN A DISTANCE OF 26.00 FT. TO A POINT HEREIN AFTER
REFERRED TO AS POINT 'F' . THE BEGINNING OF A TWENTY FOOT WIDE
EASEMENT BEING 10.00 FT. ON EACH SIDE OF THE FOLLOWING DESCRIBED
LINE: THENCE BEGINNING AT THE HEREIN REFERRED POINT 'F' S. 40,
46' 66' E. A DISTANCE OF $0.00 FT. TO THE TERMINUS OF THIS
DESCRIBED LINE.
•Et �r
'ill .
i
WATET2 LINE CASCNENT
(2FAMN MIGNLAMOS RFTIRENf017
2ES/PENCE LP. �N`/ � 4L /D G�RaM) NaY•12 'SS 'E 12.57
NE BA/1I�K aASCOC. �' 7/QL6 5
N !I•HA 'I've 2 yV.Op
b p'
,udp
I Nti pe1� 1.11
W ti z�.91• � i _
2 ` 3!•• N 3r'W
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Y �� S W-w.SC F W
.p.
II
iS.3D' I •A"
W Nw•at zo'c,' a;_3sar'. I J.T.I• '<
` \ IoaM'J�•i7?-� ' � J i•30'Z'r"w
j aN,� w•' Y' i I 27.00•
na.S9DAA
.W � A 'h; PAT
n'
N ae•nv w^t
�5
COST DATA AND INVENTORY
SUBJECT: CITY PROJEQ'NUMBERS: \{'-
r _ y =NAME ON PROJECT' S'I'
RENTON HIGHLANDS RF11RiMENT RESIDENCE
TO: CITY OF RENTON FROM: LIMITED PARTNERSHIP, an Oregon -
UTILIITES DIVISION partnersnip
200 MILL AVENUE SOUTTI P.O. Box 14111 r+'
RENTON,WA 98055 facility address: 1414 Monroe Avenue, NE.
Ts:'on, LTA. 8E056 —
I1I
UATE:
Per your request,the following Infomutlon Is fundshed concerning costs for Improvements installed for
the above referenced protect.
WATER 1
length Size Tylx
I.F.OF (,. WA'IERMAIN - +
L.P.OF WATERMAIv
I.P.OF " WATF.RMAIN
L.P.OF WATER 4A1N
EACH OF ; GAT-E VALVES
EACH OF GATE VALVES
j EACH OF GATE VAI.VI'-S
SUBTOTAL S
4 EACH OF TIRE 1EYDRANT ASSEMBLIES $
(COST OF FIRE HYDRANTS MUST DE LISTED SEPARKI-ELY).
TOTAL COST FOR WATER SYSTEM $
Lt;nph Size Type
L.P.OF SEWER MAIN
I.F.OF SEWER MAIN
L.P.OF SEWER MAIN
EACH OF DIAMETER MANHOLES
TOTAL COST FOR SANITARY SEWER SYSTEM $ z '
Length Stu Type
L.P.OF STORM LINE
L.P.OF 0 STORM LINE
L.F.OP STORM LINE
RiL OF STORM INLET
EA.OF " STORM CATCHBASIN
BA.OF • STORM CATCIIRASIN
TOTAL COST FOR STORM DRAINAGE SYSTEM s
(Including Curb,Gutter,Sldewaa:,Asphalt Pavenmoi•lnl Sircct Lighting)
TOTAL COST FOR ST -T 114PROVEMEMS $
(SIGNATURE)
(SIGNATORY MUST RE AL111FIORIZED AGENT OR
OWNER OF SUBJECT DEVELOPMENT)
a
i
SIGNATURE PAGE FOR COST DATA AND INVENTORY
RENTON HIGHLANDS RETIREMENT RESIDENCE LIMITED PARTNERSHIP
DATED: 1991
RENTON HIGHLANDS RETIREMENT RESIDENCE
LIMITED PARTNERSHIP, an Oregon
limited p rtnership �/� ��
By:/ GC!
± N6RMAN L. BRENDEN,
Gener 1 Partner I`
J E PRIG
G Par er
By: COLUMBIA-PACIFIC GROUP, INC_ ,
a Washington corporation,
General Partner
V�J \
BY:�!
j . DANIEL
President
t
I
r�
'r
a'-
,L'Afp6.
r �
j
ofil.n r'mU CRtII�RY lT)
km
Rm. ar rhea,r1-1
Remora MUMuryI huil,l,nµ
390 NW Arcnur South UdRUes
R.ma,.WA W55 WATER EASEMENT
THIS INSTRUMENT,made this_day of 19 91 ,
by and between RENTON HIGHLANDS RErIREHENT RESIDENCE LIMITED PARTNERSHIP, an
rn.«
Oregon limitrtnera,ranhip and
_ and
and
hereinafter called%nsmor(s),'and the CITY OF RENTON,a Municipal Corporation of King County,
Washington,hereinafter called%ranee'
That said Grantor(s),for and In consideration of the sum of$-----Ten and No/100 Dollars ?
($10,00)-""""""_paid by Grantee,anu other valuable consideration,receipt of which is
hereby acknowledged,do by 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 appinicnances over,through,across and upon the following described property in King
Cowry,Washington,more particularly described as follows:
SEE EXHIBIT "A" ATTACHED HERETO
AND BY THIS REFERENCE INCORPORATED HEREIN.
UIIWb Farmenl
SMet 1 of 3
R4,wro,.plgAM)LNue�M
i
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 constructing,maintaining,repairing,altering or reconstructing acid utilities,or making
any connections therewith,without incurring any legal obligations or liability therefore,provided,that
such construction,mainaining,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 enjoy the aforedescribed premises,including the right to retain the right
to use the surface of said rightof-way if such use does not interfcre with installation and maintenance of
the utilities. However,the grantor slag not erect buildings or structures over,under or across 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 arc the lawful owners of the above properties
and that they have a good and lawful right to execute this agreement.
Sianatums of Grantors
REMN HIGHLANDS RETIREMENT RESIDENCE and
Iimstpd partnership and
SEE ATTACHEI) SIGNATURE PAGE and
and
BEPB65FHIA11YEF46.KUtlCS69,w-y�nr sE tEKI.
STATE OF WASHINGTON )
SS
COUNTY OF KING
1 certify that I know or have satisfactory cvidence that and
signed this instrument,on oath stated that he/she/they orized to execute the instrument
and acknowlcdy�d it as the and of
to be the f ary t of such party/parties for the uses and
purposes mentioned in the instru cat
Dated
Notary Public in and for the Statc
of Washington residing at
My appointment expires:
snw r of 2
ImaviGu.l Fom�
NwYrgy.NYWrIYIFNa
I 1 i
a�
i
i
SIGNATURE PAGE FOR UTILITIES EASEMENT
RENTON HIGHLANDS RETIREMENT RESIDENCE LIMITED PARTNERSHIP _
DATED: 1991
k
RENTON HIGHLANDS RETIREMENT RESIDENCE
LIMITED TNERSHIP, an Ore on
liMit rtnar�lf
NORMAN L. BRENDEM, µ
Ganar Partner n
By:
J F Y Wnnit
,
C er 1 erte
By: COLUMBIA-PACIFIC GROUP, INC. ,
a Washington corporation, I
General Partner f
BY:
IEL R. BA TV,
President
i
ij
4,"'<
fi v.rx
w ' d
R t;
1,
p. aarp
l
}I
5I
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i
I
STATE OF OREGON
as.
county of Marion L )
on -[1[�[w»!!. < , 1991, before se, the
undersigned, • otary Public in and for said State, personally
appeared NORMAN L. BRENDEN, personally known to as (or proved to me
on the basis of satisfactory evidence) to be the person who
executed the within instrument, as general partner, on behalf of
RENTON HIGHLANDS RETIREMENT RESIDENCE LIMITED PARTNERSHIP, an
Oregon limited partnership, and acknowledged to as that such
limited partnership executed the same.
IN WITNESS NP' -'•nF, I have hereunto set my hand and affixed ay
official seal of ate in this certificate first above written.
ai w1 C-7/ ve
./ z ril
Notary Public for Oregon
My Commission btpirwl-r6-is-y,3
i
J STATE OF WASHINGTON
I ) on.
County of
on 1991, before se, the
undersigned, a Notary Public in and for said State, personally
appeared JEFFREY WRIGHT, personally known to me (or proved to as on
the basis of satisfactory evidenco) to be the person who executed }
the within instrument, an general partner, on behalf of RENTON
HIGHLANDS RETIREMENT RESIDENCE LIMITED PARTNERSHIP, an Oregon
limited partnership, and acknowledged to me that such Baited
partnership executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my
official seal of the date in this certificate first above .written.
01
.•••"""'•} N tary Public for Washi! on
a ••.
ssica bcpieesia7Ed.
ewe t�
OR WA5-' �
mm�
s
u
wr
aAyi ,:
STATE OF WASHINGTON )
((�� �� �� ���� �' ) am.
County of,N6p�8d6,�S.p�!._ �t) '
On AII�Y.4.utiJ�f/V .fib 1991, before me, the
undersigned, a Notary Public in and for said State, personally
appeared DANIEL R. BATY, personally known to me (or proved ' o me on
the basis of satisfactory evidence) to be the person who xecuted
the within Instrument as President of COLUNBIA-PACIFIC GROUP, INC. ,
a Washington corporation, the corporation therein named, and
acknowledged to me that such corporation executed the within
instrument pursuant to its by-laws or a resolution of its board of
directors, such corporation being a general partner of RENTON
HIGHLANDS RETIREMENT RESIDENCE LIMITED PARTNERSHIP, an Oregon
limited partnership, anJ acknowledged to as that such latter-
entioned partnership executed the same.
IN WITNESS WHEREOF, I have hereunto not my hand and affixed my
official seal of the date in this certificate first above written.
V hill Notary Ptolic for Washin ton s
My Commi• ion Expires: �}�lilt
NyTARY
PUBUl� o
,,if_gm
I
�— InrM nr .,A.erg
ktm a wANePNNTON
"m ARIMIMI W WlAt AM 1MAt TNpRYMY\
WATER SACTERIOLOCIICAL ANALYSIS
C' M01[,cut LAC IION At At,INSIkw okS ON BACK Of DOt01NRDO con
V n)IMC114r\B kq n.1 IOIIOW W,NIODM will M'awted
JAII DOU[CiIU TIME COtt[OIID COUNIY NAMI
MUNIn TNY vl Nrl
M ❑ PM v 1 __
TYM W NY/T[M 11 MNIIC/Y/1 M.COMPIOI
A..
wait I,D.
INDIVIWAt
NAMI OF aY/TIM
A ^4
vAMT 1 P\1 I 1 a NAM"A NAM AAM AMI II I IMNI Mr
' fAMKI COtIlCT[DNY IMMPI
NOORcI TYP[
Fl SURPACI ❑Witt ❑smont ❑P AACMAUD acll Mt AIION
nb OTNR
{!�4 J�11 iPnnl<url NMR 4Meee W 710 CMN T
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w'AeIMIMIDN
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trove IrW lrMnl�� ❑ YrINrM
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�. RAW Co%*fA CT%NN --
J NIW CONNTRucTgN w Rl1MlN6
MTMIN lsowlln__—_
cOMPtert IP TMIN NAMPt!IN A NAMPU
PR 111o".11 V
NI[Y1011/NAMRI COlIlcIION DAII
r
LAIMTORT MWATS vNN LAN uM Mitt
4PN COtIPtARM $To PtAlr COUNT RAMPtel Not ratio
NM/
MAN WUTION Tfat UNSVIIANtl ❑ Nw11PM 1.ow
�T m 1.❑ GPrlluenr MInMIn ❑ NM m M•Rwl conlAuwr
Me CQCVOIIM ❑ INII,
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❑ MPH (. Mt A ❑ ❑
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IIpIt0IN/O WATp/AMKkN ONtY TNkUMNNttNMM
f� 10 MTI*PAtlIMY 0 IN 114fACt(MW
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OE PAR LMf NT 0r NF ANN
WATER BACTERIOLOGICAL ANALYSIS
11 melruchons IRS nol lolloRW,"NOR...IT M nWtw
DATE COLLECTED tIME OOLLECTEO COUNTY NAME
uONIN t....
TYPEOFSC SYSTEM,COMPLETE
PUBUCONDo. I (- I 1 2 S E
NAME OF SYSTEM
SPICIHC IMA "M SA FEC`LECIE SYSRM OFFER,NOR MS,AIM IHIRENEND
w r^...w..—....w+..w.
14 a,, a. H FY x ,qqrl
SIMPLE COLLECTEDKBY.IN.nPI
I BOUNCE TYRE '
❑SURFACE ❑WELL ❑BMW ❑PURCHASED caCOMBINATION
OTHER
SEND REPORT E0,IR.H F..NON,A NA*I . lM C.I
Lr LF ♦I—
'i'1 n 1 WAyNINDION_::
lYP�Y1y1[V YMPLF
1.LJnDRINKING WATER ❑CMMNNSIM.MNI._TOI.1_FINI
crick IPAM IT ❑ FIIMnp
' ❑ U D.RN,w OIMI
Y.❑ SOURCE RAW WATER
p.
3..a. NEW CONSTRUCTION OI.LMBMIIS
R.❑ OTHER ISNdgI
COMPLETE IF THIS SAMPLE IS A CHIM SAMPLE
ARYKES 1AE No
PI EVNRUS SAMPLE COLLECTION DATE
AEMARRS.
•,n - I
LMOMTOIIY REWLTS FROM Lu USE ONLY)
M[W,GOLIFORM STD PLATE COUNT SAMPLE NOT TESTED
BECAUSE
NUN DILUTIONT TEST UNSUITABLE ❑ EMNPN too 010
Am^ T.❑COnRUMIGroMIn ❑ Nol in PrONr T:onlMn.r
MY CC.IFORM
/cD Y.❑ TNTC ❑ II .n1 lnlomMNon
PINK RNo
msnuclmN on form
FECAL COLIi J. ❑ ERw.D.SH.
❑ MAR ❑ME S, ❑ ❑ t
/I W AP
FORREO WATOE SAMPLES DAILY.THESE RESULTS ARE
SATISFACTORY Cl UNSADAFACTORY
SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
iN ND WiE.LwI MOVAD—� RECErvtD EY
DATE RFroIITED �. LAp14TOP,
REMARKS '
WATER SUPPLIER COPY
T J
I
[qM 631N iXfV 1.6,
^1 STATE OF WASHINGTON -`
DEPARTMENT OF HEALTH
WATER BACTERIOLOGICAL ANALYSIS
II inSlNCllOnB YN nOl In11aw1IQ umpls wul DX njActYd
DATE COLLECTED TIME COLLECTED COUNTY NAME
MONTX DFT YEA.
,�AM ❑
LL..TYPE OF SYSTEM If PUBLIC SYSTEM.COMPUTE'.
�I PUBLIC nNal nAss
1 ❑ INDUP MAL I.D.No, - t) 7 A
! NAME OF SYSTEM
It 6
SRCNIC UIGTBN FINE IIF$RNN F CDIIFCTF SKRN IMWR WAR Am lIUNHM M1
w twNn r«.x ur r...wm p..w
SAMPLE COLLECT D BY'.MnNI T
901111CF TYPE .n
❑SURFACE ❑WELL O SPRND ❑PLMCHASED y
SEND REPORT TO I..I..HFrrx.AOHM..EN Dwo
-# wAsxWUtcW
rveE a yMFl1 __
I
L�ORIN.INO WATER ^�COIOnrMlad lRFarJW1_TOWI_FMI
elyc.(nNlmFnl y L-' Ful«aE
n ❑ UnnwFTN or OIMr_-__ I
2 MW IMRlIICE WATFR
3. NEW CONBTR =e.GLMAIMUS
E. OTHER Olwabl_
COMPLETE IF THIS EAMPLE IB A CHECK SAMPLE
MV M1 I AS NO
PREVIDIA SAMPLE COLLECTION DATE _
REMARKS-
LAEOKATORY REEULTE IPBR W w tPoEn
MIN COLIFORM STD PLATE COUNT SAMPLE NOT TESL ED
BECAUSE
MAN DILUTION TEST UNSUITABLE ❑ S FH TOO OM
Am., 1 ❑ C.M..I G1.1h ❑ Nol in P Ogr C Mrmr
i MF CMIFORM 'j1-r
, " iNTC mww.n.INAM,A.M
W ProYWq.-PIPMA HMO
IrVtlgne M FpT
' FECAL MIVOAV 3. ❑ Er'^.eae oNxN
❑IN MF E.
PORNME WATER SAMPLFS ONLY,THEbf RESULTS ARE'
BATTBFACTCNIY Cl UNSATISFACTORY j
REVERSESEE 'I FG.EEN COPv TOP ERPLANAt1ON OF VUESOLDS
LASHO ult.THIS RECEIVED- IIECSMO BY
I yry11SPOSTED, 1ABOIM
I
WATER SUPPLIER COPY M
I
J
OM1 NYOt MFV INS
STATE OF WASHNIOTON ��
OEPARTMENT OF HEALTH
WATER BACTERIOLOGICAL ANALYSIS
11 InBDu<DODS BTB nO110HOW00,AAmPM-III DO TPIBCIBO.
GATE COLLECTED MAR TIME COLLECTED COUNTY NAME
CI
O Y
AM ❑ PM
TYPE Of SYSTCM IF PUBLIC SYSTEM,COMPLETE
PUBLIC - caul nAti
❑ INDIVIDU I.D.No.
AL ,( F 7 S
NAME OF SYSTEM
T
�w E1RL lUCI. OM FI SIJ1 lF EIXlESN SISLESUMArMIA UMW NO BURG*TO
WIS IN—
SAMPLE a TED IV'.Mws
SOIIILCE TYPE
❑SURFACE ❑WELL ❑WRENS ❑FNICNAMO Q COMBINAI HIN
a OTHER
SENU MPOM TO UMW FWI w.Nn.AYMMF M!!O TbMI
k I r..
DIE,OF yMPIE
L�OMNRINO WATER ❑CA1b1mMP(A RMNRI.�To41_F.)
CMCk 1.11 MI� Cl FIIIPN
❑ UnI.1"w OINw
I.§MIN SOURCE WATER
a.S•�J NEW CONSTRUCTNJN.AWAIRC
II` A. OTHER MMity1
COMPLETE IF THIS SAMPLE 15 A CHECK SAMPLE
1 "I VINIS 140 NO _
Illy PREVIOUS SAMPLE COLLECTION DATE_
WRFS
LAWMTOIEY RESULTS FOR LAB USE own
BMF CDL'CORM STD PLATE COUNT SAMPLE NOT TESTED
BECAUSE
MAN DILUTION TEST UNSUITABLE ❑ SAmMF TOP OM
IIm 1.❑CMIIUMI G.th ❑ Nol In Pngv Gminmr
MF COLIFORM =,❑ TNTC ❑ ImPHICIMI
P n -PINK Inlwrmllm
�M MRE
FFCAL COLIR
�.❑ ERI.rM OMIIE Imlryclrom on For.
❑ MPN O MITI /.❑ ❑
WW
Foa)MMO WATO SAMMRS ONLY,MESS RESULTS ARE.
40 MTTRFACTORY ❑UNBATUEFACTOTIY
SEE REVERSE SIDE OF GREEN COPY FOR EXPI ANA•ION OF RESULTS
WNO WTE.M1E MClIWO- M BY
"1,.,.011 11PONAIIl11Y I
MMAPUI
WATER SUPPLIER COPY •Y
J
NOTICE OF NEW FIRE HYDRANT IN-SERVICE
NAME OF DEVELOPMENT Q dlr,,�%LaAnZEMIWT Qcs�ae.+cs
ADDRESS 14[n Aft krnr- A&AIE N.E.
INSTALLATION CONTRACTOR l-.c.�.5 o..i k Cn<<•-..f
WATER PROJECT NO. Uk- 1014 --
NI"ER OF HYDRANTS S
HYDRANT LOCATIONS (Ste Ml't,a SUM-k do (FOR FIRE DEPT. USE ONLY)
JACK sue) HYDRANT NO.
M 1. 19A, c`uluw Fblc GV GbFF 1eJRCkA
M 2. I+APLA,%TJC% %rRIl' jLKINI4 Lrn'.
3. eF PA vtw A "
4.
5.
6.
INSPECTOR NARJIN Uu,r�,y '� �
r
a i-euee•le.r RaslcewG=
' F1YC<M1T �G4—'e w:
i■ vZ 6y
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�f 40
a
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I
CONSTRUCTION FIELD SERVICES
pINAL OCCUPANCY INSPECTION REPORT
DATE: OCTOBER 91, 1991
TO: UTILITY SYSTEM@
( j STORM - RANDALL PARSONS
[ ) SEWER - DAVE CHRISTENSEN
[ ] WATER - ABDOUL GAFOUR
[ ) PLAN REVIEW - GREGG ZIMMERMAN
[ ) CONSTRUCTION SVCS - RORRO/BURGY
[ ] TRANSPORTATION SVCS - CLINT MORGAN
[ ) 1.aNDSCAPEi20NING - BOB ARTHUR
[ ) NnILDiNG FINAL - NEIL MAUNE
' [ ] RT4R 44EVFNTION
FROM:_CONSTRUCTION FIELD SERVICES- NEIL MAUNE Xfil
SUBJECT: RENTON HIGHLANDS RETIREMENT PERMIT NO.: B-15534 (WO8879791
1414 MONROE AV NE TYPE BUSINESS: RETIREMENT APTS.
The subject project is nearing completion. Please investigate your area of
responsibility and indicate below either your acceptance or non-acceptance. I
1 Please return this form by NOVEMBER 7. 1991 in order that a permanent
Certificate of Occupancy may be issued. If no comments are received by the
1 above date, the permanent certificate will be issued.
TO: CONSTRUCTION FIELD SERVICES DATE n�.4,
I FROM:
This project is approved by this department subject to the following
corrections: (Note: see copy of 90 day requirements attached)
NONLIFE SAFETY ITEMS LIFE SAFETY ITEMS
{� EXTtNp IZw Wil7tG Mkt&4 TO yTH)
iopr:RT{ Lint PeR PLAN '
�y�LN5T Iku. A bc.ow\ C4 F A es i W
AT Tt1.E Ertl? A 11G V+1C AIL VAC. _'
�EC'1-PC6 TN t SEM 6L�('
1ytllCu 15 59&Kew 4 '1�1oP0P.AISLC
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMANENT CERTIFICATE OF
OCCUPANCY? (IF YOtt HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES".)
YES [ ,:�� NO
mom"
Authorized Signn u s
q:flnl xc
J
MR._ r
Y,
CONSTRUCTION FIELD SERVICES VJ l014 1
FINAL OCCUPANCY INSPECTION REPORT F-7451
DATE: OCTOBER 31, 1991
TO: UTILITY SYSTEMS
[ ] STORM - RANDALL PARSONS
[ ] SEWER - DAVE CHRISTENSE14
( ] WATER - ABDOUL GAFOUR
[ ] PLAN REVIEW - GREGG ZIMMERMAN
[ ] CONSTRUCTION SVCS - KOKKO/BURGY
[ ] TRANSPORTATION SVVCS - CLINT MORGAN qi,Y UF..PGNTOF
[ ] LANDSCAPE/ZONING - BOB ARTHUR ^��c•�:EO
[ ] BUILDING_EIRAL - NEIL MAUNE
( ] FIRE PREYENTIUN �OV iio 1Q�)
FROM:_CONSTRUCTION FIELD SERVICES- NEIL MAUVE x6172 ,:LUuvu Ui VIS UN
SUBJECT: RENTON HIGHLANDS RETIREMM PERMIT NO. : B-15554 (WOY87078)
14;4 MONROF AV NE TYPE BUSINESS: RETIREMENT APTS.
`! The subject project is nearing completion. Please investigate your area of
responsibility and indicate below either your acceptance or non-acceptance.
Please return this form by NOVEMBER 7. 1991 in order that a permanent
Certificate of Occupancy may be issued. If no comments are received by the
above date, the permanent certificate will be issued.
TO: 1C1'ONSTRUCTION FIELD SERVICES DATE N6V.G, M1
FROM: Wwft �6uii bi A• bw- _ "_Goo,
This project is approved by this department subject to the following
corrections: (Note: see copy of 90 day requirements attached)
NON-LIFE SAFETY ITEMS LIFE SAFETY ITEMS [Ma"s)
"Mm N:41L V"K:\k& Qefkrdli du R6•WK or WN(ft A" 4 -IL611(r �NYLIA1 of k!•amLr
ftXh'A& 04 AU a%6• left WMIh.R\ k.M1aW9tMW6E %4" :w I* AM. ae Ioy. Iff
g ",n*L 9afatfarwr &Aag O ao d". C 10°l. ov •73)515° 571551so)
_hNMIZ 4" SAO hwwt s 4 7,,AO6ft
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF ERMANENT CERTIFICATE OF
OCCUPANCY? (IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES".)
[ 1t] YES [ ] NO
Aut ted Signature
CONSTRUCTION FIELD SERVICES
FINAL OCCUPANCY INSPECTION REPORT
DATE: OCTOBER 31, 1991
TO: UTILITYSYSTEMS
[ ] STORM - RANDALL PARSONS
[ ] SEWER - DAVE CHRISTENSEN '
[ ] WATER - ABDOUL GAFOUR
[ ] PLAN REvlvw - GREGG ZIMMERMAN
[ ] CONSTRUCTION SVCS - KOR},O/SURGY •t,Y OF PFMot,
[ ] TRANSPORTATION SVCS - CLINT MORGAN rerciY£D
[ ] LANDSCAPE/ZONING - BOB 4RTHUR
[ ] BUILDING FINAL - NEIL W UNE �]UV 110 199�
[ ] FIRE PREVENTION
"] N
FROM;_CONSTRUCTION FIELD SERVICES- NFI at
. _x617� �- �Q
SUBJECT: RENTON NIr_HL4ND5 RETIREMENT PERMIT NO. : 8-15554 tWO187078I
1414 MONROE AV HE TYPE BUSINESS: RETIREMENT APTS.
The subject project is nearing completion. Please investigate your area of `responsibility and indicate below either your acceptance or non-acceptance.
a
Please return this form by NOVEMBER 7 1401 in order that a permanent -A*,,Certificate of Occupancy my be issued. If no comments are received by the
above date, the permanent certificate will be issue .
TO: CONSTRUCTION FIELD SERVICES DATE
FROM: (A 1d1MM4=z _ `r This project is approved by this department subject to the following t corrections: (Note: aee copy of 90 day requirements attached)
NON- ,IF% SAFETY ITSMc LIFE SAFETY ITEMS
e ON
t T+S I�.��r•��Ad
Sa h2iy A '-
a
J.� ✓r�r� 1 r7�s f=n
DO YOU
A Y OBJECTION�TfOF ISSU --
OpANCY? ANCE OF A PERMANENT CERTIFICATE OF
(IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES".)
YES [ ] NO
01rQzed4S1qnatur,
gainlac
L_ �
CONSTRUCTION FIELD SERVICES
FINAL OCCUPANCY INSPECTION REPORTa—
„ s
DATE: OCTOBER 31, 1991
TO: UTILITY SYSTEMS 'fit
( ] STORM - RANDALL PARSONS
( J SEWER - DAVE CHRISTENSEN
[ ) WATER - ABDOUL GAFOUR _
[ ] PLAN REVIEW - GREGG ZIMMERMAN
[ ] CONSTRUCTION SVCS - KOKKO/BURGY
[ ] TRANSPORTATION SVCS - CLINT MORGANY OF RENfON
[ ] LANDSCAPE/ZONING - BOB ARTHUR
[ ] BUILDING FINAL - NEIL MAUNE Pry
[ ] FIRE PREVENTION 1991
FROM:_CONSTRUCTION FIELD SERVICES- JAL MAUNE x6172
SUBJECT: RENTON HIGHLANDS RETIREMENT PERMIT NO. : B-15554 (WOM870781
1414 MONROE AV NE TYPE BUSINESS: RETIREMENT APTS.
The subject project is nearing completion. Please investigate your area of
responsibility and indicate below either your acceptance or non-acceptance.
Please return this form by NOVEMBER 7. 1991 in order that a permanent
Certificate of Occupancy may be issued. If no comments are received by the
above date, the permanent certificate will be issued.
TO: CONSTRUCTION FIELD SERVICES DATE Qcv 1p lQ`1/
1
FROM: �I(mme Z-+-, are
This project is approved by this department subject to the following
corrections: (Note: see copy of 90 day requirements attached)
NON-LIFE SAFETY ITEMS
i�.rar,�iS.,uT J�fyiiLs '.-Irrk✓.r JAIfWW_-s �iG C1M !U {.
k/.rm u'T." sr.. d Anwy Aiwa, ^Ar -41— is 00-7M
` ides VKdALI 00' _ARry u,u9s
iPJvan.vi uIl Is .rsn •✓ •
�/Cawn�4
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMANENT CERTIFICATE OF
OCCUPANCY? (IF YOU HAVE LISTED ANY 11E SAFETY ITEMS, MARK "YES".)
Lx] YES [ ] NO
on ed Signature
47�FlMole
-.00104
CONSTRUCTION FIELD SERVICESLryr� §'
FINAL OCCUPANCY INSPECTION REPORT III
DATE: OCTOBER 71, 1991
TO: UTILITY SYSTEMS
( ) STORM - RANDALL PARSONS
[ ] SEWER - DAVE CHRISTENSENpc gEMON
( ] WATER - ABDOUL GAFOUR
[ ] PLAN REVIEW - GREGG N WrO -
[ ] CONSTRUCTION SV S KOKKO BURGY
[ ] TRANSPORTAT NT MORGAN
( ] LANDSCAPE/ZONING - BOB ARTHUR .,,�uu�.n UIb ISIU
( ] BUILDING FINAL - NEIL MAUNE
[ ] FS$E PREVENTION
FROM:—CONSTRUCTION FIELD SERVICES- NEIL M_AUNE x6172
SUBJECT: RENTON HIGMLhNDc gETIREMENT PERMIT NO. : B-15554 (WO6970781
1414 MONROE AV HE TYPE BUSINESS: RETIREMENT APTS.
I The subject project is nearing Completion. Please invectigate your area of
responsibility and indicate below either your acceptance or non-acceptance.
Please return this form by NOVEMBER 7, 1991 in order that a permanent
Certificate of Occupancy may be issued. If no comments are received by the
above date, the permanent certificate will be issued.
u c7
TO: CONSTRUCTION FIELD SERVICES DATE / !�
FROM: ..JM
This project is approved by this department subject to the following
corrections: (P w: sea copy of 90 day requirements attached)
NON-LIFE SAFETY IT Mc LIF "AFTY IT .Nc
DO YOU NAVE ANY OEJSCTION TO ISSUANCE OF A PERMANENT CERTIFICATE OF
OCCUPANCY? (IF YOU HAVE LISTED ANY LIFE SA Y ZTSMS, MARS "YES".)
[ I YES ( I NO
Authorized Signature
V�d
it
-:vwWel.fM W
CONSTRUCTION FIELD SERVICES
FINAL OCCUPANCY INSPECTION REPORT
I
DATE: OCTOBER 31 19�
I
11 TO: UTILITY SYSTEMS
[ ] STORM - RANDALL PARSONS
[ ] SEWER - DAVE CHRISTENSEN �aaV:OY
[ J WATER - ABDOUL GAFOUR OW- mares
( J PLAN REVIEW - GREGG ZIMMERMAN[ ] gMTR �,Ov TION V S - KOKROISURGY _ RENTO"
[ I TRANSPORTATION SVCS - CLINT MORGAN �^
[ j T�nNDSCAP ./ ONTNG - BOB ARTHUR I�GV
[ ] BUILDING FINA - NEIL MAUNE [ 1991
( ] FIj2E PREVENTION
uv,rV„y�,
FROH:_CONSTRUCTION FIELD SERVICES- NEIL M_,UNE X6172
SUBJECT: RENTON HIGHLANDS RETIREMENT PERMIT NO. : 5-15554 (wOY87078)
1"A MONROE AV NZ TYPE BUSINESS: RETIREMENT APTS.
The subject project is nearing completion. Please investigate your area of
responsibility and indicate below either your acceptance or non-acceptance.
Please return this form by NOVEMBER 7. 1991 in order that a permanent
{1 Certificate of Occupancy may be issued. If no comments are received by the
above date, the permanent certificate will be issued.
1
TO: CON$.TWC9,1:4W:"Wz ICES DATE ZZ- 1-°3'I
F> :
{ This project is approved by this department subject to the following
corrections: (Note: sea copy of 90 day requirements attached)
J NON-LIFE SAFETY IT _HS LEI F� SAFETY ITEMS '
j r I, _
:
IV/,'T Fi4.ti/i i�.�• ,•, •ram,
O'
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMANENT CERTIFICATE OF
OCCUPANCY? (IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK BYES°,)
[ ) YES [ j NO
Autho SYgnalur�
�]:I inlse 1
I :
I CONSTRUCTION FIELD SERVICES
FINAL OCCUPANCY INSP_E_rU0_N REPORT
DATE: OCTOBER 31. 1991
TO: UTILITY SYSTEMS
( ] STORM - RANDALL PARSONS
[ ] SEWER - DAVE CHRISTENSEN
[ j WATER - ABDOUL GAFOUR
[ ] PLAN REVIEW - GREGG ZIMMERMAN
[ ] CONSTRUCTION SVCS - KOKKO/BURGY -
[ ] TRANSPORTATION SVCS - CLINT MORGAN
( J LANDSCAPE/ZONING - BOB ARTHUR
[ J BUILDING FINAL - NEIL MAUNE
( ] r3RE PREVENTION
FROM:—CONSTRUCTION FIELD SERVICES- NEIL MAUNE x8172
SUBJECT: RENTON [{IGHLANDS RETIREMENT PERMIT NO. : B-15554 (WO487078)
1414 MONROE AV ME TYPE BUSINESS: RETIREMENT APTS.
The subject project is nearing completion. Please investigate your area of
j responsibility and indicate below either your acceptance or non-acceptance.
Please return this form by HOVEMBER 7. 1991 in order that a permanent
Certificate of Occupancy may be issued. If no comments are received by the
above date, the permanent certificate wall be issued.
TO: CONSTRUCTION FIELD SERVICES DATE
FROM
This project s appro ed by this department subject to the following
corrections: (Note: see copy of 90 day requirements attached)
NON-LIFFE SAFETY ITEMS LIFE SAFETY ITEMS
♦ Y
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMANENT CERTIFICATE OF
OCCUPANCY? (If YOV HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES".)
[ ] YES (�/] NO
Authorized S nature
gxiinlKe +
i
r
CONSTRUCTION FIELD SERVICES
FINAL O OPANCY INSPECTION REPORT
AENFOry
DATE: OCTOHER 31, 1991 - ^O'VED
TO: UTILITY SYSTEMS
[ ) STORM - RANDALL PARSONS •�.wuru UIYIS"
[ ] SEWER - DAVE CHRISTENSEN
( ] WATER - ABDOUL GAFOUR
I ) PLAN REVIEW - GREGG ZIMMERMAN RE�'ITOI�FIRE DR[
[ ] CONSTRUCTION SVCS - KOKKO/BURGY PIA°P1NilON BUAC
[ ] TRANSPORTATION SVCS - CLINT MORGAN NQV O ,
[ ] LANDSCAPE/ZONING - BOB ARTHUR 1991
[ ) FIRE PREVENTION NEIL MAUNE RECEIVED
FROM:_CONSTRUCTION FIELD SERVICES- 1ZIL MAUNE x6172
SUBJECT: RENTON HIGHLANDS RETIREMENT PERMIT NO. : B-15554 (WO4870761
_ 1414 MONROE AV HE TYPE BUSINESS: RETIREMENT APTS. 1
} The subject project is nearing completion. Please investigate your area of
responsibility and indicate below either your acceptance or non-acceptance.
Please return this form by HOVEMBER 7. 1991 in order that a permanent
Certificate of Occupancy may be issued. If no comments are received by the
above date, the permanent cr*rifi"to will be issued.
TO: CONSTRUCTION SL. DATE 'e// y
FROM: Rom._ L-F�KLdk0,'J
Thia project is approved by this department subject to the following
corrections: (Note: see copy of 90 day requirements attached) !!!
NON-LIFE SAFETY I f,�[^g LIFE SAFETY ITEMS I
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMANENT CERTIFICATE OF
OCCUPANCY? (IF YOU HAVE LISTED ANY LIFE S TY ITEMS, MARK "YES".)
( ] YES [ ]] NO
Y1
jut oriz� . Signs -
03:+1"lay
vp
CONSTRUCTION FIELD SERVICES
FINAL OCCUPANCY INSPECTION REPORT
DATE: OCTOBER 31, 1991
TO: yTILITY SYSTEMS
[ ] STORM - RANDALL PARSONS
[ ) SEWER - DAVE CHRISTENSEN
t ] WATER - ABDOUL GAFOUR
( ) PLAN REVIEW - GREGG ZIMMERMAN
( ) CONSTRUCTION SVCS - KOKKO/BURGY
[ ) TRANSPORTATION SVCS - CLINT MORGAN
[ ) LANDSCAPE(ZONING - BOB ARTHUR
[ ) BUILDING FINAL - NEIL MAUNE
( ) FIRE PREVENTION
FROM:_CONSTRUCTION FIELD SERVICES- NEIL MAUNE x6172 -
SUBJECT: RENTON HIGHLANDS JMTIM M PERMIT NO. : D-15554 (WO4870781
1414 MONROE AV NE TYPE BUSINESS: RETIREMENT APTS.
The subject project is nearing completion. Please investigate your area of
responsibility and indicate below either your acceptance or non-acceptance.
Please return this form by NOVEMB g 7. 1V91 in order that a permanent
Certificate of Occupancy may be issued. If no comments are received by the
above date, the permanent certificate will be issued.
TO: CONSTRUCTION FIELD SERVICES DATE () _
FROM:
This project is approved by this department subject to the following
corrections: (Note: see copy of 90 day requirements attached)
NON-LIFE SAFETY ITEMS j,tpE SAFETY ZTEMS
�IC,OVId:� I�i/e lie. LA�v�c�OWN
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMANENT CERTIFICATE OF
JCCUPANCY7 (IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES".)
( ] YES [ k] NOl
aT Auth�oriaed Signature
� f3t flnlsec
.ry
1
d
1
r
{ .
CONSTRUCTION FIELD SERVICES
FINAL OCCUPANCY INSPECTION REPORT qE 6
OCI 31 1991
DATE: OCTOBER 31, 1991 U.VF.oFAEW SERVcEa -
DWM"
TO: UTILITY SYSTEMS -
[ ] STORM - RANDALL PARSONS
[ ] SEWER - DAVE CHRISTENSEN �A N OF RENTON
[ ] WATER - ABDOUL GAFOUR
[- ] PLAN REVIEW - GREGG ZIMMERMAN NOV L)� 1991
[ ] CONSTRUCTION SVCS - KOKKO/BURGY
[ ] TRANSPORTATION FVCS - CLINT MORGAN
[ J LANDSCAPE/ZONING - BOB ARTHUR -+WiW:NU UIVISKA
[ J BUILDING FINAL - NEIL MAUNE
[ ] FIRE PREVENTION
FROM-�CONSTRUCTION FIELD SERVICES- NEIL MAUNE x6172
RENTON HIGHLANDS RETIREMENT RMIT NO.: B-15554 (W01870781 �"
1414 MONROE AV NE TYPE BUSINESS: RETIREMENT APTS. -
The subject project is nearing completion. Please investigate your area of
responsibility and indicate below either your acceptance or non-acceptance.
Please return this form by N.QVEMBER 7. W_l in order that a permanent
Certificate of Occupancy may be issued. If no comments are received by the
above date, the permanent certificate will be issued.
M. CONSTRUCTION FIELD SERVICES DATE_ T1q`11
FROM: � 7„�a«T l.E:r,,'/ui ' FrJ4.,Lt l }-at v,o •
This proje,:t is approved by this department subje�'- to the following
corrections: (Note: see copy of 90 day requirer. attached)
NON-LIFE SAFETY ITEMS LI, SAPEtY_ITEMS
1' I,
IY� TT.1+-�C•^¢Lrr'��101. laic l�)w:..�_ _
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMANENT CERTIFICATE of
OCCUPANCY? (IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES".)
L ) YES [/] NO
Authorized Signature r
I �l:f inlxc d
ice.
t +
I > III
1 '
CITY OF RENTON I .„
Planning/Building/Public Works Department
Eul Clymer, Mayor LpA Gattmmar,AiWIWMar
November 6, 1991
Robert Davenport,P.L.S.
Hebrank&Associates
Central Budding,Suite 402
810 yrd Avenue
Seattle, WA.98104 +�
Subject, Renton Ret ement Crater-As-built.Drawing
Dear Bob
1 have reviewed the as-built drawing of the ab.ec pngect and have the following comments
Water Plan-Sheet}of
The water valves should be shown on the water mans and an the branch fines mstrad rat on the side s
of the trains.
The fittings 4..ould be idled out(i:e:1ne,valve,bends, etc.).
The water miners and fire sprinkler vaults should be drawn correctly.
Santtary Sewer Plan-Sheet S of 6
The distance between clean-outs should be shown.
is
The side sewer hoes for the buildings on the west side of the site should be shown. We will notify the
contractor to uncover and raise to grade all cleanouis that ha%e been covered up_
Storm Sewer Plan-Sheet 2 of 6
Show location and Invert and not elevation of catch basin or yard drain No. S. The contractor will be
required to uncover and raise this catch basin.
Verify pipe at=and show the correct aingmtent and sires of the easterly storm lines.
Verify invert elevation,sim of orifice and elevation of overflow of control structure CB#1.
The above continents an shown on the atwhed red lined prints of your previously subrmttal as built. Alley
all mvisions are nude,please submit the mylars m ma. Please all me at 2776210 if you have any questions
�ll n this matter.
Sincerely,
Abdoul Gdour
Senior Engineer
I
20) Mill Avenue South . Renton, Washington 99OSS
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COLSON & COLSON
CONSTRUCTION CO.
January 17, 1992
Kenneth C. Bindara
Development Services Division
City of Renton
200 Mill Avenue South
Renton, WA 98055
RE! Renton Highlands Retirement Center
1414 Monroe Avenue NE
Building Permit MB155541TC002186
Dear Mr. Bindara; .i
Enclosed is the $7,400 maintenenae bond for the utility
improvements at the above facility. If you need anything
additional to issue the permanent Certificate of Occupancy
please let me know.
Sincerely,
%\COO�L�SON 4 COLSON CONNl�STRUCTION CO.
Darlene Howland
orry OF RENT(,,,
RE^EIVFD '
AN 2 1 1992
0U)Luevld L.ivhlUN
1500)370-7070 • FAX 1500)364.5716 • 2741 12TH STRIFT S E SALT M. OPf OON 97302
P.O.SOX 14111 • SALEM, ORE00N 97-u19,50P6
4� 7T-
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i
BOND NO. WA0352
I
MAINTENANCE BOND
' KNOW ALL MEN BY THESE PRESENTS; That we COLSON c COLSON CONSTRUCTION `"
i as Principal and CONTRACTORS ha BONDING AND INSU RA , a COrpOtat on
organized and existing er t Lays of the Sta • of WASHINGTON ,
S,trety are held and firmly bound unto ;.p.
CITY OF REN70N
as Obliges, in the total sum of SEVEN THOUSAND R D a ws ---------
N 7,400.00 ) Dollars, or a payment of wh ch, an truly
to e be ma , a executors, administrators, successors and assigns, jointly
and severally, firmly by these presents:
for WATER UTILITY SYSTEMS UTILITIES IMPROVEMENTS
BUILDING PERMIT 0815551/WO#2186
RENTON HIGHLANDS RETIREMENT CENTER
1414 Monroe Ave. N.E.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the
Principal shall maintain and remedy said work free from defects in
materials and wor)manship for a period of year($) folloving
completion, then this obligation shall be Of
; otherwise it shall remain
in full force and effect.
SIGNED, SEALED AND DATED this 15th day of January 19 92 .
COLSON 6 C'OLSONN'CONSTRUCTION
By Low 1�
CONTRACTORS BONDING AND INSURANCE COMPANY
BY •—
Larry Buck, [o ey-rn-Fact
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1
AUTllW tfZA1:'1N OF SPSCIL 1L IIUAJ O
DATIL FEBRUARY 2 1990
PROJECT NAME. RENTON RETIREMENT RESIOENLE j
PROJECTNUMBER: W-1014
WORK ORDER NO-- 5355
It is the intent or this letter to authorize the City of Renton to bill the undersigned for all costs
incurred relative to the above-mrsmaced Project, by the City of Renton for the following work
CONNECTION Tn EXISTING WATERNAINS, WATER PURITY SAMPLES, WATER METER
INSTALLATION BY CITY"S FORCES ON TIME & MATERIAL WORK, AND OTHEP RELATED
WORK BY CITY1 FORCES.
• I
i
' I
,
BILLING TO BE SENT TCk
Name:
Addres(s�: ICEz/ i
City. ^ ,
Arta- / , /• /��^,
Phone No--
Owner ve per,Co or
Authorised gent
i
I F
W-\c 14
�s tv of R�r+tori
Corastruet i or+ i�rvi eats
I BURVEY REOUEST RORM
Request Dates 2Ml+ c ' Plan Attached ( v/N ) s __
Requested Sys _ ) � �P1 an No . s fw .� OFc' y(/•/Oi¢
Dept /Seeti on Job Titles T'?': e•y .P e_ -
Telephone File Field Book Ns
Date Requi reds 21ZC19Z Locati on Z4/41 i
.w 1014
b N n L°J� Lrsa,.SVnitL�-!f.'✓o ..
iDescription o+ Requests
eik
CnI nA j
j �' E /AI�^IL/�M�T/TAI
' P
< To be completed by Surveys )
R_lCS2VSD COMPLiTlD
Sys S y a C"= ►a►
Dates Dates Z•20.90 r L-%1->0
Start Date : Field Book Na
i Data Disk Ot
1 ! 4a 5"M Sa Ts Z3 Ra s
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1. 1i L_ i 97
*°nf Lase T Ar.' Ao.
%O. 273';
cc
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%
ie' 274* l
��orl / ; e�ir� n9��1 / /1eSiG�Bs�ce
t
t
R
4"
f.ALCULATION2L1NSPECTION FEES
PIMECr PROJECT REFERENCE /
PAVING ► STREET LIGHTING: _
c,4-I6RrL s1r42�•CU
4Ytlz�.cc,
SANITARY SEVER ► STORM:
'4'1 r�ZZ44 55593.ob '
um Col 357,E
0116i-W—
fX�a+zr k� = 21154s �1�1�ot3/= Z3,291.10
6.48.op
TOTAL CONSTRUCTION COSTS: S
TOTAL INSPECTION FEc
yw FIRST S1u0,000 AQaRI $ Z""CXJ
I,ti SECOND $100,000f�j1L'T. S tT
REMAINING S S
TOTAL: S
;ALUTAl lik 3 t R I,7 3
PAVING A STREET LIGHTINGi 5 3 t R
_l � 7
1-0144
SANITUT A ST w EWER:
NMI �q7 �
BONG AMOUNT FOR 100% OF WORK IN R/il
NUMBER OF STORM SEWER CONN. TO SYSTEM
J y
NUMBER OF SAN. SEWER CONN. TO 8�I}w8 m
.p
PREPARED BYf tL' Li L ` 1;-.''.L�-�1'�i�l�r E
D/INSP-FEE:AN:lf 6/12/89
6115�r�c�d l.as� �5(��nalp�
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Z A ' EA 10" MJ TAPPING V' .VE - INC - .00
------- -I' EA 10" ON 12" TAP - INC - .00 `
r CHARGE
3 ''EA IB X 24 VALVE BOX, 940E 40.00 120.00
�9 x, EA 10" MJ X FL CR059 318.75
a EA 10" MJ SLEEVE 80.16 -!6z
W/ACCESSORIES
EA 10" Bl IN1D FLANGE 37.19
1, EA 10" BLIND FL8 TAPPED 2IP 49.00 49.00
1 EA 2" GALV,��''PLUG 2.30 2.30
7 EA 10'. SETIOF BLK BOLTS d 13.42 93.94
RING GASKET
1/16 RED RUBBER
1- EA 10" MJ PLUS TAPPED 2" IP 33.76 33.76
- Iv EA 10" MJ 45 ELL 91.20 91.20 1 7
W/ACCESSORIES
1 ✓EA 10". MJ 90 ELL 108.00 108.00
W/ACCESSORIES e.
IV EA 10",FL TEE^ ' 191.48 191.40
2`SEA W MJ X FL SATE VALVE 502.96 1005.92
1 EA 10" MJ X FL ADAPTER 69.60 69 60
W/ACCESSORILS
j
• 1�,,.'�{ Iv EA 10" X 6" FL TEE 191.05 191.05
4 EA 6" SET OF BLK BOLTS 6 6.71 26.84
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---_I 2 EA 6" MJ X--FL ADAPTER 42.24 84.48
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2 6A 6" ROMAC FLEX COUPLING 48.79 97.58
DI X DI
. 2 EA 6" X 4'O" 5PO0!. FI, X PE 93.98 �187r�p.%
FT 10" CL 32 DI SBT PIPE 10.49
20 FT, 6" CL 5l DI SOT PIPE 5.82 116.40 ''`
-- 260 FT 10 6 12" POIVWRAP FOR 20 0.63
163.80
29" X 440' X 221 PER ROLL
2 EA 2"X CLIP V NIPPLE 1.20 2.40
6 EA 2" GAL% . . LLL 3.79 22.74
} - - 2 EA 2"X 12" GALV NIPPLE 5.10 10.20
2 EA 2" S.E. GATE VALVE 85.87 171.74 � -
-_----- 2 EA 2" GALV PLUG 2.30 4.60
1 2 EA 8 X 24 VALVE BOX, 940A 40.00 80.00
2 EA 2" X 72" GALV NIPPLE 35.56 71.12 tiff `
2 EA 2"X 36" GALV NIPPLE 17.80 35.60
i1 EA AUTO FREIGHT � 200.00 200.00 -
' 4 EA PIPE LUBE, QUART - INC - .00
- - 11 EA HTH.�..GRANU'LAR CHLORINE 5Mtl�^al TOTAL3.70 (� (B 1seTTir
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318.75 637.50
EA to-- MJ X FL CROSS
2 EA 10" MJ SLEEVE BO.16 160.32 if
-- 0/ACCESSORIES
' 2 EA 30" BLIND FLANGE 37.19 74.30
----- - 2 EA 10" BLIND FLG TAPPED 2IP •49.00 98.00
.. EA 2" GALV PLUG
2.30 6.90 „ ..
6 EA 10" SET OF,' BLK BOLTS & 13.42 80.52
RING GASKET
1/16 RED DUBBER
I
2 EA to-- MJ PLUG TAPPED 2" IP 33.76 67.52
3 EA 10" MJ 2211/2 ELL 91.20 273.60
W/ACCESSOR,IES
4 EA 10" MJ X 6" FL TEE 151.20 604.BU
W/ACCESSORIES
i)
SATE VALVE 1 205.23 820.92
4 EA 6" MJ X FL GA
- - M & H FIG. 67
WITH DRILLED LUGS
10 EA 1S X 24 VALVE BOX, 940E 40.00 400.00
3 EA 5" MVO RENSSELAER 900.00 2700.00
HYDRANT, 6" MJ BASE, 4'0" BURY
4" SSA PUMPER
_.+70 FT 3/4"'GALV ALL THREAD ROD 1.05 73.50
12 EA 3/4" GALV NUT INC - .00
i12 EA 3/4" GALV WASHERS - INC - .00
' 6 EA 3/4 ROD COUPLING, GALV 1.25 7.50
- " 1 EA 12" MJ TEE k78.36 178.36 '
yy 2 EA 12"X1O"MJ REDUCER PE X PE 69.60 139.20 _c
� W/ACCESSORIES
2 EA 30" MJ GATE VALVE 514.15 1028.30
1 EA 12" MJ SLEEVE 99.36 99.36
:t- 1 W/ACCESSORIES
It
6
e t
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- I
' EA 12" MJ GATE VALVE 649.86 649.86
-- ----- - 1 EA 48" MANHOLE 580.00 580.00
W/CONE 6' OVERALL DEPTH
t EA 6 X 24 MI{ FRAME & COVER 125.00 125.00
MARKED WA, ER
--_------ 1 EA 12" MJ X FL CROSS
353.94 353.94
1 EA 12" BLIJ FLANGE 56.80 56.80
1 EA 12" BLIND FLG TAPPED 2IP 60.23 68.23
1 EA 1^" MJ PLUG TAPPED 11' 44.64 44.64
2 EA 12" SET OF BLK BOLTS & 14.41 28.82
RING GASKET
1/16 RED RUBBER
- -- _ 1 EA 12" MJ CAP TAPPED 2" IP 57.12 57.12
W/ACCESSORIES
2 EA 10" "1 45 ELL '91.?0 182.40
W/ACCESSORIES
1 EA 6" MJ TEE 65.64 65.64
W/ACCESSORIES d
I EA 6" MJ PLUG 11.76 11.76
LESS ACCESORIES
I EA 10" FL TEE 191.48 191.48
- _ __ ______-_ _ _ 69.60
1 EA 10" MJ X FL ADAPTER- ----------
69.60,
W/ACCESSORIES
2 EA 10" MJ X FL GATE VALVE 502.96 1005.92
_ I 1 EA 10" MJ X 6" FL TEE 151.20 151.21)
- - W/ACCESSORIES
-- 4 EA 6" SET OF BLK BOLTS & 6.71 26.84
R*NG GASKET
1/16 RED RUBBER
1 EA 4" MJ X FL GATE VALVE 156.41 156.41
1 EA 10" MJ PLUG .28.80 28.80
LE"S ACCE I DRIES
1 EA 6" MJ 45 ELL. 52.80 52.80
W/ACCESSORIES '
1 I EA G" MJ 90 ELL 5,.36 51,36
W/ACCESSORIES -
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1 , ele Salo
1 EA 6" MJ CAP �X 19.66 19.66 ..E
W/ACCESSORIES
1 EA 4" MJ CAP Iv 12.88 12.88
W/ACCf SSORIES
1 EA 10" MJ 90 ELL 0 108.00 108.00
W/ACCESSORIES /jk
1 EA 12 X IOMJ TAP SLV FOR DI k�� 1813.00 1815.00
1 EA 10" MJ TAPPING VALVE n1�. - INC -- .00
y . V
- _ -�- 1 EA 10" ON 12" TAP 1k - INC - .00
CHARGE
600 FTV/ 10" CL 52 DI SBT PIPE/) 10.49 6294.00
I120 FT 12" CL 52 DI SBT PIPE • 13.26 1591.20
_ � 140 FT 6" CL 52 DI SBT PIPE 5.82 814.80
20 FT 4" CL 52 DI SBT PIPE J •1.77 95.40
980 FT 10 6 12" POLYWRAP FOR 20" 0.63 554.40
29" X 440' X 22' PER ROLL
-_- 2- EA 1" CC X IP 14.93 29.06
2 EA 1" 90 ELL, 4.67 9.34
2 EA MIP X CIS PJ ADAPTER 6.75 13.50
60 FT 1" TYPE "K" COPPER 2. 15 129.00
6 EA HYDRANT BU1RD POST 36.00 216.00
-- 1 EA 4" MJ X FL ADAPTER 36.48 36.48
W/ACCESSORIES -
1 EA 4" FL6 COUPLING ADAPTER 72.'30 72.80
- - FOR DIP
_ 1 EA 4" FL GATE VALVE 152.25 152.25
1 EA HANDWHEEL FOR 4" M67 48.76 48.76 -
1 EA 4" MCT II COMPOUND HERSEY 2587.65 2587.65
METER, CF, W/TRIM VALVES "
h'
1 EA 4" MJ DI RETAINEH GLAND 13.55 13.55
1 EA VAULT FOR 4" 1413.19 1413.19
METER, UTILITY VAULT A577
WITH DBL DIAM-
OND PLATED COVER .f
1
I EA LADDER FOR 95.00 95.00
METER VAULT
------ i 2 EA 4" SET OF BLK BOLTS & 4.24 8.48
RING GASKET
-- -- - ./16 RED RUBBER
V. pj0(c OOc fo'64s 05l.y /
1 EA 6" )BL DET CHECK W/2GATES�' 2001.00 2001.00
I EA VAULT FOR 6" 2052.02 2052.02
806 W/OS&Y, UTILITY VAULT
04484 W/ DBL
-� DIAMOND PLATE COVER
-- - - 1 EA LADDER FOR 95.00 95.00
FIRE LINE VAULT
1 EA 6"X 7101• DIP 120.00 120.00
SPOOL FLO X PE
--------- 1 EA 6" X 4'6" D I P 115.00 11.` '?
SPOOL FL X PE W/SR 1S"
- FROM PLAIN END
- ------- 1 EA 6" FLO. COUPLING ADAPTER 92.91, 92.36
-.---. 1 EA 6" P. I. ,VALVE, FL X FL 264.38 .64.38
1 EA POST FOR P.I. GATE VALVE 285.73 :85.73
_. . . I EA 6" FL TEE 72.03 72.03
-. 1 EA 6" CI 90 ELL, FL, L.R. 62.68 62.68
2 EA 6" FL '30 ELL 43.90 87.80
2 EA 6" X 3'0" DI SPOOL 1'LXFL 111. 13 222.26
I EA 6" RUBBER FACED CHECK 343.56 343.56
1 EA 3/4" MIP BALL DRIP VALVE 11.43 11.43
1 EA 3/4",90 STREET ELL, 3.95 3.95
1 EA 6" COMP FLANGE - 13.50 13.50
1 EA 6" X 6'J"GALV SPDOL,THRO 90.80 90.90
I EA 4 X 4 X 6CI THRD TEE 74.2B 74.2E
2 EA 4" X CLOSE GALV NIPPLE 6.92 13.84
12 EA 4" STRGHT SIAMESE, AUTO 117.00 234.00
1 4 EA 2-1/2" BREAKABLE CAP 3.08 12.32
r
I EA 6" MJ X FL ADAPTER 42.24 42.24 r
1 W/ACCESSORIES
11 E � 6" SET OF BLK BOLTS a 6.71 73.81
RING GASKET
-- - 1/16 RED RUBBER - e
1 EA AUTO FREIGHT 200.00 200.00 ,1,. .
---- 4 EA 2"X CLOSE, GALV NIPPLE 1.20 4.80
12 EA 2" GALV 40 ELL 3.79+ 45.48
4 EA 2" S.E. GATE VALVE 83.87 343.48
4 EA 2" GALV PLUG 2.30 9.20
4 EA 8 X 24 ;VALVE BOX 940A x
- ----- - . 40.00 160.00
4 EA 2" X 72" GALV NIPPLE 35.56 142.24
4 EA 2"X 36" GALV NIPPLE 17.SO 71.20
--- ple, I}r1�aNair •.arnit..
y I EA 10 MJ X 2 IP TAPPED 80.16 80.16
1 I EA 2" X 6" NIPPLE �
_ 1 r 11.42 11.42
-_ I 1 EA 2" S.E. GATE VALVE
1 .83 87 83.87 +�;
- 1
' 1 EA 8 X 24 VANE BOX. 940A ,40.00 40.00
�' _g
1 EA 2" X11-1/2" 3.00 3.00
i SCH-80 PVC BUSHING TXT
- - -1 7 EA 1-1/2"MIP, X CTS PJ ADPT. 17.09 119.63
- 2 EA 1-1/2" 90 ELL, 9.34 18.68
-------� 1 EA 1-1/2"FIP X CTS P,1 ADAPT. 18.81 18.81
1 EA M2 SOX W/FULL STEEL LID '134.00 134.00
60 FT 1" TYPE "K" COPPER 2.29 137.40
1 EA 1-1/2" BRONZE METER FLG 10.31 10.31
'. i 2 EA 1-1/2"X 3" GALV NIPPLE 1.24 2.48
2 EA 1-1/2" SAW 90 ELL 2.61 3.22
1 EA 2" X 28" GALV 8.93 0.93
NIPPLE TBE
1 EA 1-1/2" GA.V CPLB. 2.37 2.37
1
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-- -- - 2 EA 5/8 X 2-1/2 BLK BOLT
0.33 ,66
$ ----�, 2 EA 5/8" BLACK NUT
0.10 .20
1 EA 1-1/2" DROP IN METER GASK 0.72 .72
i EA 1-1/2" FEBCO DLB CK ASSEM 213.20 213.20
t GA CARS'ON 1320C METER b0% 65.60 63.60
1 EA HTH GRANULAR CHLORINE SLB 13.70 13.70
8 EA PIPE LOBE, QUART tL - INC - .00
L/ N1tTerp/ TOTAL 36127.95
_ ._ 6flxf CQS s IAC�udj �p 1¢��'v'�r,nrn�J-m�.w. I1w�+t.ia� 2"2.0
4o.06 /
Tot1 ter0q srt ara 045.1 woes I
e
On_Sl�pcOE�IT.LtL/�_ Q _---
_.... 41�__ �XreP2�00 WI1�a1M 6p1. g'ICC
973 FT 8" PSM PIPE.0.12-1/2-LONG 2.34 2281.50
128 FT .2"PSM PIPFi 02 1��LpN 3.24 633.00
(9Nsf 1Zsi o.1rflGHs.�1�i
12 EA PSM PVC MH CPLO & GSKT 14.09 176.28
2 EA ,2"PSM PVC MH CPLG 6 GSKT 24.21 4J�8.42
r -----15or FT 12" IEGA CMP 3.30 50
' PIPE W/TRTMT ONE
•.;-5 80 EA 12" CMP BAND _ INC - .00
100 EA 12" O-RINGS - INC - .00
3 EA 12" ALUM. TRASH RACK 63.63 190.93
�• 2 EA 12" RETENTION 493.00 990.00
t ------ CROSS PER,DETAI
.. - .__-9
WZT
� A �Y!? �
�rxzt
f
1%SFis•id�FT 72" DETENTION 51.87
-- �-�" SYSTEM COM"_ETE
�1�ief'_C12�_1e4��(yl l!Q�oC�9�{w�Mn��lnuan iv _cr/
__- --rot/ -for s'orm
83 Ft "PSM PIPE 0, 12-112'LONG 1.33 W.19
2 EA e" PSM REPAIR COUPLING 13.09 26.18
_- --- 1 EA all X 6" P+IBM TEE, 6 17.46 17.46
1 EA 6" PS' WV 4 E, OASKETED 12.78 12.79
1 EA 6" PSM 4 ELL, 6 X SP 5.58 �5.50
1 EA 6" PSM PLUS, BASKETED 2.93 2_93
Ep • - sgo.coSffo.0 _
Total .rbf �,,;�'�r Srwr
IlZ Sumacc'_Improaements {{
Qrscr'*?tll%o .. Ggl1-
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OMPANY-_`._._-_. M 2354M
Fax # 206-235-6964
Jsnuar) 19,1990
Abdoul Gafour
Sr, Engineering Specialist
Public Works Department
3555 N.E. 2nd Street
Renton,Wa. 98056
Dear Mr. Gafour,
At your request, the attached working documents are being
submitted to verify cost estimates for the following:
ITEM COST
Onsite Offsite
1 Water Plan $56;7biS60 slf, -00 i
11. Storm Sever 23,153.00
111. Sanitary Sewer 1,069.00
IV. Surface Improvement 31,424.00
v
Sub Total 4112,406.00 $11,740.00
Total On and Offsite $124,146.00
i
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.IUN 12 IoaURill
L_
LEGAL DESCRIPTICN
L :XNGDrr::av
yj LOT t
+ That portion of the East half of the Northwest quarter of the
Southwest quarter of the Southeast quarter of Section 4, Township
23 North, Range 5 East, W.H., lying South of the SOJth line of
that portion conveyed to the State of Washington by instrument
recorded under King County Recording NO. 7111160156.
Situate in the City of Renton, County of Kirg. State of
fWashington.
LOT 2
Lot 1, Block 2. Shepard HeaghL Addition according to the Plat
thereof recorded in Volume 46 of plats, .age 79, records of King
County, State of Washington;
Except that portion deeded to the State of Washington for SR No.
900 by deed recorded under Recording No. 7103150258.
Situate in the City of Renton, County of King. State of
Washington.
LOT 3
Lot 2, Block 2. Shepard Heights Addition, according to the Plat
thereof recorded In Volume 46 of plate, Page 79. records of King
County, State of Washington;
Situate in the City of Renton. County of King, State of
Washington.
LOT 4
i
Lot 3, Block 2. Shepard Heights Addition, according to the Plat
thereof recorded in Volume 46 of plats, Page 79. rc ords of King
County, Sictu of Wash LngL on;
Situate in the City of Renton, County of King, State of
Washington.
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W-1014 Renton. Retirement Center
II
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.IUN :12 19q9 !I
LEGAL DESCRIPTION
LOT I
That portion of the East half of the Northwest quarter of t„e
Southwest quarter of the Southeast quarter of Section 4, Township
23 North, Range 5 East, W.M., lying South of the South line of
that portion conveyed to the State of Washington by instrument
recorded under King County Recording NO. 7111160156.
Situate in Lhe City of Renton, County of King, State of
Washington.
LOT 2
Lot 1, Block 2. Shepard Weights Addition, according to the Plat
thereof recorded In Volume 46 of plate, Page 79, records of King
County, State of Washington;
Except that portion deeded to the State of Washington for SR No.
900 6y deed recorded under Recording No. 7103150258.
Situate in the City of Renton, County of King, State of
Washington.
LOT J 1
Lot 2, Block 2. Shepard Heights Addition, according to the Plat
thereof recorded in Volume 46 of plats, Page 79, recorda of King
County, State of Washington;
Situate in the City of Renton. County of King, State of
Washington.
LOT 4
Lot J, Block 2. Shepard Heights Addition, according to the Plat
thereof recorded in Volume 46 of plats, Page 79, records of King
Cnunty, SLatu of WashI ngt I'll;
Situate in the City of Renton, County of King, State of
Washington.
77
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• PUBLIC WORKS DEPARTMENT
' ENGINEERING DIVISION
' CITY OIr RENTON, WASHINGTON
APPLICATION ONLY - UNTIL VALIDATED renMlr
OWnar -. _ . ._ ___—_—. __. location of Work
Address
I N5rti 1;11NS �� --- .t •., .. FEES
CONSTRUCTION Sanitary Sewer/Storm Water Permits _
—'— Right-of-Way Construction
PERMIT Right-of-Way Inspection Fees
(Public Right-of-Way) Water Impaction/Approval Fee as 44ass&*4
— Special Utility Connection Fee, Water
_ Water Latecomer Fee
-- Special Assessment District, Water
___ _ Date'Iwwd_ -_-- Sewer Inspection/Approval Fees
Special Utility Connection Fee, Sewer
Expsutlon DSN Sewer Latecomer Fee
Special Assessment District, Sewer
Reference Data Special Deposit, Private Latecomer - -
Special Deposit, Cash Bond
r .
TOTAL FEE �
Description of Work
end Number of Feet - _ - _ •i!l' f`d F4'a~6x_ 'G( - "'�I'Ws.L;• -.
Contractor - ! business
License
Address bond
Telephone
IT IS UNDERSTOOV THAT THE CITY OF RENTON SHALL HE HELD HARMLESS OF ANY AND ALL
LIABILITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE OF SAID WORK.
ANY WORK PERFORMED WITHIN THE RIGHT-OF-MAY OR ON SEWER MAIN MUST RE DONE BY A
LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING.
CALL 215-2631 FOR INSPECTION.
Call between 9 AM and 9 AN for APPLICANT
inspaction In afternoon; call
before 12 Noon the day before
for Inspection in morning. PUBLIC WORKS DIRECTOR
EPECIFY TIME FOR INSPECTION.
CALL 235-2620 for street signs CALL BEFORE YOU UIG BY and lighting. 48-MOUR LOCATORS -
1-800-424-5555 �'•
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Ii .IUN 'A2
1 L r1 LI)NV DIY Iw.rV
LEGAL DESCRIPTION 11�rr
LOT I
That portion of the East half of the Northwest quarter of the
Southwest quarter of the Southeast quarter of Section 4, Township I y
21 North, Range 5 East, N.M., lying South of the South line of
that portion conveyed to the State of Washington by instrument
recorded under King County Recording NO. 7111160156. ._
Situate in the City of Renton, County of King, State of
Washington.
LOT 2
Lot 1, Block 2. Shepard Heights Addition, according to the Pla,
thereof recorded in Volume 46 of plats, Page 79, records of King
County, State of Washington;
Except that portion deeded to the State of Washington for SR No.
900 by deed recorded under Recording No. 7103150258.
Situate in the City of Renton. County of King, State of
Washington.
LOT
Lot 2, Block 2. Shepard Heights Addition, &^cording to the Plat
thereof :scorded in Volume 46 of pleb, Page 79, records of King
County, State of Washington;
Situate in the City of Renton, County or King, State of
Washington.
LOT 4
y
1 Lot 5, Block 2. Shepard Heights Addition, according to the Plat
1 thereof recorded to Volume 46 of plats, Page 79. records of King
County, Slate of Waghingluu;
Situate in the City of Renton, County of King. State of `
Washington. '
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CITY OF RENTON WATER DEPARTMENT
Pressure Test 8 Purification Test Form
PROJECT NO.
NAME OF PROJECT_ �.
PRESSURE TEST TAKEN BY ON
AT A PRESSURE OF QQj2 PSI, FOR MIN.
TEST ACCEPTED ON
PURIFICATION TEST TAKEN BY ON
PURIFICATION TEST RESULTS, SAMPLE sI
SAMPLE 02
SAMPLE s}
REMARKS:
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• PUBLIC WORKS DEPARTMENT'
ENGINEERING DIVISION
CITY OF RENTON, WASIIINGTON
APPLICATION ONLY - UNTIL VALIDATED NtnuER
i'7439
Owner Location of Work 1�
Address L� �' �`•
P.D,�x (4111 ptU sTee -13 05 .� PYGI LaA I,t,3
F. x L ff+pav N¢Icn+r� inc 1!.-iy7!
INSPECTIONS 104 ,cp y„FEES
CONSTRUCTION SaninrY Sewer/Storm Water Permits QQa _
Right-or-Wtry Construction
PERMIT Right-or-Way Inspection Fees
,
(Public Right-of-Way) Water Inspection/Approval Fee
/ Special Utility Connection Fee, Water ,•( ,Q
Water Latecomer Feat'/-9/f
Special Assessment District, Water
Data I sued
Sewer inspection/Approval Fees
Q Special Utility Connection Fee,Sewer
Expiration pate Sewer Latecomer Fee
Special Assessment District.Sewer X!-
�Rerere�nce Data - Special Deposit, Private Latecomer -O-
k•6Gr Special Deposit,Cash Bond
��•r�,�`/�, ^' �� TOTAL FEELL4
--� � • 7
lJ�u /CelJ�'
Description of Work //�.. �• A'//���� �/O /� ,�� �j.
and Number of Feet i�ifl�.y��a.J/r "3'r— Afa= "/ � '�^ —•"--
OYL "&'r�i�'.GL4.iaL �2�r%.i5 _
- t7
Co.tractor Buelneea 0
Gl � License
Address Li
d
TelepMrn
IT IS UNDERSTOOD THWr THE CITY OF RENION SHALL BE HEIR HARMLESS OF ANY AND ALL
LIABILITY, DAMACE OR IN.IURY ARISING FROM THE PERFORMANCE Or SAID WORK.
ANY WORK PERFURMFD WITHIN THE RIGHT-OF-WAY SW ER MUS BE NJ�/�BY A
LICENSED, BONDED CONTRACTOR. LOCATE UTILIT E U; I /
CALL 23s-2621 FOR INSPECTION. lP
Call betwsn B AM an: 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.
CALL 275-1620 for street signs CALL BEFORE YOU BIG BY
49-NOUR LOCATORS
and lighting.
I-B00.424-SSSS
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4I' .IUN 12 19
p9
LL
LEGAL DESCRIPTION 1—'--
LOT I
That portion of the East half of the Northwest quarter of the Southwest quarter quarter of the Southeast quarter of Section 40 Township
23 North, Range S East, W.M., lying South of the South line of
that portion conveyed to the State of Washington by tnscrLment `
recorded under King County Recording NO. 7111160156.
Situate In the City of Renton, County of King. State of
Washington. `
1
LOT 2
Lot 1, Block 2. Shepard Heights Addition, according to the Plat
thereof recorded in Volume 46 of plats. Page 79, records of King
County, State of Washington;
Except that portion deeded to the State of Washington for SR No.
900 by deed recorded under Recording No. 7103150258.
Situate in the City of Renton, County of king, State of
Washington.
LOT 3
Lot 2, Block 2. Shepard Heights Addition, according to the Plat
thereof recorded in Volume 46 of plate, Page 79, records of King
County, State of Washington;
Situate in the City of Renton, Countv of King. State of
Washington.
f
LOI 4
Lot 3, Block 2. Shepard Heights Addition, according to the Plat
thereof recorded in Volume 46 of plats, Page 79, records of King
(minty, Slalc of Washington;
Situate in the City of Renton. County of King, State of
Washington. (l V
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PEECONSTROCTION CONFERENCE
PROJECT:, ly1'�I.� QC� ��:
ADDRESS/LOCATION: —�--�—
i
PROJECT ►W.1014 _ PERMIT ► P-X51 WORE ORDER ► 5355
lf111fARMlRMit!##11ff1RAMAM#1tf11f##RRtttY##ff##RRAf#MRRRMlMAfAR#t#####RRRtR "{
THOSE IN ATTENDANCE
RAW COMPANY PHONE
'
��►.1:��. (�LI.TI sseCi� /�7 -f�/ �./�Q�i1T�Ll CIJ� ��/ x.r. .., . ..
C.iFITlY 7 l! Vjio
' /CEE l7AICo �FarO.t1 I�tA:eT. .Lr. ?S"S -2620
j�/M `SG0 T7l1rC6L LI¢ L�i-y,�Qd{.� -SJti..u.,�4�!/fil ?3J-2-L3/ .t
Y
(kut%
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PRECONSTRDCTION CONFERENCE
PROJECT:. zz4sarca - T j"c K DATE: #
ADDRESSAOGTION:
PROJECT 1 PERMIT 1 WORK ORDER 1
iiRttifif#f#RR#ifiilRt#fif##1th!##R##f#RR###f#iR#RR1f#Rt###f###M##RRRR#R#R111R#Rk##
TROST IN ATTENDANCE.
MANE COMPANY PHONE
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WORKS T
NT
ENGINEERING DIVISION
CITY OF RENTON, WpS1iINGTON
a APPLICATION ONLY- UNTIL VALIDATED PEIMlT���
NUMBER
Owner Location of Work
UV
Addpu y
FEU 'SEA 5TK 7� 05 �,w PTiI Lois Ir23
503-37 O O I&*L SN* Nw,H¢avc VnC 4G-f&7f
INSPECTIONS
a?-fesnng Ate,m es„FEES
CONSTRUCTION Sanitary Sewer/Storm Water Permits
Right-of-Way Construction
PERMIT Right-of-Wey Inspection Foes /r
(Public Right-of-Nay) Water Inspection/Approval FeeSIHIC Y
/ Water Utility Connection Fee, Water /
Water Latecomer Fee(/-,3/�
Special Assessment District, Water —p—
Oa • i sued
Sewer ImPection/Approval Fees
Special Utility Connection Fee, Sewer
EsPiration Data Sewer Latecomer Fee _e—
Special Asseument District,Sewer
Reference D.Ia — QK _ b Special Deposit, Private Latecomer —eD—
Zionial Deposit,Cash Bond
(� /u TOTAL FEE
Description of Work - 7
and Number of Feet
�FE.
Contractor Business / Q -
Address
License r
Bond
f ��d
Tat aptrone
IT IS uMDERSTOOn THAT THE CITY Of RENTON SHALL BE HELD HARMI..SS OF ANY AND ALL
LIABILITY, DAMAGE OR 1ri1URY ARISING FROM TIIE PERFORMANCE OF SAID WORK.
ANY WORA PERFORMED WITHIN THE RIGHT-OF-MAY O�,�,Yaa// SEWER MUS BE N BY A
LICENSED, BONDED CONTRACTOR. LOCATE UTILIT IES:EEFORS} X A 1
CALL 235-26I1 FUR INSPECTION. ������r��WW�/
Call bat"sn B AN and 9 AM for APPLICANT
inspection In aftarmsent call --
before 12 Noon tl•e day before
for inapectlon in morning. PUBLIC WORKS DIRECTOR
SPECIFY TIME FOA INSPECTION.
:ALL 215-2620 for street signs CALL BEFORE YOU DIG BY
srd lighting. 48-HOUR LOCATORS
1-800-424-5555 JNd
A'
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t 4`
.i Jt)iPYt..
RCITY Of UTILITIES
ENTON WORK ORDER - DISTRIBUTION DEPARTMENT
N:' 535E
PROJECT NO.Y1I. W* _ _DATE f�.2 Ia9Q-
PROJECTNAME ,90m Kqmn.tMfmT CfFEm - 1406 Hot* ACE u67
FUNCTION OR DESCRIPTION OF PROJECT WfIICRNMN ?lb INS V4Off( SnM4Lesy
LQFM IAM 1?k1gl! ' 04 4- 'P"ATW WeIEK $1 _CrTT IT fnEFEs
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RY CITY FORCES Cl CONTRACT ❑ IF CONTRACT NO.
CONTRACTOR'S NAME (000R1 A (Al6u C0J1CC
CONTRACTOR'S ADDRESS 1414 McLEeaE AU NE IR&Tva 1UA. 113m 1
ESTIMATED COST _tUNDMOSOURCI_ __ACIUALCOII !
AGREEMENTS Cl IF SO, NO, SPECIAL BILLING IF SO,
TOLom)i 4 (aaam- 1416 11ENtBE ME a. 12CJIsr WA. 420%- �_ w ImLe( ! `
COMPLETED_
APPROVED by -
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CITY OF RENTON .. 1
V UTILITY ENGINEERING No. iN�i YU•�1
♦ • 200 MILL AVENUE SOUTH
RENT01i NA 9E055
PMOli 235.2631
ORDER FOR WATER SERVICE INSTALLATION
Account ft.
Motor eMor,e s N/L
Work Order Wo. LOSS StU6 Service Credit
Down Payment
Sundry Sole No SY.tem D.wl.imAnt Charge PA•O P_743rj
.n C,tY Ye,14 w❑ Late-CoMers lute:W.314 MID P.74 Iij
on Sem.r Y.,❑ %% loth.,.)
Water U....: Mosidantl.l❑ Commorclal❑ f.duatrf.l ❑ TOTAL FEE S O
Other NI 11P11f"Ofill
INSTALLATION:J
Motor $1.• I� PI'4 AL3S Otte[ 04 �+ �/IQt NAM UPt ntP 1'nrl.a+ IwYu.,,. FT (eH1
SIR. Sowlc.
Temporary Hydrant Motor Yes❑ Wo® Hot., Hake_
Sewall. E.ampt Motor Yes(n Wo❑ motor ft.
Fire Protoctl0n S.rYlc. Yes® nu❑ Date Installed
Sary ice Atldroa 40%- Moral► Alit Nt [d.nta'
U,.I D.scription 41f '14"N"t0
9 Cite
CROSS CONNECTION CONTROL: 6.ckfl ow Prot"Alon D.vic. R.,;0,ad Yea® Wo❑ If Yea, TV, of Device:
Moeuced Preefura E.ckflow Deyic.❑ DIT' D'.b I. Check V.Iwa Asso%61y® Air or Pressure Vac Ilmaksr❑
Mesa of awls. IoMI _ Serial No, Site
Oat. Device Instal lad Note, ft. FI It ft.
'lo1Nnars Nosy !hw umn pKIOEf1f8 L1 D. P1 w.w.F FMon/A/oS3 �70- 7o7n
More%%Ro. eDN 1�111 City SAIPH State nRIADU lip$9a
Contractors Hare (e13tW 4 FOS.SUM eL !e Phone7 AS dOEo
,Add,.$, %AI(- NAEIa6i AW NL City O[3ndW state tut 21P 1$f6
Are. Served i R.nton Water 50 W S.attls Water❑ Seattle Water Code do.
Toopi S.rvlc.Agresti Yea❑ No(m If Va.. ARr..mant bc.1dlrq ft.
Service to Oe located en Ph E.sem.nt Yu m Mo❑ If Yes, Easement Record In My 18-1014
Is There An CAlstin St" urylto Yes❑ Wo® IF Yes, Water PmJsct Ho.a• V- y
[.fail., L.to-Cors Agreement Yes No If Vs., A,r.ea.nt Wo.W-315 ?A* [. 7431
In Favor of C1ltt ter YINUM Address
City State zip Cher" S
SYsta ulelopient I" yes ul %❑ If Va., Syatw uwlopeant fee used o,4r IMa r r 16 OM"SpUAr. feat
THE UNDERSIGNED SU/SCRISER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND
FRONISES TO PURCHASE THE WATER AND PAY THE CITY OF MENTON THEREFORE IN ACCORDANCE WITH THE CITY OF
RENTONIS SCHEDULE Of RATES WHICH SHALL FROM TIME TO TIME SE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH
THE WATER IS TO It USED NOTED HEREON, AND TO CONFORM TO AND ASIDE SY 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.
Mite - Utility 51111.2 ;t I .,et 01 Ripest Vate —
Yellow- Inginwring
Pink - Motor Swop /t Iffw"` r 6"'�^ Z-1 - 10- CustamAr — iC¢ .9 Ag"T met
CITY OF RENTON No. N9 2W12
UTILITY ENGIREERING ♦\
♦ 200 MILL AVENUE SOUTH
♦ �� RENTON, WA SBOSS
�. PHU[. 215-2631
ORDER FOR WATER SERVICE INSTALLATION
account No. "tar Charge f
SRSS s rvica Creditpai G1.
Work Order W. 7 oppyn Stu!t.b li At
Sundry Sal• ". SritN Daw.Id va nt Charge O
I H„ Late-CONICS (City) VI-3163 PMO P-'�01
b City YN� ❑
(Omen)
On fewer Va.E] Nam S—rim
✓1L
TOTAL fEF
Wbr Ueaga: Roident A, [omm.rciad Lr] Indu+trial ❑
other IRR16i of INSTALLAT ION:011"t♦SMFM TORE WO[N" I'1
y [I NE'RM
nne. zlxe �•1 1'R{S6RNV M SIx< farvin
tanpor•,, HYd•ont Metal Ye+❑ "IO "ter Make
I Yo m xD❑ mebr No.
Sewga ExO+pt Meter
Data Instal lad
Fire Prol.ctlon S.rVice Y.+❑ w C..rtlt
ferYlt. hddrs.. 14OA- 86IERIp Ass NE
Legal DASCTIPtlon d� /tTf/�ESIfA
cgna t
CROSS CONNECTION CONTROL- Backflow Protection Device Rwulr.d Y.1 No C3 if Y•+. I'" ofPbnun V.< BynkN
Rad.," Or....rR Backflow pavib❑ Doab1. Check VaIV. Anembly
at At,Model feria Mp. SIN
Make Of DeYlca Fit. ft.
Wte Mvlu Installed "ter No.
CFRYK lt0 P'INSAtP Mon N� 9•IO••0%
O+n..'a xa" IEiD[I r1Z!(li 1 T City 1AIM sate 6Qrao+ 21P 97101
Add,... •6 IN 11 - _ A — 13S• i061!
1 l61E ♦ C•OS%ON 1T Fro"
contractor'+ we. CQ� _
Add•a+ I416• M�WM6 AN NE Utr suN �_ nD91b s6
Ara. Served by IlRnton Water X Seattle later Seattle We,,, Code No.
Te.ADr... SNvlu Agreement r.,o No id If Tea, Agreament "cording ".
SRry Ice to N Located on on bsamant Yea fX M❑ If rn, E.SAM,i Accord l" ". U 16* _
Is There " Existing Stub SarYIN YR.❑ No M IF Ns, alter Project roxe ew- aS�� • •y/y
SNIlting LRta•Co"n Agraemi VS$ No If Yea, AgrRemant Ma.w•�rl PAID 1-/�+1
Add,.,,
In r*VcY of �nr 0�RM7lt1
— State Ito Charlie
city CItY
I"," DRv.looe•nt Fee YR.PC No If Yet, SY.tw ORwlop"nt fee Eased oT [DII� sw��' •1
THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED MERQON AND
PROMISES TO PURCHASE THE WATER AND PAY THE CITY Of RENTON THEREFORE IN ACCORDANCE WIT" THE CITY OF
TO RENTON'S SCHEDULE OP RATES WHICH SHALL
AFROM
TIME
COMIORMTTO AND MIME BE 6D[LBYI TIIEFCitY OPECT �RlNTOII THE US�UL[SSE O�NDNICM
THE WATER 14 TO BE USED NOTED HEREON,
REGULATIONS IN FORCE. RELATING TO THE PURCHAtfi AND SAW! OF WATE0., THIS IS IN ACCOADANCE WITH CITY OF
RENTON CODE, CHAPTER 2, SACTION 5-207y-1 1
- /
wit.
� N
- Ut111tr Biding
WIS
,1 Fink • WNr Shop �r�OB�i�pC
I GRId Custarr -
I
I
CITY Or RENTON �D, �IJ `ill )�
V UTILITY SKIMMING
♦ • E00 MILL AVENUE SOUTH
R[111011, MA SSOSS
9F� LL PHONE: 71S-2611
IVS ORDER FOR WATER SERVICE INSTALLATION
Account No. Par.r Charge
Lost Stu• Service Credit
Work Order No.
Down P.ymant
N.Sundry Sale . sw. Davelopeant Charge R
In City Y.s'K No❑ Late-Cwn ITI10 W.31S Ao P-7v114
On Sanr Y..0 No❑ IOthers)
Water Usage; b+idantlal Cl Cmmm'60% Industrial TOTAL FEE S
Other 'TO Bit i1111'Li 111 Y IN'AsIt A hat /,NSP Ai 10
isO INSTALLATION.
near sl:e 3 ONlst 16 (l)CCITV ND t+1110.
p� flee So,vie.
T. pro,v Hydrant Paler Yet No W Hato, Make
S•w.p E.Aept Hotel Va.❑ No® Mato, Pa.
Fire proteetlo, LmVln YA+❑ No% oar. I..t.11.d
ComMntS;
S.rVt.. Add...+ 140e- Momw ALr NE
L...I Description _Lf AvgA rFtO
sq.afmt
CROSS CORRECTION CONTROL: 1.ckflow Pror.ctlon Davic. A".I,.d Va.K No❑ if vet. TV" of D.vlc•+
R.dec.d pnnun Sackflow O.vlca❑ Dou•I. Check Valvt Aneoly Air or pressure V•c Smoker❑
Make of DeVICt Model S.rlal Pa. Sip
pat. Devlp lnst.lbd Pater No. Ft I• Pa.
GYM.,., N..H `f,amaw Dn'"tFWM" QNdO (10, PaI.It.,p proof SON) 1N '1CIO
Add,.../'IL 104% If 111 City Iklt.t slat. 0W1 C? lip h YA
tcntraetor's Man SL e• If tO.J ( IiT• FHe" •ty 6E60
wr... RAID- 1 641f AdvI NC city bttP411 State (k,A Ely lEact
At" S.rved by Fenton water 0l Seattle Water❑ Seattle water Cod. No.
Teeponry sarYle• ASraennt Yet❑ Moit If yet, A•rsat•nt Recording Pa.
5.111n to se Lecat"en •n Enw+nt Va.O Pa❑ if Vs., t...n.et Asm,41Ag %S.11111.10+
It The,. to [.Isli" Stun S•rvlce Yet❑ Pa% If vs., water Project R•. W-
[.tell" Lat••Comen Agl•nHnt Vo't Mo❑ If yo. Agr..M.nt b. ,t D 7-74ja
In Fever of [CUP 61 VNI"j Address
City Star. ZIP Chat" S y
Systee n O.Velopnt F. Vt,a who it Vat. %yet. GYaladeem to t•pa on tIY /Wt K)H p
THE UNDERSIGNED SUR6CRINIR REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED H/AEON AND
PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THS CITY OF
RENTON'S SCHEDULE OF RATES WHICH SHALL PROM TIMC TO TIME IS LEGALLY IN EFFECT FOR THE PURPOSE Pon WHICH
THE WATER IS TO SE USED NOTED "MON, AND TO CONFONN TO AND ASIDE NY THE CITY OF RSNTON'S RULES AND
REGULATIONS IN PONCE, AELATING TO THE PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF
IENTON CODE, CHAPTER E. SECTION 1-203.
1ALt• - Utility still" Pk A@SKf
py►
Y.Ilm• EM lnorinS 'Zr••910'—tom
Flak • Water SMp
Sold - totes f LAAV 9% mazy. O t"s po EaM p
1
L
1
F
O CITY Of RENTON NO, NO 2VO
V ' UTILITY [AVENU(R LNG 4
• • IN HILL AVENUE SOVTx
RFMTdt, NA 9E055
"ONE 215-2611
ORDER FOR WATER SERVICE INSTALLATION
Account Mc. Net., there• 3} N/G
Werk Oreer Ma. 535S L•SL Stv6 SerVlu Cndlt
OOMT Paywnt
Sundry LI• No. SVat•N bewlORHam charge -
In CI tY Yea"K ft Lala c." to tV) W-?IS '
On (Dtheri)
S., Vs.$ ft t
Water us"w baieentw❑ CcPH,rcltl� Indultll.1 [3 TOTAL FEE S
Other Et
TO Se 54ft(0+ loilmuro ov &oopwl
Water Slu
,juju Mo "tilt
INSTALLPTIDN.
$lu SVVIce
TaPPererr WYerant Peter Yea � W titer ask• _
lew9e laswl Peter Yea❑ No m wts, NO.
Fire Protection Se>Vlce VS' NP M Date Imullea
7uvlca Aedroa 1400- Map* Ayr NE
) Ngel Deacrl Ct len � MTU MIS
-tD,1A WET
CROSS CONNECTION CONTROL lackfi . Pr01•ctlen DeV ice Rnnwl rea Vs, NP If V•t, TV" of Device:
TuewcN Preaaur• 4ckf lPw [Wyltoo Do01e Check Va1va AifeMlr Air or Presswre Yec tneker
hell or DaVIC• NOHI S•rlal No. %Ite --
after No, Tl 1a ft.
pMsr'i Paw fry*4 R�C�fRIr` Cam' lSo �l Pn 3.,� Pkon( 1'*
Aeereaa P•!• 6/K 14 the _ _ city SMM state ERrttsh lip_
Contractor', New L ( !OL) L� Prone 211- [W AF
Aeereaa S, Tll city yiey-930 State IA rio 1 CI
Ares Arwe by boron Water it $III tle Wier 0 Seattle Water Ceee No,
Temeartry Service Aoreenant Yet 0 -it If Vei, Aereewnt heeerein9 RN.
Service to be Lecatee ea ea USINtnt Yu(§ Ne C] SY vsa, 4ietem Racerun9 NP.I.allik
is Then an 11.1wa9 Stwh Sefvict Pea I] Nee If Yea, New project No. W-
tslltia9 Late-Ceeen Mraewntw M1s� NO❑ 1/ Pea, Alraereat NP.VJ's f-741
In few,of cl;V Of QlkS{R2 Aeeroa
tit, State 21P there* 1
�e Z;46M *1!J
SYste+DaWlaawat Fea Yes No 11 Yes, Swill D-Wlaeeanl M lasea /`�`x ^� SRP+trReRt ,
THE UNOENSIONIO SUtICRIDIER REQUESTS THE CITY Of RENTON TO SUPPLY WATER AT THE PREMISES NOTED HERON AND
PAORISl3 TO PUOCHASI TNT WATER AND PAT TM! CITY OR RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF
RENTON'S SCHEDULE OF RATES WHICH SHALL PROM TIME TO TIME It LEGALLY IN EFFECT PON THE PURPOSE FOR WHICH
7hit WATER IS TO It U110 E NERCON, N TO C ORM TO AH AEI DI EV THE CITY OF RENTON'S RULES AND
AEOULATIONS IN FORCE, R 1 E TO TH U CNAS! 0 SAP OF ATER. TM IS IS IN ACCORDANCE WITH CITY OF
RENTON COOS, CHAPTER 2, S! DNW I;� a f��--'rr - O•
LY
uPlee- utility
Vellee - lallrearlM ttnrt�
Ptak -Water Skp
EDIR- Cuslea•r 4 t R 1 E eA
ww-+tee. �>✓ .:..,..�... e..,..-..ems.-�..,r_��...-..-�.w-_.-..n..-� ... _._.�.�.me v"
I
F
ITV Of RSNTW
UTILITY
IAtnU 200SO No.NO 2621
iIO NlLl AVENUE
fOUTX
NONE 775-2631
ORDER FOR WATER SERVICE INSTALLATION
i Account No. �— _
Wt., Charge f IS�G
Work Order No, rA� !EJ Less It•e ServiceCredit
SaINrY Sole No. Ill P.Yetnl
Syat" WNI.,Nnt Cnarge 4
In city v..lk NP❑ Lowcdna'. (CIt0%0415 ♦L '
on start, r..f, Ib% (OM...I
well, US.": Raae.ntid LJ Connt.,let ❑ Indu.tri.l ❑ TOTAL 1EI S O
Or nor [let Ppnh,tul L
SMIM
P r INSTAIIATIWIla"TAIMP ♦ 111 AI e&AILAelvP
i III Site I IN.as nett!, eu it nee MAiN
s I.. Searle.
T.npor.ry Nvdrant Ni TRY❑ Np
eal.r Nek.
So.pj twat Mt., ye. No❑ motor Np,
Iln ProNCU" i1•,rvlr. Ywm No❑ .L Datelnrnlltd �
S.,rica Add.... R09• MotRt I Ate St co.FNnt.
Legal 0 ...1ptl.n 61e efIT c"fis
14. he
CAM 6 ktd Pry lackf
wl CONTTRIlckfi- f ral. 1 e.gul Yle. Ne Ye.® NP❑ If yes, Ty" of Wylo:
❑ to Wu01. Intel, Wly. b.MMlyr At, o. Pnts.r. ew INw., ❑
Make of L.rlco_ Nodtl Svlel No. Slw
DataW w YIm It Illw Nan, He Ft to ft.
liere". twon, lr1 2yil Iw 'DWIS{MCe L.-ID, Ptw StL ! .NPo fie!) j7e. 71'ln
Add,...!A, Y City SHIM Seen oRtfOU Slp
Contractor'. N.w. 11 CSl ( '1 c# Mena 22S-Le
Add.... AI city sum Sta.�.7 _ 11g t117e
At" Serra by Menton water Swl tit wall.,❑ Seattle "tor cod. Na.
TenprarY Soevle,Ag.."ont Yw❑ 1i. If lee, Ag,.oNent tem'din Net,
twin to be Latoted Yet "La.nent Yea IS R❑ If Yw, tea.wnt bceMing No,k•1014
Ia 11.06 on 1•loting Stw S.,rite yet❑ Mal® II f.., Vote. 1I NP, w•
1•Iatlnl Lan•CenPrs Alre."ent lee "a I] 11 vw, As " t b.V-SIS Ifft T 743
In to., of gin of tom-4
ANron
MY Stsm IIN dy tMrgo 1
IYwM WN lie t AN To.PeNP❑ It Vol, teat"WNIMNnI Fee got"an�l/a w \Wr�—
THE UNDtR61DIyD SUISCRISKAA REQUESTS Ttet CITY OF 11"YON TO SUPPLY "TER AT THIS PREMISES NOTID XCREON AND ,
PROMISES TO MCHAS! THE NATIVE AND PAY THE CITY OF RLNTON TN{RLt01t{ IN ACCORDANCE LASESTI, THIS CITY OF
R{NTOXTE SCHEDULE OF EAtlf WHICH 10N. iAON TIME TO TIME SL LEGALLY IN EFFECT Pon THE WRPOE! FOR NN ICH
THE WATER IS TO EG USto NOT D�ItlgON, fONPOR� 10 D IO! SY THE CITY OF RINTON'S RULO AND I RSWLAT coot.
IN FORCE. R[L NF TSO,_Ti Nl t jl C11A9[ AN6 kAL! A R, TNIi II IN ACCORDANCE WITH CITY OF
R{NTON EOlL. CNAPTIR g, 1/ID Sp r l/.� �(/Ig�E
7•r if Whi
Utility t111 11{ ' 2,
-
t
volt - {pttaff"rIS
Natr SPPIM - t
laid• Cwt"?
YP t <n
,�+_+•*w.w•-,tee-... >.
__law
pF RF
�r
V 2 PROD. P
UTILITY EMRINEERI
P F WATER PLAN REVIEW ROUTINR SLIP
I ..
DATE SUBMITTED; /1 /2-fi19 DATE DUE: /Z-2.p-y 1 ,a
PROJECT NAME:-----� i[Y/��i{?'N
ENGINEER/DEVELOPER: hJ'dgyyi¢ Ivui3 � '') -
CONTACT: �e.. S ++.•ter 1
PHONE NO: 5'"7
E1BE PREVENTION: ( ,
` APPROVED NOT APPROVED t 4
(See Comments)
Av .
BY: DATE:
I�LR
APPROVED NOT APPROVED
WtiT[Tz
(See Comments)
r
BY: CMAY i DATE:
YATEt SNMB� ✓APPROVED _ NOT APPROVED
(Soo Consents)
__BY: DATE: /✓ .,
I
HEBRANX
AND
ASSOCIATES
1'nm.uan,ll�unvron
1
Robed R.Dawnpor41.S,
CM1.1 Bu6hnp,%wla 40.
M I I IN Amur
'. Sennr.WA VX 114
111*1417 17:9
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