HomeMy WebLinkAboutWTR2701760 FOUR�PLEX 426 BURNETT AVE N GRM FOUR-PLEX/RO R GIS
BEGINNING
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FILE TITLE
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Pioneer National TIUe Insurance Egmpuy
Filed Inr Rocon!at Request rofn
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BILL OF SALE Y
KNOW ALL MEN BY THESE PRESENTS: That M1ONILP k(G15
of
P.- County of vi tAEs Slate or Washington,the parr• of the first .it,
p /Y for and in consideration of the sum of 6N1 fb UA11 NL IOC k Y
l� Dollars
N : wful money of the United States of Amorica,to HrN in hand paid by T't. (II s r{ UrN rn.l s
f7 the part• of the wand part, the receipt whermf is hereby acknowledged, do, by these present, grant
T bagain,�ll and deliver unto the aid pan, of the second Part,the following described rodsond property now
louNd at 4Z6 31K'IErr AtIF E•xigsx- -'4 s1 (AIA
I.the City of T16wro4 'County of KING and $late of Washington, to-wit
w- lQ06
T-
ONE fief kYDRAur Aep CML Slx 'INCN GA1F VALVF
& q 1 IIRtw I cd 121 SWtw ayuca'AF PIPE
TO HAVE AND TO HOLD the"me to the aid part of the wand prt, heirs, .censors, )
adminutrators and assigns forevn. Md aid par( of the fire pass, for heir,.
eaeeutors,adminislnton,covsnant and qn< to and with the aid a'rt of the wand part,
eaeeu cue, admint,tntm. and assigns, that aid pan of the fiat part Omer of the mid
property,goods and chattels and ha good right and full authority to sell the n and thol
will wamnt and defend the Is hereby made to the aid Part of We second part,
amutors,adoo.i ratan and assigns,against all and every pnsan er persons, wbomsoeveq lawfully eliiminS or to
Claim the same,
IN WITNESS WHEREOF,The said pan of the first pan be hereunto set ha,d
and seal this days f yam"
•.c—.fp>r�.[�����1M _(sus)
(sass)
(at,)
_
STATE OF WASNINGTON, jjj (aeAL)
L }u.
C+untY Of-KC )
tb this p.A ally appeared before me 1:nA.a c O P' G I S
to me hiVA Hidual desribed In and who uecuted the within .,it foregoing insvun.•nl v:d
azknow�aaI sinned the ame as ur free and valuntary act and deed, io, the
use,aaL p, ,tJA aped.
i �ac�kswfts t
^gaff d official sal this ray oeA day el Kc,3, /94'L
Qe Norary Pr,Nu is aM/s Ike Slase e/WaAapex,
11111a �Aa'k%f/(�IfSSjsl.Xl euidingY�fa.YTAJ
COST DATA AND INVENTORY
SU8 FCT: 4Z6 'BjIRNEff MJf yf-ITY PROJECT NUMBERS: W-
NAME OF PROJECT ST- i
TO: CITY OF RENTON EOM; G K h
UTILITIES DIVISION
200 MILL AVENUE SOUTH Atl6 k!E
RENTON, WA 98055
tt (UR QE2
DATE:
Per your request, the following information is furnished concerning costs for improvements insta,lcd for
the above referenced project.
WATER SYSTEM:
Length Size Type
L.F. OF WATERMAIN
L.F. OF WATERMAIN
L.F. OF " WATERMAIN
_ L.F. OF WATERMAIN
1 EACH OF F. ,r,h GATE VALVES
EACH OF _ " GATE VALVES
EACH OF GATE VALVES
SUBTOTAL S 2 0a
1 EACH OF _ FIRE HYDRANT ASSEMPLIES $ 2I L 6 •50
(COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY.
TOTAL COST FOR WATER SYSTEM $
SANITARY SEWER SYSTEM:
Length Size Type .
L.F. OF SEWER MAIN
L.F. OF SEWER MAIN
_ L.F. OF SEWER MAIN
EACH OF DIAMETER MANHOLES
TOTAL COST OR SANITARY SEWER SYSTEM S l)
STORM DRAINAGE SYSTEM:
Length Size Type
441 L.F. OF 12 ehyLeV STORM LINE
C.F. OF STORM LINE
L.F. OF _ STORM LINE
EA OF STORM INLET
EA. OF STORM CATCHBASIN
EA. OF STORM CATCHBASIN
TOTAL COST FOR STORM DRAINAGE SYSTEM $
STREET INIPRO'fMME,%US: (Including Curb, Gutter, Sidewalk, Asphalt Pavement and Street Lighting)
TOTAL COST FOR STREET IMPROVEMENTS $
(SIGNATURE)
(SIGNATORY MUST BE AUTHORIZED AGENT OR
OWNER OF SUBJECT DEVELOPMENT)
CONSTRUCTION FIELD SERVICES 0 -IU$L
�PREMM ANCY INSPECTION REPORT
DATE: FEBRUARY 14, 1992
TO: UTILITY SYSTEMS
[ ] STORM - A PARSONS D
[ ] SEWER - AVE VE CH CH RISTENSEN
[" "MWRTE9W-"ASDOUDVGATOURN=w \
[ ] PLAN REVIEW - GREGG ZIMMERMAN
( ] TRA.NSPORTATIONVCS SVCS KOCLINTIMOOI CONSTRUCTION R AN
[ ] LANDSCAPE/ZONING - BOB ARTHUR
[ ] BUILDING FINAL - NEIL MAUVE G\atOC ti'14O
FIRE PREVENTION
FROM:_ CONSTRUCTION FIELD SERVICES - NEIL MAUVE x6172
SUBJECT: 426 BURNETT AV N PERMIT NO: B16728 (WO/87179)
FOUR-PLEX TYPE BUSINESS: APARTMENTS
The subject project is nearing completion. Please investigate your area of
responsibility and indicate below either your acceptance or corrections.
Please return by F1RT0AYWFEB UARY°23°Ta9992"in order that a Certificate of
Occupancy may be issued. If no comments are received by the above date, the
Certificate will be issued.
TO: CONSTRUCTION FIELD SERVICES - JRD FLOOR DATE '
FROM: I %V, U�",'1. ([wk„a - Il) (t10
This project is approved by this department subject to the following
corrections: 1 + OK:
NON-LIFE SAFETY ITEMS ..� LIFE SAFETY ITEMS L� ue� At) �s9�gZ
O SUNh1Z IhKykOw 'KS wom for, &Wvakf. IICYi k R ;S,tME ia&6AV4.J Vi(
r1l r--.__.._. _ 1 -
V 'f` L—xf—A FA0. 'zf &AkE i,_ to S�-oP�P 'hut M tYn N N10[gUf �Mu � ' Z z 7'
+ ' IOO X ISO k * ISO
! Q'I�fA'TE�3P*4NCOMPEETE'AtTEMS.
DO YOU HIRE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF
OCCUPANCY? (IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES". )
[ ] YES [ X] NO
Authorized Signature
CONSTRUCTION FIELD SERVICES W -7 g '
1P.R -CUPAflC'S' INSPECTION REPORT P '789�
DATE: FEBRUARY 14, 1992
TO: UTILITY SYSTEMS ��� �
[ ] STORM - RANDALL PARSONS
[ ] SEWER - DAVE CHRISTENSEN \d\,_,\\t\/�
['�W AgTR�A'B DOUL19G%A`RO.UR®
( ] PLAN REVIEW - GREGG ZIMMERMAN OCONSTRUCTION cg(
( ] NKRAM
TB V ANSPORTATIONSVCS KO CLINT IMO GR AN
[ ] LANDSCAPE/ZONING - BOB ARTHUR REN eP�'
[ ] _BUILDING FINAL - NEIL MAUNE G\� �eCingD
[ ] FIRE PREVENTION t gtt�e
FROM: CONSTRUCTION FIELD SERVICES - NEIL MAUNE x6172
SUBJECT: 426 BURNETT AV N PERMIT NO: B16728 (WO187179)
FOUR-PLEX TYPE BUSINESS: APARTMENTS
The subject project is nearing completion.. Please investigate your area of
responsibility and indicate below either your acceptance or corrections.
Please return by !T&pgUARYl27i am.1992h+in order that a Certificate of
Occupancy may be issued. If no comments are received by the above date, the
Certificate will be issued.
TO: CONSTRUCTION FIELD SERVICES - 3RD FLOOR DATE
FROM: &Vty, Lltotl. (Kfln,, Cn(tuM1 , VI-010
This project is approved by this department subject to the following
corrections: �
NON-LIFE SAFETY ITEMS LIFE SAFETY ITEMS Ck4t)
_ I -
J S`uanit fihc�CNow 25 aCn fm Nw 5&;tu( _ C LkvmStAse i0lLL'w iaj 'LLVA.
} elf✓IIS Q�I L'( SAIt- L. ( - Okrr iNlEL10N, 1L(;W F1�OQA1J( A JAL"e.
J
AI0 UBSZVU -P, 1'lu Ulcer R+J�'1
,�3Nal C4LNhYIn'-E . --
CO'ST16`8�`TINATEX0F411NCONPr,ETTETITEMSS IOL X ISO '/c
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF
OCCUPANCY? (IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES". ) >9
[ ] YES [ X] NO -b:'....
rtcl ��-
Authorized Signature
PUBLIC WORKS DEPARTMENT %ftA
"I6AAn0
P DESIGN/UTILITY ENGINEERING • 235 2631 tRpl6 R'ilou
MUNICIPAL BUILDING 200 M,LL AVE.SO. RENTON.WASH.98055
BACKFLOW DEVICE TEST REPORT
Account Mo. ouucT ecasox _--_---.— cauuo "'o'n —
.«W M eRFY.SfS �
{iavici..owtst;ss
�26 BELUNEiT Ai:if vO ENmN
IOC.rgN OI OFNLE � `
1 UA Ly l lk-i�s S a L_ o3tS 7
LineFRISSUIIF AT Iwf a rtsr ✓nf55��E p�e.Ca055 FIRST CJ Crr rIAVe
ZO (1 S IRS I I.SS
CHECK VALVE NO.I CHECK VALVE CO.2 DiFFERENTIAL PRESSURE RELIEF VALVE
y - INITIAL I. Leake ❑d ...................... T leaked .................... ❑ I. Opened at fles.
reduced pressure
TEST ❑
1. CIO d tight.................. � P Closed light ................. � t Did not open .................
Cleaned........................ ❑ Cleaned........................ ❑ Cleaner........................ ❑
Replaced. Replaced Replaced.
Disc ....................... ❑ D.sc .. .................... ❑ D.sc.up.. ❑ I
... ❑-de Spung...........::.:....... ❑ cksc.town................... ❑
�p: ................... ❑
11
PPm retainer ................. ❑ Pm relamer ................. ❑ Diaphrsgm,Large
A Hinge pin .. ............... Cl Hinge pm .................. ❑ Upper ... ....._........ ❑
1 El
R . ❑ .. ❑ Lower ...................
Seal ....... .............. Seal
S Diaphragm.................. ❑ D.aph'agm.................. ❑ Diaphragm.$mail
Odiel.descrd»......._..... ❑ Other.describe.............. ❑ Upper ................... ❑
Lower ❑
Spacer.lower ............... ❑
Other.describe.............. ❑
FINAL C ❑ Opened at— His
TEST losed IiphT ................... ❑ Closed reduced pressure
Remarks - — -- -------
THE ASOUL.REPORT IS CERTIFIED TO BE TRUE
11Ffl0W R[epRr 10 A SirU a
Public Works Department
DESIGN/UTILfrY ENGINEERING "" ' ''f1•'
200 Mill Avenue South
Renton, Washington 98055 '(.1
M6 Abddak 64— (271.ald) ----
CITY OF RENTON
"LL PUBLIC WORKS DEPARTMENT
Earl Clymer, Mayor Design;Utility Engineering
BACKFLOW PREVENTION DEVICE
REPORTING AND TESTING INSTRUCTIONS
All Backflow Prevention Devices installed are required, by Washington
State Law (RCM 42.20.050.83-19-002/WAC 248-54-195), to be tested on
installation, and annually thereafter. Testing must be done by a Tester
certified by the State of Washington Department of Social and Health
Services, a list of whom may be obtained from this office. Please
complete the bottom of this form, and return it to the Utility
Engineering Department at 200 Mill Ave. S. , Renton, WA 98055, together
with the completed Test Form(s) attached, when the required device(s)
have been installed.
OWNERS MAILING INFORMATION
OWNEP'� NAME:
MAILING ADDRESS:
DEVICE LOCATION INFORMATION
STREET ADDRESS: 4/. .f/__
DEVICE LOCATION* ,,
CONTACT PERSON:-
PHONE NUMBER: gyy/, PROTECTI ZONE+:_
DATE INSTALLED: 1pLa� U°ER COD'+:
METER SIZE: METER ,LAKE:
SERIAL NO:
Directions to the device on the premises. (eg. Second Floor utility
room (Rm 209) next to elevator.
+ To be completed by Utilities Personnel.
U/M/BKFLPREV
200 Mill Avenue South - Renton, Washington 98055 - (206) 235-2631
t
s , ; PUBLIC WORKS DEPARTMENT 'LMI05CAPE "
i DEStGN/UTILITY ENGINEERING 0 235-2631 �RR16 A-00M
•W„ MUNICIPAL BUILDING 200 MILL AVE.SO. RENTON.WASH.98055
BACKFLOW DEVICE TEST REPORT
�Iccount Ib. �Carrr.cr rsnwrr ---=�o.r.c. «ro•e — '
(11C16n2 LCIs� S�C/Jl ( UPIV-
Krhnu aooeEss ��� ri' —
42G Buyskm 01t16 No- ctve j
iocwCF
E /
C4 �S-1 doryisn 4: ncniel` _ —
o�vtEaTa>.ra pfb Erwwl«t"« ume s.:. s«rw
:JC OA w ' Ik.i i 03.LS 7S
LNE Ii ES51MF.1 INC
''Ml TEST ae("Ou"'"Es'Aie055 fees,GMtta V.,n
J y n S I lay LBS
CHECK VALVE NO.I CHICK VALVE NO.2 DIFFERENTIAL PRESSURE RELIEF VALVE
INITIAL I. Leaked ......... ...........- ❑ 1 Leaked ...................... Cl I Opened al Ibs
TEST
reduced pressure
om.
2. Closed lightlightT
.................. lA 2 Cloreo light .................. LpK 1. Did or open ................. ❑
Cleaned........................ ❑ Cleaned........................ ❑ Cleaned...................... ❑
Replaced. Replaced Replaced'.
Disc........................ ❑ Disc........................ ❑ D.sc.upper ................. ❑
Lp:mq........ ............. ❑ Spring...................... ❑ Disc,lower......L........ ❑ r..
R I Guide .............. ❑ Guide ...................... ❑ Sprang...................... ❑
E Pm retainer
P ................. n Pin ralamN ................. ❑ Diapnragm.IMgS
A Hinge pm .................. ❑ Hinge pm .................. ❑ Upper .................. ❑
R1 ❑ Lower ................... ❑
Seal........................ ❑ Seal.... ......I............
S Diaphragm ................. ❑ Diaphragm.................. ❑ Diaphragm.small
Other.describe..... ... ❑ Omer.describe.............. ❑ UPpe. ................... ❑
Lowtr .................. ❑
Spacer.lower ............... ❑
Olhe,,describe ............. ❑ �{
t, pg
FINAL Opened al Iba
TEST Closed lighl................... ❑ Closed nghl.................... ❑ reduced pressure
Remarks
THE ABOV.WORT IS CERTIFIED TO BE TRUE
"Flue,"np"l ro shoe
er
�r f 0-
Public Works Department
DES'GN/UTILITY ENGINEERING ""•"rsre• --
200 Mill Avenue South
Renton, Washington 98055 ""' ""'" ---- --- "•"
PA, Aw'St C,APw (271 (LIc) 7�N'"
CITY OF RENTON
..LL PUBLIC WORKS DEPARTMENT
Earl Clymer, Mayor Design/Utility Engineering
BACKFLOW PREVENTION DEVICE
REPORTING PND TESTING INSTRUCTIONS
All Backflow Prevention Devices installed are required, by Washington
State Law (FCW 42.20.050.83-19-002/WAC 248-54-195), to be tested on
installation, and annually thereafter. Testing must be done by a Tester
certified by the State of Washington Department of Social and Health
Services, a list of whom may be obtained from this office. Please
complete the bottom of this form, and return it to the Utility
Engineering Department at 200 Mill Ave. S., Renton, WA 98055, together
with the completed Test Form(s) attached, when the required device(s)
have been installed.
OWNERS MAILING INFORMATION
OWNER'S NAME:—
MAILING ADDRESS:
DEVICE LOCATION INFORMATION
STREET ADDRESS:- �zz a�_ A{G, 'Sr. 4�q-.
DEVICE LOCATION*: rz yr- eqi_ ar ldLn E�
CONTACT PERSON: t�.;� q�, 1,+ � an ,
PHONE NUMBER: 4_9y!A, PROTE�ZONE+:
DATE INSTALLED: _Zfj_!�:( USER CODE+:
METER SIZE:_ METER MAKE:_ _
SERIAL NO:
* Directions to the device on the premises. (eg. Second Floor utility
room (Rm 209) next to elevator.
+ To be completed by Utilities Personnel .
U/M/BKFLPREV
200 Mill Avenue South - Renton, Washington 98055 - (206) 235-2631
W• 106 GRM.
Mow tpltta mo[
�._ ip Z-Y�� �_QC�L4 7J15�Lu � Y!1 d� i 'cn►¢�0�06,--_-.___"-
_ ____ _____—______ Ib3oi1 ✓ (Ewft 42_—
_AIWL tA6ULI ilOa _561 . 83
XUA
of
----
__
VORA ORDER PAGE PAGE t 10 UM MOGET: 0.00
WIN GRgA 4-PLEx RL ART RBSN1ved: 3900.00
R NDOR IARON 4145AS SStirS V/lGO.Odj SSJS-P2300.60
IAA r VE
ACC, CK:U1it DESCRIPTION PAYNENI RuIR Amilum ( ENF INV OTHER I%AL
,Lzr 4rmlb Is�111 F3, SS 3V �+ �✓
.141 5"".'r6 401 12/12/91 AIPMED! S330 0.00 0.00 0.00 • '•44.24� 0.00 0.00 fi.R
-049 S. 28 401 12/12/91 EOMPMENI S530 0.OD 0.00 0.00 4 'E11.80- 0.00 3.00 28.80
JA6 S. zS 401 12/12/91 EQUIPMENT 5330 0.00 0.00 0.D0 + 4:08�30m.0.00 0.DO 4.08
073 fF.3s 401 12/12/91 EQUIPMENT 6530 0.00 0.00 0.00 v, 37W. t ^d-0.00 0.00 170.1?
"NEE 401 12/12/91 LABOR S530 0.00 •9.00 •76.94 0.00 0.00 0.00 76.94
ICPNEE 401 12/12/91 LABOR CS 9S 0.00 1.50 23.08 0.00 0.00 0.00 23.08
RPNFE 401 12/12/91 LAR00 SS 65 O.OD 1.50 23.08 ,Q 0.00 0.DO 0.00 23.00
IALLACE 401 12/12/91 1ABOR $530 0.00 -SLDO• -76.16 " 0.00 0.00 0.00 76.94
WLLACE 401 17/II/91 LABOR SS9S 0.00 1.50 23.08 0.00 0.00 0.00 23.09
lALLACE 401 12/12/91 LABOR S545 0.00 1.50 23.08 v 0.00 0.00 0.00 23.08
IAIT 401 12/15/91 LABOR 55310 0.00 .8;D0• -100:N1 0.00 0.00 0.00 100.41
EFORILLER 401 12/15/91 LABOR s630 0.00 9.00- ^89:21 0.00 0.00 0.00 85.21
EEGMILIER 401 12/15/91 LABOR SS 95 0.00 1.50 25.56 0.00 0.00 0.00 25.56
FEWIILIER 401 12/IS/il LABOR S5 A S 0.90 1.50 25.51 0.00 0.00 0.00 25.56
" X 6" $BASS NI 401 12/16/91 INVENTORY 5545 0.00 0.00 0.00 0.00 24.72 0.00 24.72
NJ x It. TEE 401 12/16/91 INVENTORY JJ-O 0.00 0.00 0.00 0.00 ."03:28✓ 0.00 103.28
DAPTER 1" TIP X 401 12/i6/91 INVENTORY S595 0.00 0.00 0.00 0.00 7.47 0.00 7.47
DAPIER 1" KIP X 401 12/16/91 INVENTORY 5,,HS 0.00 0.00 0.00 0.00 8.35 0.00 8.35
DAPIER 2" TIP x 401 12/16/91 INVENTORY S56S 0.00 0.00 0.00 0.00 19.96 0.00 19.96
DAPIER 2" NIP K 401 12/16/91 INVENTORY '3 ES 0.00 0.00 0.00 0.00 22.70 0.00 22.78
LACK END PING 6 401 12/16/91 INVENTORY 5330 0.00 0.00 0.00 0.00 •-23.10✓ 0.00 23.10
1 TAPPING VALVE 401 12/16/91 INVENTORY 5(15 0.00 0.00 0.00 0.00 108.61 0.00 106.61
LOSE NIPPLE 2" 401 - 12116/91 INVENTORY 5r/1 0.00 0.00 0.00 0.00 10.55 0.00 10.55
OPPER PIPE 1" 401 12/16/91 INVENTORY 55,45 0.00 0.00 0.00 0.00 16.12 0.00 16.12
O+PER PIPE 21' 401 12/16/91 INVENIORY 5545 0.00 0.00 0.00 0.00 42.64 0.00 42.6f
ORP STOP 11 x IT, 401 12/16/91 INVENTORY Sr95 0.00 0.00 0.00 0.00 13.76 0.00 13.76
Alt VALVE 6" IL 401 12/16/Y1 INVENTORY S330 0.00 0.W 0.00 0.00 L•#43:22 0.00 243.22
ED11A1 PLASTIC M 401 12/16/91 INVENTORY 5545 0.00 0.00 0,00 0.00 57.29 O.DO 57.29
TIER STOW 1" PI 401 12/16/91 INVENTORY 0.00 0.00 0.DO 0.00 12.00 0.00 12.00
EVER STOP 1" Pi 401 12/16/91 INVENTORY 0.00 0.00 0.00 0.00 19.45 0.00 19.45
ETR SETTER 2" N 401 12/16/91 INVENTORY SS65 0.00 0.00 0.00 0.00 320.12 0.00 320.12
/N WATER METER 401 12/16/91 INVENTORY S5 45 0.00 0.00 0.00 0.00 89.95 0.00 89.93
IN WATER NEVER 401 12/16/91 INVENTORY SS65 0.00 0.00 0.00 0.00 331.6. O.DO 331.67
ED END RING 6" 401 12/16/91 INVENTOR, ,5330 0.00 0.00 O.00 U-00 .EiK12� 0.00 22.12
189ER GASKET 6" 401 12/16/91 INVENTORY 5330 0.00 0.00 0.00 0.00 0.00 8.73
ABER GASKET 6" 401 12/16/91 INVENTORY 5330 0.00 0.00 0.00 0.00 •'P'T.48r 0.00 1.45
IREEI ELL 2 BRA 401 12/16/91 INVENTORY S330 0.00 0.00 0.00 0.00 51.09 0.00 51.09
INFER ELL 2 DNA 401 12/16/91 INVENTORY SS6S 0.00 0.00 O.RO 0.00 51.09 0.00 $1.09
: BOLT 10" 401 12/16/91 INVENTORY 5330 0.00 0.00 0.00 0.00 P9:80%" 0.00 57.60
1LVE Box BOTTOM/ 401 12/16/91 INVENTORY S330 0.00 0.00 0.00 0.00 52.45;IP.4V0.00 $2.45
ALVE BOX BOTTOM 401 12/16/91 INVENI01.0 3SfS 0.00 0.00 0.00 0.00 25.44 0.00 25.44
ALVE Box LID ON 401 12/16/91 INVENTORY 5330 0.00 0.00 0.01 0.00 16.7)1n1W 0.00 16.71
At VE Box LID ON 401 12/16/91 INVENTORY 5545 0.00 0.90 0.00 0.00 5.57 0.00 5.37
YLVE Box TOP S. 401 12/16/91 INVENTORY 5330 0.00 0.00 0.00 0.00 23.05 IfAb"0.00 23.85
LIVE Box TOP 8" 401 12/16/11 INVENTORY 5545 0.00 0.00 0.00 0.00 7.95 0.00 7.95
1CIPIC WATER A10 401 12/23/91 086003 5530 i1081:71/ 0.00 0.00 0.00 0.00 0.00 1081.71 nrA.. .I
124N.'0 T"a..M.1 s.Yv A1StSE`F A
AK ORDER TOTAL: 1081.71 29.00 LA7.94 447.84 1805.10 0.00 3817.59
...................................... ..................... .................................................I......
PLIED BENErII/STORE COST: 212.01 361.02 573.03
PLIED OVERHEAD : 104.24 104.24
............................................................................................................................
RK MOEN TOTAL: I0111.21 1".19 441.84 2166.12 0.00 4494.86
.......................... __ _.:-........mvwmmm...............n.....«.:..............................
5330 `
A530 7, rA Tim
35115 - 1" nnI .,(JFA3 (rwI 1
55d5 2' j i nr' 1
N
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I
Ill
G.V
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_SY
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CITY OF RENTON *TQ 29 46 A UTILITY ENGINEERRIG No, 1\ • y o
♦ t ♦ 200 MILL AVENUE SOUTH
PENT ON, WA 98055
PHONE: '35-2631
ORDER FOR WATER SERVICE INSTALLATION 1
Account No. .0 Meter Charge r la a (�Y -CVZ71i�1 e ,41_ C? �J�
Work Order No. �'. S56 5 Less Stub Service Credit __-
Down Payment f�
Sundry Sale No. System Development Charge NCX� _ 7,94
In City Yes® No❑ Late-Comers (City)
On Sewer YesA mem aj No (others)
Water Usage: Residential Commercial10 Industrial U TOTAL FEE s „(Foe) [ 0
Other
INSTALLATION:
Meter Size q nOM6�7"'C.�-_ __ sae service
Temporary Hydrant Meter Yes El No Meter Make
Sewage Exempt Meter Yes ❑ No NJ Meter No.
Fire Protection Service Yes ❑ No a Date Installed
service Address JZ �L�uX11 Ad J Conments:
_
Legal Descr ipt i,sn 1{EQIToO TALF1 FLAT
OT tt 4)
S,gfat, e
CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes Ej No If Yes, Type of Device:
Reduced Pressure Backflow Device Double Check Valve Assembly Alr or Pressure Vac Breaker L.J
Make of Device Model Serial No. Size
Date Device Installed ) Meter No. File No. /r
Owner's Name ( A \C�o I C � 1 Phone �S /7-l"
Address �q5 ( JIJIOA) 2"IV ��� City< &JTOA_/ state 4. Jt) ZIP _95i/ S6,-,
Contractor's Name phone
Address City State Zip
Area Served by Rii Water Seattle Water Seattle Water Code No
Temporary Service Agreement Yes No C If Yes, Agreement Recording No.
Service to be Located on an Easement Yes No0 If Yes, Easement Recording No.
Is There an Existing Stub Service Yes O allo If Yes, Water Project No, W-
EMisting Late Comers Agreement Yes 0 No 5? If Yes, Agreement No.
In Favor of Address
City s..� Stall Zip �O�.J �' yChaarge s
System Development Fee yes❑ No KI If Yes, System Development Fee Based onQass' s ' I ?4 Square Feet
THE UNDERSIGNED SUBSCRIBER REQUESTS T•IE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND
PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF
RENTON'S SCHEDULE OF RATES WHICH SHA'.L FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH
THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND
REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF
RENTON CODE, CHAPTER 2, SECTION 3_203.
White - Utility Billing ���
Gold - Customer '�`i —Za y nen on x agnatu to n�( neu��e �—
Yellow - Engineer to Shop / j��
Pink - We Shop f` _
� ' u. ou ung Agent
`C7 F�f CITY OF RENTON a N�
V • UTILITY ENGINEERING No. 2945
♦ ♦ IM MILL AVENUE SOUTH
RENTON. WA 98055
PHONE 235-2631
ORDER FOR WATER SERVICE INSTALLATION
Account No. 9 A }
Meter Charge /
Work Order No. '� ', ,/ 1-'�D Less Stub Service Credit
Down Payment
Sundry Sale No.
��r-YYY,/I System Development Charge
In City YeS No Ca,], Late-Came rs (City)
On Sewer Yes 0 No N (Others)
Water Usage: Residential0 Cammrcial 10 Iniustrial0 TOTAL FEE 5 .��[:'(�, Gli
Other
INSTALLATION:
ne ter Site �/ 12�1L L1?/.:
Size Service
Temporary Hydrant Meter Yes C3 NOJKJ Meter Make
Sewage Exempt Meter Yes 14 Nw* Meter No,
Fire Protection Service Yes 0 No K Date Installed
JJ Comments:
Service Address AZd l7 U!�/Uf %?.�" i�''
Legal Description N,'6JA { fi t. {7 e
t1 -1 4'o7 rh L/:
S'gnatw.e
CROSS CONNECTION CONTROL: Backflow Protection Device Rep uired Yes No[] If Yes, Type of Device:
Reduced Pressure eackf low Device 0 Double Check Valve Assembly Air or Pratsure Vac Breaker 0
Make of Device Model Serial No. Size _
Date Device Installed Meter No. File No. _
Owner's Name j -C+lS Phone G� 1 - �79f
Address _j4 (J/UI DA) !-f L! (� C City x::AJ7. �. ; State Ali r4 Zip /ueO S�
Contractor's Name Phone
Address City State Zip
Area Served by Renton Water T7l Seattle Water Seattle Water Code No.
Temporary Service Agreement Yes 0 Not If Yes, Agreexur, Recording No.
Service to be Located on an Easement Yes 0 No W If Yes, Easement Recording No.
Is There an Existing Stub Service Yes 0 No(.� If Yes, Water Project No. W-
Existing Late-Comers Agreement Yes 0 No s♦—.1-r If Yes, Agreement No.
In Favor of Address _
City y/ state Zip Charge{S
System Development Fee Yes 0 Moo If Yes, System Development Fee Based on P-—U9 Square Feet
THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND
PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF
RENTON'S SCHEDULE OF RATES WHICH SHALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH
THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND
REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF
RENTON CODE, CHAPTER 2, SECTION 3-203.
_
White - Utility Billing ^ N(andtu.te PA VIICt OA Age.t
vare
Yellow - Engineering 1 0)
Pink - Water Shop
Gold - Customer Ckty o„ Renton .Au!' outang Agent --safe --
PUBLIC WORKS DEPARTMENT P�04 C d'
ING DIVISION
CITY OFINEERENTON, W SHINGTON �()o x7,177
PERMIT
l APPLICATION ONLY - UNTIL VALIDATED NUMBER y —
N IS
Owner Location of Work
'INiaA vp-
Address Y JL fi NF.� AVF-
INSPECTIONS FEES
CONSTRUCTION Sanitary Sewer/Storm Water Permits
Right-of-Way Construction
PERMIT Right-of-Way Inspection Fees u/s
(Public Right-of-way) Water Inspection/Approval Fee 3F, 7
Special Utility Connection Fee, Water Z/130
Water Latecomer Fee 7
Special Assessment District, Water
D e Is ed
— Sewer Inspection/Approval Fees
n Special Utility Connection Fe Sewer
Exp ratio Date Sewer Latecomer Fee n
Special Assessment District, Sewer r)
970leAf /N1,,e&CT70N
^4erence Data !�I 4 -A PX Special Deposit, Private Latecomer
rA1sr
Special Deposit, Cash Bond ZIt : �Sr/S ,ftf >T{2��1� 4
7 J TOTAL FEE
Description of Work
and Number of Feet >/Or //VSlf1[(��/Jl )
I All JOA14f _X411N�S 1�N7- 7N4r�LLRT/ l�I�i4GVF -
/( I- yam- k0/C C C ZZQ jqCif -OKI-5 W-I085
Contractof J _ Business C
License 7.S
Address I� // C Z7CL
Bond
f` ..) Te lie hone
71
IT IS UNDER4DOD THAT THE CITY OF RENTON SHALL BE HELD HARMLESS OF ANY AND ALL
LIABILITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE OF' SAID WORK.
ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUST BE DONE BY A
LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EKCAVATING,
CALL 235-2631 FOR INSPECTION.
Call between 8 AM and 9 AM for APPLICANT
it ^ction in afternoon; call
1)0.,ite 12 Noon the day before
for inspection in morning. PUBLIC WORKS DIRECTOR
j
FY TIME FOR INSPECTION.235-2620 for street signs CALL BEFORE YOU DIG BY --ighting. I_8n0_R LDCATORS
I-BOO-4)4-SSSS
PUBLIC WORKS DEPARTMENT Q
ENGINEERING DIVISION WO A p7/7
CITY OF RENTON, WASHINGTON OO
APPLICATION ONLY - UNTIL VALIDATEDPERMIT
NUMBER P 7
ON R�raS
Owner vo . Location of Work
_Address R ♦ ,I
q O I5np VIQhII&�
�NTUN I I/�}1 gao�6 Rrxtg0Nj IVI
INSPECTIONS FEES
CONSTRUCTION Sanitary Sewer/Storm Water Permits
Right-of-Way Construction
PERMIT Right-of-Way Inspection FeesC
(Public Right-of-way) Water Inspection/Approval Fee
Special Utility Connection Fee, Water 'L
Water Latecomer Fee O
—' Special Assessment District, Water O
Dofe Is ed
Sewer Inspection/Approval Fees
Special Utility Connection Fee, Sewer
Exp/ratiorVDate Sewer Latecomer Fee n
Special Assessment District, Sewer A
Reference Data , Special Deposit, Private Latecomer
Special Deposit, Cash Bond 4Z
TOTAL FEE
5raw�n s ��oky Flo-50
Description of Work
and Number o: Feet Sing �,�.v,Fg ltj!� i91447ioN STn&M aigzg6&
Lllff"k- Na_UM k4t-5&&N7- /Nsrrs_ tifT�� 141,4MAZ i y11foyiZ-
MgitiLl oR c -
Contract Business
License
Address ^,1 Bond
f•r
Tel hone
t
IT IS U1. b THAT THE CITY OF RENTON SHALL BE HELD HARMLESS OF ANY AND ALL
LIABILITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE OF SAID WORK.
ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUST BE DONE BY A
LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORb EXCAVATING.
CALL between FOR INSPECTION. � n
Call between B AM and 9 AM for APPLICANT �/
inspection in afternoon; call �!
before 12 Noon the day before
for inspection in morning. PUBLIC WORKS DIRECTOR
SPECIFY TIME FOR INSPECTION.
CALL 235-2620 for street signs CALL BEFORE YOU UIG BY
and lighting. 48-HOUR LOCATORS
1-800-424-5555
AUTHORIZA'i70N OF S!ECIAL BILLING
DATE:
Pk�._CT NAME: ! (:-
PROJECT NUMBER:
WORK ORDER NO_
It is the intent of this letter to authorize the City of Renton to bill the undersigned for all costs
incurred relative to the above-referenced project, by the City off Renton for the following work
. 7411 ,1
BILLING TO BE SENT TO,.
r
YOU WILL BE BILLED TIME AND MATERIAL Address:
FOR ANY WORK DONE BY CITY STAFF TO
REPAIR DAMAGES City.
Attn: /�e /A /G�•i
Phone No-- ; 3 5 L 7-e-Y
owner/Developer, Conu actor or
Authorized Agent
��t w 2"- �Dwal+�-
F
;/4� fAw+x� -
i3nlv�e n.�t• �.
AUTHORIZATION OF SPECIAL FILLING
DAZE
PROJECT NAME: i•� 14 Q, 4
PROJECT NUMBER: `Iv
WORK ORDER NO_ �� 7 17 y
It is the intent of this letter to authorize the laity of Rentou to bill the undersigned for all costs
incurred relative to the above-referenced project, by the City of Renton for the fo"iwing work
BILLING TO BE SENT TO:
1) Nane: oIla
i YOU WILL BE BILLED TIME AND MATERIAL ,I Address: 342� G/n.oe A-e
FOR ANY WORK DONE BY CITY STAFF TO
REPAIR DAMAGES City. �'��'+r +�n 9f,'o 5`9
Attn:
Phone No_ 3,5- /7�1 y
Owner/Developer, Contractor or
Authorized Agent