HomeMy WebLinkAboutWTR2701770(2) W 856 Parking Extension Valley 405 \1.......
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FILE TITLE
�arKtr79 Extension
VaAeL3 40-6
CLt ( I lt
E n9inee �ing
w ,o c rTrro
AT
�•/ A1HT5 Y'Et ItSFNfD�101 11COtD11 S US(
Manor Nalloul Tills Insurance CompaT
W aa"INGTON T iTt-a DIVISION
Filed for Record at Request of
DEC 3 3 0-
6YTiIC � . '• `F'
TO hill J r 7 .122'03 01447 [:
n v iil IILUirWI RECG P :. CIO
CASHSL +**»:5.00
stag It My! IR
11
IM VINIPIp I k i
al K1 AVE so.
IEMT011 NA WA
i
r
BILL OF SALE
Q KNOW ALL MEN BY THESE PRESENTS: That F90 CM
wi of Renton
CCounty of Kl%' , Stale of Washington, the parties of the first part,
for and in consideration of the sum of One and no/I(X)
Dollars
lawful money of the United States of America, to thcni in hand paid by The Ciro of Renton
the pa-t iev of the second part, the receipt whereof is hereby acknowledged, do es by these presents grant,
bargain, sell and deliver unto the said part ies of the second part, the following described personal property now
located at 981 Powell Avenue
in the City of Renton , County of }:.inF and State of Washington. to-wit:
Water #8%
Approxir,etely 50 l,f, of 12" ductile iron, 50 1,f. of 1011 ductile iron and (1) 12" gate valve,
and (1) 10' gate talves, and all appurtenances pertaining to said wetenmin, expressly werranting
said wetemein against any expanses, costs or liens hereto incurred theteort by through or fader
seller herein.
TO HAVE AND TO HOLD the same to the said part ies of the second r_rt, their heirs, executors,
administrators and assigns forever. And said part icsof the first part, for their heirs,
executors, administrators, covenant a and agrees to and with the said parties of the second part, their
executors, administrators and assigns, that said part ies of the first part is the owner of the said
property, goods and chattels and ha s good right and full authority to sell the same, an,d that they
will warrant and defend the sale hereby made unto the said part ies of Ai a second part, tijAl
executors, administrators and assigns, against all and every person or persons, whomsoever, lawfully claiming or to
claim the same,
IN WITNESS WHEREOF, The said part of the first part ha hereunto Set hand
and Seal this day of
i
(SEAL)
i
(aEAL)
(scat.)
STATE OF W(w'g-HINGTON, (SEAL)
/
County DI ��1� } r
L
on this day personally appeared before me -. `1`l,.�t.+\ .•' t,�`` ., �ir�
to me known to be the individual described in and who eaecu Aie' rn and lote*QR Instrumem vIt
es
� •
. signed the same as 0\ li ftee and ''Qunta het tr1d deed, for the
acknowledged that `
us and pugxms therein mentioned. t o 0 'uf_te—x V r
GIVEN under my hand and official seal ibis `� day o'��f
N ry !mNir in and fa the to o/WuFixrrmr,
!!lltttt ld a reiidiar ar
COST UAIA ANU INVLNIORY
SUBJECT: kFO
CITY PROJECT NUMBERS: W_N _
hi
(, �T
1O: CITY OF RENTON FROM: .��
UTILITIES AVE.DIV5 , r�
UTI MILL VE. SI
RENTON WA 98055
BATE: IG I4 I Y4, '
Per your request, the following information is furnished concerning costs for improve-
ments installed for the above referenced project.
MAZER SYSTEM--
Length Size Type
u L.F. OF _ / /�j WATERMAIN
L.F. OF _ WATERMA;"I
L.F, OF 14ATERMAIN
^�-- --- L.F. OF WATERMAIN
EACH OF r
—%-- EACH OF GATE VALVES
" GATE VALYESQN
` EACH OF "�— GATE VALVES
Size Type SUBTOTAL $
EACH OF — FIRE HYDRANT ASSEMBLIES $
(COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY).
TOTAL COST FOR WATER SYSTEM $
SANITARY SE11LR SYSTEM:
Length Size Type
L.F. OF SEWER MAIN
-- i L.F. OF —--" SEWER MAIN
L.F. OF _ SEWER MAIN
— � EACH OF BfAMEiER MANHOLES
TOTAL COST FOR SANITARY SEWER SYSTEM $
STORM DRAINAGE SYSTEM:
Length Size Type
L.F. OF _" STORM LINE
L.F. OF " _ STORM LINE
L.F. OF "_ STORM LINE
L.F. OF — STORM LINE
TOTAL COST FOR STORM DRAINAGE SYSTEM $
STREET IMPROVEMENTS: ( Including Curb, Gutter, Sidewalk)
TOTAL COS1 FOR STREET 1MPROVEMENIS $
/'
e� (SIGNATORY MUST BE AUTHORIZED AGENT OR
OWNER OF SUBJECT DEVELOPMENT)
UTILITIEi 11 Water Esn,t
E A S E M E It Valley 405-I
THIS INSTRUMENT , made thls25thday of Mach 19 _•
by and between FIRST CITY EQUITIES and
and
and
and
hereinafter called "Grantor(%)" , and the CITY OF RENTON, a Municipal Corporation of King
County, Washington, hereinafter called "Grantee".
WITNESSETH: ,
That sold Grantor(s) , for and In consideration of the sum of S
paid by Grantee, and other valuable considers[ on, do by
these presents, grant, bargain, sell , convey, and warrant unto the said Grentse, Its
successors and assigns, an easement for public utilities (including water and sewer) with
hnecessary appurtenances over, through, across and upon the following described property
t« In King County, Washington, more particularly described as follows:
,y PEC-D = f•.
m
WATER LINE EASEMENT DESCRIPTION CASHS—
COMMENCING AT THE NORTHWEST CORNER OF LOT 11 OF THE PLAT OF
WASHINGTON TECHNICAL CENTER AS RECORDED IN VOLUME 122 OF PLATS,
PAGES 98 THROUGH 102, RECORDS OF KING COUNTY, WASHINGTON ,
DESCRIBED AS FOLLOWS;
THENCE SOUTH 1. 14128, WEST ALONG THE WEST LINE OF SAID LOT 11
166.00 FEET TO THE POINT OF BEGINNING OF THE CENTERLINE OF A
10.00 FOOT WIDE EASEMENT; THENCE NORTH 88.45132" WEST 80.00 FEET
TO THE WEST LINE OF LOT 1 OF CITY OF RENTON LOT LINE ADJUSTMENT
NO. 015-85 AS RECORDED UNDER RING COUNTY RECORDING NUMBER
8512169001, AND END OF THIS EASEMENT.
LPN
BRH JOB N0. 85270
MARCH 19 , 1986
DIStK ENG.1
C0/yI,
U v
C
--- 14.E t.Wv,\Y lid tl., %o6olt W
tL ,. • r LW3.
,1Y..wy bN
uE�t-)
Said heretofore mentioned antee, its successors or assi, shall have
t the right, without prior notice or proceeding at law, at such times as may be
necessary to enter upon said above described properly for the purpose of construct-
. ing, maintaining, repairing, altering or reconstructing said utilities, or making
any connections therewith, without incurring any legal obligations or liability
therefore, provided, that such construction, maintaining, repairing, altering or
reconstruction of said utilities shall be accomplished in such a manner that the
private improvements existing in the 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 thb aforedescribed premises, including
the right to retain the right to use the surface of said right-of-way if such use
does not interfere with installation and maintenance of the utilities. However,
the grantor shall not erect buildings or structures over, under or across the
right-of-way during tine existence of such utilities.
N This easement, shall be a covenant running with the land and shall be binding
M on the Grantor, his successors, heirs and assigns. Grantors covenant that they
..4 are the lawful owners of the above properties and that they have a good and lawful
M right to execute this agreement.
0
ti FIRST CITY E LUT4ES . and
tD ,
W / --- and
David M. Schuman
General Partner and
and
STATE OF WASHiNGTON i
ss:
COUNTY OF SNOHOMISH )
THIS IS TO CERTIFY that on this a day of W l -PK
19$L' , before me, the undersigned, a Notary Public in and for the State of
Washington, personally appeared DAVID M. SCHUMAN, to me known to be the
pr.rson w-to executed the within and foregoing instrument, as a general partner of
FIRST CITY EQUITIES, a Washington general partnership, and acknowledJwd the
said instrument to be his free Lind voluntary act and deed and that of the part-
nership for the uses and purposes therein mentioned.
WITNESS my hand and official seal the day and year in this
certificate first above written.
—�
NOT_ P,U I 1E in an r [hc to of
Washington, residing at
utr2-s b
LETTEII OF TOAMM"AL No.n-TA-W-CINIM
FROM
DATE
ffir
riw/0—A
1 ii20 N E 651h Sheet ►R01ECT Redmond.WA 48052 (I
CONBTRUCT/ON Telephone. 883-9213 Q
CORPORATION ATTENTIO
RE:
GENTLEMEN:
WE ARE SENDING YOU HEREWITH ❑DELIVERED BY NANO ❑UNDER SEPARATE COVER
VIA-_- _TNE FOLLOWING ITEMS:
[JPLAHS L_JPRINTS ❑SHOP DRAWINGS ❑SAMPLES SPECIFICATIONS
[JESTIMATES ❑COPY OF LETTER ❑
CO►qS DATE OR MO. RSMDYIpI
1 _..._
THESE ARE TRANSMITTED AS INDICATED BELOW
FOR YOUR USE ❑APPROVED AS NOTED ❑RETURN __CORRECTED PRINTS
FOR APPROVAL ❑AP►ROVED FOR CONSTRUCTION []SUBMIT _ _ _ ._COPIES FOR
.]AS REQUESTED ❑RETURNED FOR CORRECTIONS [JRESUBMIT_____._.COPIES FOR .__.._._
[]FOR REVIEW AND COMMENT ❑RETURNED AFTER LOAN TO US ❑FOR BIDS DUE
El
REMARKS:
IF ENCLOSURES ARE NOT AS INDICATED, SIONlD\ \�
PLEASE NOTIRY US AT ONCE.
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DATE:kk i 4I Bc
ATTENTION:
hpOur. UR ovate
--F 1 EL"SPECTOR
ATTACUED ARE AS-BUILT PRINTS FOR
PROJECT:_ �y- $1$ + \1)- 9. Q $1 "mot oweu Ave SCLI
A5 _ �QA� r'l ti 2 . .� A B b)
Q rtw�c (or 1=��os„a
PLEASE FIELD CHECK AhD RLM THIS SLIP W1111 YOUR
COMMENTS TO: tdege,
INSPECTOR'S COMMENTS:
�Evti�o Fps . 60Lr> af- S#r-v Fne„c-e
+UN�itld� i trig na E S '%�kf- .atiW.% L.Y PLC i Eo
l\� 1411 & 11�
P' 'ILDING A ZONING DLPAII ',LNT
BARE-OCCUPANCY INSPECTION REPORT
DATE NOVISMS111k 7, 1986
TO: ��JDESIGN ENGINEERING DIVISION RDUILDING FINAL
UTILITY ENGINEERING DIVISION 11 FIRE DEPARTMENT
TRAFFIC ENGINEERING DIVISION El LAI IDSCAPE/PARKING
FROM: BUILDING & ZONIIJG DEPARTMENT
SUBJECT: FIRST C11'Y LQUITILS t'ERMIT NO. 8-1819
"81 POWELL AVENUE S.W. TYPE DUSINESS VALLEY 405 NIASL 11
The subject project Is nearing completion. Please Investigate your area of responsiblflty and Indlcale
below either your acceptance or corrections necessary by 11-1.1-86 tr1 order that a
CertillCate of Occupancy may be Issued. Q no comments are received by the above data, the
Certificate will be Issued.
TO: BUILDING 6 ZONING DEPARTMENT DATE
FROM: NViVOUL 61t rC• f . Ul ylc,rt 1 u uui� ( r, rl
This project is approved by this department subject to the following correr.tlons:
/t1j. IIL1:1S Crl �UNrllrrl( pAnU C/ Iq �P( `In'V Q�tt ,;
;N .rn� tRnt (ell ru 111
LC c6 tri,:rJ Ito
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY?
YES
'J�
Authorized Signature
I'owl 0 170
I
QF RF
PUBLIC WORKS DEPARTMENT
DESIGN/UTILITY ENGINEERING 0 235-2631 0 7R Z
MUNICIPAL BUILDING 2Da MILL AVE.SO. RENTON,WASH.98055 1% m
a4�rE❑ SEPT£W' P
I
TO: FTRCT CTTY FOIITTTFS DATE: nIM127 JOB NO.:
Poo 54 A.., q Su4to 4,70 _ RE: R ill-of-Sale R Easement
_ CPatt1P- WA 99104 1 W-856 Bill-of-Sale R Easement
i
ATTN: n Rvlor
GENTLEMEN:
j WE ARE SENDING YOU p ATTACHED a UNDER SEPARATE COVER VIA _ THE FOLLOWING ITEMS:
a SHOP DRAWINGS ❑ PRINTS ❑ REPRODUCIBLE PLANS o SPECIFICATIONS
o COPY OF LETTER o Conk grof Recorded Gills-of-Sale and Easements
COPIES DATE NUMBER QIESCRIPTION AND REMARKS
_ i #8612031446 Recorded !till-of-Sale Tor W-818
a #8612031431 Recorded Easement for W-818
_ Bill-of-Sale for W-856
486120M32 Recorded Fasement for W-856
I
i
THESE ARE TRANSMITTED AS CHECKED BELOW:
o rOR APPROVAL a APPROVED AS SUBMITTED a RESUBMIT COPIES FOR APPROVAL
4 FOR YOUR USE a APPROVED AS NOTED a SUBMIT COPIES FOR DISTRIBUTION
o AS REQUESTED o RETURNED FOR CORRECTIONS a RETURN CORRECTED PRINTS
o FOR REVIEW AND COMMENT a _ o PRINTS RETURNED AFTER LOAN TO US
COPIES TO:
_ SIGNED Arlene Hainhl:
TITLE Fnoineerinn Specialist
IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE
ALA-
`�
siltiVANG 1a YVWIWG DEPARTMI T
PRE-OCCUPANCY INSPECTION REPORT
� UJ85�
DATE August 6, 1986
TO: DESIGN ENGINEERING DIVISION BUILDING FINAL
UTaiTY ENGINEERING DIVISION FIRE DEPARTMENT
TRAFFIC ENGINEERING DIVISION �LANDSCAPE/PARKING
FROM: BUILDING 6 ZONING DEPARTMENT
SUBJECT: First City Equities PERMIT NO. B11 s91 -
991 Po.a11 Ave, S.W. TYPE BUSINESS office Building
The subject project Is nearing completion. Please Investigate your area of responsibility and Indicate
below either your acceptance or corfecllons nece.sary by August 13, 198e In order that a
Certl!lcate of Occupancy may be Issued. R no comments are received by the above date, the
Certificate will be Issued.
10: BUILDING 6 ZON04G DEPARTMENT DATE 61 14 h� 6
'ROM: �AfrtI ten 1 uhL la�A
Thb project Is approved by this department subject to the following corrections:
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY?
YESt�0
A
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q��►Jt Cailt�11t1�`, �'M,,. �t+N ,�• , ra
PUBLIC WORKS DEPARTMENT
BUILDING DIVISION
CITY OF RENTON, WASHINGTON
APPLICATION ONLY - UNTIL VALIDATED PERMIT
xuMBex P 6
Owner Location of Work
Address ,,k..p [r^ •„T) ,.e 1
INSPECTIONS FEES
CONSTRUCTION Side Sewer
Storm Sewer
PERMIT Right�of=Way Construction
Sp. Utility Conn. Fee - Water
v (*kic Right-of-Way) Water Latecomer Fees
Water lusp./Approval Fees
Sp. Utility Conn. Fees - Sewer
Sewer Latecomer Fees
Sewer Insp,/Approval Fees
Date Issued Inspection Fees
Special Deposit - CASH BOND
Expiration Date TOTAL FEE
Description of Work
and Number of Feet
Contractor Business
License
Address Bond
Telephone
IT IS UNDERSTOOD THAT VIE 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 EXCAVATING.
CALL 235-2631 FOR INSPECTION.
Call between B AM and 9 AM for APPLICANT .,.
inspection in afternoon; call
before 12 Noon the day before
for Inspection in morni;.g. PUBLIC WORKS DIRECTOR
SPECIFY TIME FOR INSPECTION. �J
CALL 235-2620 for street signs CALL BEFORE YOU DIG BY
and lighting. 48-HOUR LOCATORS
1-800-424-5555 r ('/1313j
GSHS 13 VD IHlarl USHS 13113 INI Sit
STATE OF WASHINGTON �` STATE OF WASHINGTON
DEPARTMENT OF SOCIAL AND HEALTH E CESO ,P 4 `y/ DEPARTI OF SOCIAL AN HEALTH SERVICES
WATER BACTERIOLOGICAL ANALYSIS ' :WATER BA(,fERIOLOGICAL ANALYSIS
GAMP_E COLLEC`ION:'YEAD INSTRUCTIONS ON BACK OF GOLDENROD COPY {`SAMPLE COLLECTION. READ INSTRUCT'IBN$ON SACK Of GOI Ot NPr'O COPY
If Instructions are not followed,sample will be rejected. ' It Instructions are not followed•sample will be rejected.
DATE COLLECTED TIME COLLECTED COUNTY NAME _ DATE COLLECTED TISI$COIIEo ED COUNtt,N�AE♦ME
MONTH DAY YEAR `�, 'a E MONTH 1DAY �YEA
�R 11.t� ❑ PM 1"
11 _6 M ❑❑PI K t N4 7 IET AM
TYPE OF SYSTEM Ip PUBLIC SYSTEM,COMPLETE: TYPE OF SYSTEM IF PUBLIC BYSTEM,COMPLETE:
CLE CLASS
00Pleuc a cLECAu 0Puauc I.D. No. 815
5 0 T z 3 4
❑ INDIVIDUAL I D. No. 7 S O L d2 A ❑ INDIVIDUAL I E) /
1 roraaca r IwM MM 1 rNgrncN
NAl,,E OF SYSTEM NAME OF SYSTEM
OF bsT ►► 6A S 1?11,4�n- VAI*
>'�SPF.OIFIC,LDCAIEIH WHERE'SAVINE CB{rIECIEII SYSTFMOMEA/A100.WJK AW TELERONE W) SPECIFIC ATIO WHEIL,SAMPLE COLLECTED SYSTEM /MCAT.NAME AND TELERONE NO
a ay pPRle •n lie Pu..,.1onlNro
rlCne V1AEI-nr W I�a�Yai 4os• lVl�+Ee k
• Boom 9-%W 14t 135. 165 TOY►• VF, 17Nary SInA1 S4 Z35 q
C611.1.156TED BY:CbNlo SAMPL OLLEC D BY:MMnat
�; � PSDDu� GnsoMl� - llh�4j 1>.,�.E>d•
///((( SOURCE TYPE .,.�V;
SURFACE Q WELL 0 SPRING _❑PURCHASED COMBINATION ❑ SURFACE ❑ WELL ❑ SPRING ❑ PURCHASED -r OTHER ION
+ wOTHER 7T'' MBiNA
REPORT TO:IA,m Full O'd Zia CaN, SE VE 4 Ems,l 'A IPr01I?wl N � •MAV
�,yKs1RuE�� n� fv. �'J
-
WIY WASHINGTON 0 � WASHINGTON �L^ 6
OP MPLE - IYPE OF SAMPLE
Mle d+l a MN LMwrd Kar�yLgw•1 w N rM caYxv,1
T� OHINKINGWATER ❑ Chlorinated(FieaHlual:_"Total__Pree) 1. L DRINKINGWAT€R'' t❑'� Chlorinsledyissld"i..Total� Frsri
tINCA lr"uMe 1--► ❑ Filtered.` —_ check treatment��r L� Filtered
dUntreated or Other .•/LT..r Untreated or Other
(�7 MW SOURCE WATER 2. RAW SOURCE WATER A
{�7�,'NONCONSTRUCTION OPOKOWM 3• NEW CONSTRICTION Pf•RINIIR$
1. L1`D411lfit(80 eIM -.,-- • I 4. DTHERIsvecny)_
If,YMIB SAMPLE 16 A CHECK SAMPLE COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE
DUS LAB NO a PAFV.UUS(All NO r
EVIOUS SAMPLE COLLECTION DATE PREVIOUS SAMPLE COLLECTION DATE
MARKS: • "REMARKS,
LABORATORY RESUL S,4GR tie USE own
CCLI STD PLATE COUNT SAMPLE TESTED
• FMPN�COLIFORM STD PLATE COUNT SAMPI E NOT TESTED
41 " BECAUSE U�§ �• » /ml OECAUSE'.
DILUTION' TEST UNSUITABLE ❑ Sample Too Old i MPN DILUTION TEST UNSUITABLE ❑ tiample Too Ole
�x /100 ml fl '❑1. ❑ Confluent Growth Not In Pr r
T. ❑ Confluent Growth ❑ Not In Proper Container otA GonlalMr
COLIFORM 11--�Y -MF COLIFORM ,
2- 41 TNTC ❑ Ineulllclent Information � 2. ❑ TNTC ❑ proYlderl nt Infornijilion
ee Real
ProyTed--Please Read t00 m1 Instructions on Form
IneINOtlOre on Form
CAL COUFOR 3• Q EFcese Debris r I' FECAL COLIFORM3, ❑ tricker,Debris
MPN. Cl MT, 4 E.J ❑ D MIN ❑/ MF -4 ❑ ❑
/,uD:N IW In1
F ,,DRINKING WATER SAMPLES ONLY,THESE RESULTS ARE
:
PORORINKINGWATERSAMIN.EsoNLY,t ERESUITSARE: etySATISFACTORY ❑ UNSATISFACTORY
❑ SATISFACTORY Ur UNSATISFACTORY
'i SEE*VERSE SIDE OE GREEN COPY FOR EXPLANATION OF RESULTS •SEE REVERSE S(DE OF GREEN COPY FOR EXPLANATION OF RESULTS
NO, OATS.TIME RECEIVED- RECEIVES BY LAB NO. DATE.TIME RECEIVED- AECEIVEO BY
6�`7►, " At� (lh 0,-717y
8 A
LASORATORY:I A M �7 ,PORT D LAacAATORY AM
REMARK TEST INC
4900 911h Ave, N W
A7hR SUPPLIER. COPY �r WATER SUPPLIER COPY WATTL.YWA 9$10�-.3 ,
�k
AUTHORIZATION Of SPECIAL BILLING
f� DATE: 7171 $6
PROJECT NAME: PARrI,1G La ( cuN,au h6 dAU�v 405 -�uS�uESp nfnRK _ IJfp�rt„�u
PROJECT NUMBER: W - 866
(uSSM u�c+m/
WORK ORDER NO. : 4635
It is the intent of this letter to authorize the City of Renton to bill
the undersigned for all costs incurred relative to the above-referenced
project, by the City of Renton for the following work:
IiE . DNS 'TU fKl�ii rat (}Ipi i-IL NA-�^� +i lAl h'lFat PuR��Y tnr, pLES
* RL LAIED uaoRr<
BILLING TO BE SENT TO:
Name: b5Um" UT�unej�,
Address 190 Zd_ NE g 4e St
City: :PA". d State:Wk Z.C. 17052
Atten:
Phone No. : r�jp — i r�
neVeAgent
per, ntractor or
Author
�O(OLC G l CtI„
CITY OF RENTON MATERIALS ISSUED S.0.N..
WATERWORKS UTILITY g 3 jr
1N- f356 - Stu !^k` t &44 h* SW 1M.C.N.._
TO STOREKEEPER: �I67 pp//
�.•.
OUANT UNIT ACCOUNT MATERIALNIT
DFIIVF I'M NUIMFII COS AMOUNT
Sn M -v
�rt At 'TEST
�tq,
lllr-trA44
Z0 • fAc m k! S�
Pr ' N S�'
Abe..m W,.l r. wow 1.go"r..dow. A►w by AYeve .Fj�.. by
fi sig"d /
i
DSH51]-1)9IRra' �• DSHS 1T tq,nleq
STATE OF WASHINGTON ^� STATE OF WASHINGTON-. DEPARTMENT OF SOCIAL AN HEALTH S!.-DES ( \ DEPARTMENT OF SOCIAL AND HEALTH SL as( 1
r WATER BACTERIOL06CAL ANALYSIS � WATER BACTERIOLOGICAL ANALYSIS
,, . t:STIWC110NS ON BACK OF GOLDENROD COPY
r t
If instructions are not followed, samplE will be lelecteo. If instructions are not loilr)wBd,aampla will ba rBpetlatf.
DATE COLLECTED TISI�COLLE�Ep COUNTY NAME DATE COLLEC T ED TIME COLLECTED COUNTY NAME
MONTH DAY YEAR 11 SS MONTH DAY YEAR �/1 IO t
• 66 A ❑ PM K �N 4 7 / 6 t;a AM ❑ PM
TYPE OF SYSTEM IF PUBLIC SYSTEI,/.COMPLETE'. TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE'.
PUBLIC rr 0 c.I Lt ASS PUBLIC 7 I Q � O � 6 CIRC1 c1 r55
I.D. No. , s B 4 I.D. No. U z I 4
❑ INDIVIDUAL ❑ INDIVIDUAL
n r
NAME OF SYSTEM NAME OF SYSTEM l
CnYofuCTn,.3 wmia (no— DF°r,
SPECIFIC 'Ali- COLLECTE SYSTEMDMIE /Alai NAMEANDTELEPHOMNO SPECIFIC LDCi110N`WHERE'Sq PPE.OLLECTE SYSTEM OWNER,MOP NAME AND TELEPHONE NO
IS
�+t6g:IeN t1VVrc N c u,- bs�. �nUr� 4ns- a1r<<ne 1 (Al�nf
vk� i1 m$ai11SIM ( 215 63 8fow+ 0 fWA Boo" N«Ik WE ( 2135. 2931
SAMPL OLLEC D BY fNamel SAMPLE COLL CTED/B�Y�:!Came)
Vnchill GnFoRM1 - U}Yl/� 11+-I�M.- flBR,u� 6A(Ulk• C(I'.illy IN.t Tr1t5a,
SOURCETYPE SOURCE TYPE
�q/�OMBINATION COMBINATION
❑ SURFACE ❑ WELL ❑ SPRING ❑ PURCHASED n,OTHER SURFACE ❑ WELL [IS ❑ PURCHASED n OTHER
SE EPgRT 1or�m#WI Nam 4 pnas-no Lip cone SEnD REPORT TO IPI;nt Pull y� to oorosa and ZIP Coaal
"�Dte,.� ,'i"..• Unv°ly `. .nb.,
�`Ry.• ��}1^ WASHINGTON �(Ol4Yx WASHINGTON9BG55
TYPE OF SAMPLE
TYPE OF SAMPLE , pxwy ony a..u.mu commm
I 1. ❑ DRINKING WATER ❑ Chlunnated;Heaiduah._Total_Free)
1. ❑ DRINKING WATER ❑ ChlonrialediReildual_Total_creel.
❑
Check treatment
check Veatrrlenl—� Filtered �� ❑ FIIAred
❑ Untreated or Other_-- ❑ Untreated or Other
2,Q RAW SOURCE WATER 2 RAW SOURCE WATER
I NEW CONSTRUCTION or'"I"WR5 3. NEW CONSTRUCTION oMEPAIIIS
4. OTHER(Specify). - 4. ❑ OTHER(Specity)
COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE
PAt VIRUS I AS NU PREVIOUS LAB NO
PREVIOUS SAMPLE COLLECTION DATE PREVIOUS SAMPLE COLLECTION DATE ---
r R&MfARKS. REMARKS'
2 _ M � 1Z -
y -- — -
1 -f LABORATORY RESULTS.(FOR LAB USE ONLY( - LABORATORY RESULTS(FOR LAB USE ONLY)
rMPN COLIFORM STD PLATE COUNT SAMPLE NOT TESTED MIPN�COLIFORM STD PLATE COUNT SAMPLE NOT TESTED
IFj n.e.e pm,ur. Iml 1�J wMs panne
MPN DILUTION TEST UNSUITABLE
❑ Sample Too Did MPN DILUTION' TEST UNSUITABLE ❑ Sample Too OItl
IDO mt IpD ml
1. ❑ ConllueM Orowih ❑ Nol In Roper Container 1. ❑ ConllueHt Growth Not in Proper GDat8lnar
MF COLIFORM 2 ❑ 7NTC ❑ Ineulf icienl Information MF COLIFORM 2 ❑ TNTC insufficient Information
i IN n,I Provided—Please Read /1W ml ❑ Provided nPlease Head
Ins1•uctions on Form Instructions on Form
FECAL COLIFORM
3. ❑ Excess Debris FECAL COL
3- ❑ Excess Debris
Ll MPN ❑ MF 4 ❑ ❑ ❑ MPN ❑ MF 4 ❑
/II OD ml /, c mI _—
F(�1,�D,R�INKING WATER SAMPLES ONLY,THESE RESULTS ARE: FOR DRINKING WATER SAMPLES ONLY,TIWIE RESULTS ARE.
.Ly SATISFACTORY ❑ UNSATISFACTORY ❑ uATISFACTORY 1•AJUNSATISFACTORY
SEE REVERSE SIRE OF GHECN COPY FOR EXPLANATION OF RESULTS SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
W NO. PATE,TIME REOEIYED— RECEtvED By Y. LAB NO. DATE,TIME RECEIVED— RECEIVED BY
PALE REPORTED �� LABORATORY AM TESTATE I D LABORATORY A M
(lz INC.INC
RE RK8
REM A 4900 9th Ave. N W
WATER SUPPLIER COPY SEATTLE, WA 9$107-36qq+ WATER SUPPLIER COPY A+
BUSH, ROED & HITCHINGS, INC.
WATER LINE EASEMENT DESCRIPTION
COMMENCING AT THE NORTHWEST CORNER OF LOT 11 OF THE PLAT OF
WASHINGTON TECHNICAL CENTER AS RECORDED 'N VOLUME 122 OF PLATS,
PAGES 98 THROUGH 102 , RECORDS OF KING COUNTY, WASHINGTON,
DESCRIBED AS FOLLOWS;
THENCE SOUTH 1014'28" WEST ALONG THE WEST LINE OF SAID LOT 11
166.00 FEET TO THE POINT OF BEGINNING OF THE CENTERLINE OF A
10.00 FOOT WIDE EASEMENT; THENCE NORTH 88"45'32" WEST 80.00 FEET
TO THE WEST LINE OF LOT 1 OF CITY OF RENTON LOT LINE ADJUSTMENT
NO. 015-85 AS RECORDED UNDER KING COUNTY RECORDING NUMBER
8512169001, AND END OF THIS EASEMENT.
0 LPN
A,
BRH JOB NO. 85270
MARCH 19, 1966
DISK ENG.7
V
3�z i
cor/ cc4 N h �
oiz-es M � Lori [[4
J ¢¢O•DO' p
Ot/C/.V44 L✓NE
SCALE 1 = 200 ' $ I ld2oea 4 h
NZW L/NE see is 12 E
e02IG/N44 4/NE \ /0,0
0
146 see-is;�z B
G EG E NO t>t Do.aO " 14 000. o I
/v<-sT ve sE G. ti
.1w O,'2 Q " tie V0 sEcr av
LLA O/LLJ N/2'3230"IV f; ✓� �i �''
SU
0 his
� ♦l di
LLA JGI-d3 Nit'32 sr'O`N/ l'i rX
1.440 LOTd LLw
[LwOOd-dt 3`SOp - oo*- ei
OITOR OR RECORDER'S CERTIFI TEAS/Z/6AV/ .7 Z�
for raoord this 11n_day of DA5e_, 19 t 9 .4. M JP L- H/TC
47 of 5urvays at p" zot at the
ROED i WTCIMNOS, INC.
LINTY AUDITOR OR DIVISION OF RECORDS & ELECTIONS
RAJVSD' :lc w g5�4 a lNn
unity Auditor or 2=11endent of Flemrds
-- . •. Z � Cori i
4500
OG/G iNAL LING" �,` I Sda'IS'.j2 .E `
`� Y � O GT�L 3�L�/� •Q
h Of ? qt
� I
SCALE 2CC ' CI o o- 'e4A
LE"GENO t>, Bo•oo " �, �p•�ly
_7 i✓!sr iVE Ar . Of '\+ �1 _ooe e* —/j T
0,2-e vE /� S.fcr'io..:• .r ` y
LO 00 y SU
ALA 002F3 /� 7^ g6 �O This
d
•L YrrXX
/V/Z'32 �70"H/
/2O DO'
[Or.3 + I
�� O• _ O0I- 63
ITOR OR RECORDER'S CERTIFI TEES/Z/6 /
j Jp 1 HST
for record this -//a_day of _QED, 19 t M. / 6p . ,
_QZ_of Surveys at page 2Q¢ at the rsq�est of �``
Wrx- 1
M. ROED a MRCMMNOS, INC. G
NTY AUDITOR OR DIVISION OF RECORDS d ELECTIONS a ^;� L� e '�� 4G r
tea nrs,snr s � ,L� o4FS �1 lii r
my Auditor or Supennterident of Records
BUSH. ROED& HITCHINGS. INc.
WATER LINE EASEMENT DESCRIPTION
COMMENCING AT THE NORTHWEST CORNER OF LOT 11 OF THE PLAT OF
WASHINGTON TECHNICAL CENTER AS RECORDED IN VOLUME 122 OF PLATS,
PAGES 98 THROUGH 102, RECORDS OF' KING COUNTY, WASHINGTON,
DESCRIBED AS FOLLOWS;
THENCE SOUTH 1014'28" WEST ALONG THE WEST LINE OF SAID LOT 11
166.00 FEET TO THE POINT OF BEGINNING OF THE CENTERLINE OF A
10.00 FOOT WIDE EASEMENT; THENCE NORTH 88045'32" WEST 80.00 FEET
TO THE WEST LINE OF LOT I OF�LOT LINE ADJUSTMENT NO. 015-85 A-S {�
M3e0R9EB-iVITH THE CITY OF RENTON, AND' SIiP T, �j
! Vt corove FJ Kee.,/ eo,•..Kt iJ004t �'``^1--
851ZIsgool �-.
w. F (D
QICPsc ythvc, '1N�� fMEr�fn�"
(,6ttFn s o r Skcw PErceo . a .
3�g/e�
-� J" ENDING
OF FILE
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