HomeMy WebLinkAboutWTR2701861(2) SUMMERWIND DIV. V L,,-'k)�'Z'� �$ta1 +
BEGINNING
OF FILE
.�w q98
W-948 WATER PROJECTS W-998
-- Summezvind Div. V --
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Dau E:pares _
S VMMCQ-M'Iw1() V%V .
city InsanwraYwyEF-
3 Pre-Con Meeting Date: '[
`. special"Hall Y N N/A
Preause Teat Data s wwwy Y--N
J1$ Purity Test DEW. Y'! _ Sti fww" Y_N
AS-DWIt Date
Dra+
Lased
Bill of Sle,rverif:•d Y� N_ Recorded s
Ei Mml/Verified Y_ N __ Xe clsd 0 e
Cost Dow ln�estory/Verifed Y N_ Recorded r
`a
Baekflo-test MPWVLarsdscape: Y__ N_ N/A
Fire Protectiom Y_ N__ N/A
5~.'! Final Aecepnnee BY InspeaYor Y_ N__
By Utility Es/ineer Y__ N_
t fYLf
I
r/tAr�..rlM/h6
WO *5307
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGRFEMENT
SERVICE LOT
LOT w ORDER a ADDRESS
1 2301 1923 - Field Place N.E.
2 2302 1711 - Field Place N.E.
3 2303 1107 - Field Place N.E.
4 2304 1703 - Field Place N.E.
5 2305 1635 - Field Place N.E. ti
6 2306 1631 - Field Place N.E.
7 2307 1629 - Field Place N.E.
8 2308 Corner Lot 5103 - N.E. 17th Street
1625 - Hoquiam Place N.E.
9 2309 1621 - Floquiam Place N.E. i
10 2310 1617 - Hoquiam Place N.E.
11 2311 1613 - Hoqui3m Place N.E.
t2 2312 1609 - Hoquiam Place N.E.
13 2313 1605 - Hoquiam Place N.E.
14 2314 1601 - Hoquiam Place N.E.
15 2315 Corner Lot 5109 - N.E. Illh Street
1620 - Hoquiam Place N.E.
16 2316 5113 - N.E. 17th Street
17 2317 3119 - N.E. 17th Street
18 2319 5125 - N.E. 17th Street
19 2319 1607 - Ilwaco Avenue N.E.
20 2320 1603 - Ilwaco Avenue N.E.
21 2321 1533 - Ilwaco Avenue N.E.
0-- -
WO ♦5307
H-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERVICE LOT
LOT r ORDER ik ADDRESS
22 2322 1529 - Ilwaco Avenue N.E.
23 2323 1525 - Ilwaco Avenue N.E.
24 2324 1521 - Ilwaco Aver,ie N.E.
25 2325 1517 - Ilwaco Avenue N.E.
i
26 2326 1513 - Ilwaco Avenue N.E. [
27 2327 1509 - Ilwaco Avenue N.F.
28 2328 1505 - Ilwaco Avenue N.E. E`
29 2329 1501 - Ilwaco Avenue N.E.
30 2330 1510 - Ilwaco Avenue N.E. r
t
31 2331 1516 - Ilwaco Avenue N.E.
32 2332 1520 - Ilwaco Avenue N.E.
33 2333 Corner Lot 1524 - Ilwaco Avenue N.E.
5205 - N.E. 16th Street
34 2334 5211 - N.E. 16th Street
35 2335 5210 - N.E. 16th Street
36 2336 Corner Lot 5206 - N.E. 16t1 Street
1602 - Ilwaco Avenue N.E.
37 2337 1606 - Ilwaco Avenue N.E.
38 2338 1710 - Ilwaco Avenue N.E.
39 2339 1714 - Ilwaco Avenue N.E.
40 2340 1719 - Ilwaco Avenue N.E.
41 2341 1722 - Ilwaco Avenue N.E.
42 2342 1726 - Ilwaco Avenue N.E.
43 2343 1730 - Ilwaco Avenue N.E.
WO #5307
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERI ICE LOT
LOT >< ORDER x ADDRESS
44 2344 1734 - llwaco Avenue N.E.
45 2345 IB06 - llwreo Avenue N.E.
46 2346 1810 - llwaco Avenue N.E.
47 2347 1814 - Ilwaco Avenue N.E.
48 2348 1819 - Ilwaco Avenue N.E.
49 2349 1815 - Ilwaco Avenue N.E.
50 2350 Corner Lot 1811 - Ilwaco Avenue N.E.
5202 - N.E. 18th Cok r
51 2351 5108 - N.E. 18th Court
52 2352 5104 - N.E. 18th Court
53 2353 5100 - N.E. IBth Court
54 2354 5105 - N.E. IBIh Court
55 2355 5109 - N.E. 18th Court
56 2356 5201 - N.E. 18th Court
57 2357 Corner Lot 5205 - N.E. lath Court
1729 - Ilwaco Avenue N.E.
58 2358 1723 - Ilwaco Avenue N.E.
59 2359 1717 - Ilwaco Avenue N.E.
60 2360 Corner Lot 1711 - Ilwaco Avenue N.E.
5126 - N.E. 17th Street
61 2361 5122 - N.E. 17th Street
62 2362 5118 - N.E. 17th Street
63 2363 5114 - N.E. 17th Street
64 2364 5110 - N.E. 17th Street
WO #5307
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERVICE LOT
LOT z ORDER it APpmm
65 2365 5106 - N.E. 17& Street
66 2366 5102 - N.E. 17th Street
67 2367 Corner Lot 8th Court
1704 1
_ Field Place N.E.
68 2369 5007 - N.E. I8th Court
69 2369 5111 - N.E. 18th Court
70 2370 5115 - N.E. 18th Court
71 2371 5119 - N.E. 18th Court
72 2372 5010 - N.E. 181h Court
73 2373 5006 - N.E. 18th Court
74 2374 Corner Lot 002 I
8th Court
Field Place N.E.
W-998
• S1UB SERVILE AGREEMENT
(DEVELOPER INSTALLED STUBS)
A developer will be granted a credit of 60% of the current 3/4" water service cost
for Installing the stub portion of the water service when he makes a meter applica-
tion. This credit Is based on a portion of Ordinance #3056, City of Rerton,
Washington, which amends Chapter 2 of Title III (Departments) of Ordinance N1628
entitled "Code of General Ordinances of the City of Renton" pertaining to the Water
Department, relating to charges, Installations, fees and procedures.
Section 3-206, Subsection (F) as amended:
(F) Whenever it is deemed prudent, in case of a new development
of subdivision, to install the service from the main to the
property line, hereinafter referred to as "stub service"
prior to completion of street construction, the City will
provide such service for sixty percent (60%) of the then
current inatallation coot for such service. At such time
that meter installation is requested, the remaining balance
of the t'ten current rate shall be collected and paid for by
such developer or sub-divider.
It , agreed by Henderson Homes, Inc.
275-118th Av. S.E. #205 (PO Box 2866) Bellevue, WA 98009
and, THE CITY Or RENTON, that at the time of water meter installation the
difference between the stub service charge or credit and the service charge then In
effect when the meter Is Installed (as established by City Council) will have to be
paid. This agreement Is for the following legally described property:
Summerwind Div. No. 5
Si
gnature
S gnature
Data
1..,�. 1. ,.F
i
N- 998
Summerwind Div $5
STUB SERVICE AGREEMENT
DEVELOPER INSTALLED STUBS
(INFORMATION SHEET)
Has the plat or total property participated in a system development charge "Tap
Fee" (Section 3-241 Subparagraph F). -
If Yes, how much? Yes No
Work Order 8 5307 Date Issued
Is the meter fee being paid for now?
YES X NO
If "Yes", how much?
The Stub Service Credit per lot is 60% of Current Meter Fee
The following is a list of lots that the $400.00
0.00 credit (60%)
$160.00 due at time of meter application
Lot Legal Service Lot Square Lot
Footage Address
Order
Description _
Blk M Lot 0
Plat of Summerwind Div. No. 5
(See addresses and SOBS attached)
WO m5307
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERVICE LOT
LOT to ORDER r ADDRESS
1 2301 1823 - Field Place N.E.
2 2302 1711 - Field Place N.E.
3 2303 1707 - Field Place N.E.
4 2304 1703 - Fir"1 Place N.E.
5 2305 1635 - Field Place N.E.
6 2306 1631 - Field Place N.E.
7 2307 1629 - Field Place N.E.
g 2308 Corner Lot 5103 - N.E. 17th Street
1625 - Hoquiam Place N.E.
9 2309 1621 - Hoquiam Place N.E.
10 2310 1617 - Hoquiam Place N.E.
11 2311 1613 - Hoquiam Place N.E.
12 2312 1609 - Hoquiam Place N.E.
13 2313 1605 - Hoquiam Place N.E.
14 2314 1601 - Hoquiam Place N.E.
15 2315 Corner Lot 5109 - N.E. 17th Street
1620 - Hoquiam Place N.E.
16 2316 5113 - N.E. 17th Street
17 2317 5119 - N.E. 17th Street
18 2318 5125 - N.E. 17th Street
19 2319 1607 - Ilwaco Avenue N.E.
20 2320 1603 - Ilwaco Avenue N.E.
21 2321 1533 - Ilwaco Avenue N.E.
WO *5307
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERVICE LOT
LOT r QUI • ADD&=
22 2322 1529 - Ilwaco Avenue N.E.
23 2323 1525 - Ilwace Avenue N.E.
24 2324 1521 - Ilwaco Avenue N.E.
25 2325 1517 - Ilwaco Avenue N.E.
26 2326 1513 - Ilwaco Avenue N.E.
27 2327 1509 - Ilwaco Avenue N.E.
28 2328 1505 - Ilwaco Avenue N.E.
29 2329 1501 - Ilwaco Avenue N.E.
30 2330 1510 - Ilwaco Avenue N.E.
31 2331 1516 - Ilwaco Avenue N.E.
32 2332 1520 - Ilwaco Avenue N.E.
33 2333 Corner Lot 1524 - nwaco Avenue N.E.
5205 - N.E. 16th Street
34 2334 5211 - N.E. 16th Street
35 2335 5210 - N.E. 16th Street
36 2336 Corner Lot 5206 - N.E. 16th Street
1602 - llwaco Avenue N.E.
37 2337 1606 - Ilwaco Avenue N.E.
38 2338 1710 - Ilwaco Avenue N.E.
39 2339 1714 - Ilwaco Avenue N.E.
40 2340 1718 - Ilwaco Avenue N.E.
41 2341 1722 - Ilwaco Avenue N.E.
42 2342 1726 - Ilwaco Avenue N.E.
43 2343 1730 - Ilwaco Avenue N.E.
WO *5307
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMFNT
SERVICE LOT
I ORDER * ADDEL
44 23" 1734 - Ilwaco Avenue N.E.
45 2345 1806 - Ilwaco Avenue N.E.
46 2346 1810 - Ilwaco Avenue N.E.
47 2347 1814 - Ilwaco Avenue N.E.
.48- 2-349 1819--11•vac Avenue-NJ"h1/--?'F
49 2349 i8I5 - Ilwaco Avenue N.E.
2350 Corner Lot /
5202— N.E:-IBthCourt7 9
51 2351 5108 - N.E. ISth Court
52 2352 5104 - N.E. 18th Court
53 2353 5100 - N.E. 18th Court
54 1354 5105 - N.E. 18th Court
55 235, 5109 - N.E. 18th Court
�201 N E.-l8th Court
57 2357 Comer Lot i8th
Court
1729 - Ilwaco Aveni e N.E.
58 2358 1723 - Ilwaco Avenue N.E.
5S 2359 1717 - Ilwaco Avenue M.E.
60 2360 Comer Lot 1711 - IlwN.aco
17th Street N.E.
61 2361 5122 - N.E. 17th Street
62 2362 5118 - N.E. 17th Street
63 2363 5114 • N.E. 17th Street
64 2364 5110 - N.E. 17th Street
WO *5307
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERVICE LOT
LOT >R ORDER * ADDRM
65 2365 5106 • N.E. 17th Street
66 2366 5102 - N.E. 17th Street
67 2367 Corner Lot 5003 - N.E. ISth Court
1704 - Field Place N.E.
68 2368 5007 - N.E. I8th Court
69 2369 5111 - N.E. 18th Court
70 2370 5115 - N.E. I8th Court
71 2371 5119 - N.E. lath Court
72 2372 5010 - N.E. I8th Court
73 2373 5006 - N.E. I8th Court
74 1374 Corner Lot 5002 - N E. I8th Court
1822 - Field Place N.E.
Q`/ rang senCI Inn Wlo roe nCO.oRI vsf.
Pioneer Natiogal Title Insurance COMPANY stmmerwitd 5
W IJNINnION l rtU D,vroe m"
Filyd for Record at Request of Water #998
TO Office Of City Clerk _
City of Renton
200 Mill Avenue SOUIli
Renton, Washington 98055
f� re.N L $IN
Q BILL OF SALE
0 KNOW ALL MEN BY THESE PRESENTS: That Henderson Hksnes, Inc.
of Renton
County of Kirv3 ,Stale of Washington, the put at the first part.
for and in consideration of the sum of
O one IX)llar------------------------ Dollars
LL
r lawful money of the United Slain of America,to then In hand paid by the City of Renton
O the part of the second pan, the receipt whereof Is hereby acknowledged, does by Ibex presenr grant,
bargain, sell acid deliver unto the said party of the second put, the following described personal properly now
located at Field Avenue b SR 900/Sunset Blvd.
to the City of Renton , County of King and State of Washington, to-wit:
of Water #998
W Approximately 401 LF of 4", 321 LF of 6"; 419 LF of 8"; 2004 IF of 12" Ductile
Iron Pipe and 6 each of Fire Hydrant Assemblies, and 2 each 4", 1 each of 6",
ct 4 each of 8", 5 each of 12" Gate Valves, and all appurtenances pertaining to
`1= said watermain, expressly warranting said watermain against any expesnes, costs
or liens hereton incurred thereot, by, through or under seller herein.
TO HAVE AND TO HOLD the same to the %fd party of the second ^v_rt, its belts, ettecutors,
administrators and assigns lorever. And said party of the first part, for Its bars,
eaecul -s, adminisiralon, covenants and agrees to and with the said party of the second part,
executors, administrators and amigos, that acid party of the fitst party . owners At the slid
pr, :+Orly, roods and chattels and his good right and hail authority to sell the unit, and that its
will warrant and defend the sale hereby made unto the said party of the second part, its
eaecutors, administrators and assigns, against all and ever) person or persons, whomsoever, lawfully claiming or to
claim the acme,
IN WITNESS WHEREOF,The said party of the first part has hereunto set its hand
and Mal this totl day of Decendter 1990
Hattles. Inc. _._(sus,)
(suc)
Richard L. Shaffer
Hmleyrsfsand pasalcptt�.t (sa,u.)
_(sun)
STATE OF WASHINGTON, l
as.
County of K.nq
��yf th
On this day pers4R 1y �F rt5i9,"N54°tS me Richard L. Shaffer
�P 4,
to me known to b����uaf s ,,�ibed In and who ntculed the within and foregoing Inslrumcnt. acd
acknowledged that:he STAR ded lye same a his tree and volwstary act and deed, fur the
uses and purposes gfeft ot�
BU Its
GIVEN under(P�.Tif (IwFd Mills loth day of Oecerriter 1990
(
NAary Public iw aid JnAe State a/71'uFin
residing stRednord
is SUM111;11 WIND Wf isluti A 5 CITY I'I1tIJLCI IIIAIR�.RS: w- -998
NAME-Of-rinoxtT "- - - 5- 494 -
to: city OF "ONION rn11M: oFNI.xn!xet 1a ", Ita'.
1111L111ES NIVISIINI
709 11111. AVE. So. Ill MA MIA
RENTON NA 90USS
NEI.t.FVur, NA 90004
IIAIE: October 22, 1990 Per your request, the following Intmmal.lon Is furnished concerning costs for Improve-
ments Installed for the above referenced project.
MAZER SYSTEM:
Length Site type
_ 401 L.F. or 4 1'-i WATERt1AIN
silo L.F. Or a—"U,1— WAIERIIAIN
L.F. Of 6 DT WATERIJAIN
L.r. OF D. ' NAtERNA1N
EACit OF —�—"u.l— GAZE VALVES
—�_ mil Or —R—'"—[i 1— r.AIE VALVES (�r
_ EACH or `s —" D.1 r,AIE VALVES (�
5 Each of 12 —D.1--"- Gate Valves
Site Type SURIOTAL S 162,3191.13
_ 6 cACll OF 5„ INCFIRE HYDRANT ASSE110LIES 1 81;100.00
(cost OF FIRE IITORANIS ?JUST OF LISIEO SEPARATELY).
IOIAL C051 ron wAIER SYSTEM f 1761,719.13
-- t
SANITARY SEWER SYSTEM:
Length Slit! Type l�
L.F. or "stile swr SEWER MAINq
_39g4___—. I.F. Or 0—"L.r. or — Sf.WEn MAIN
— STWfR 1IAIN
n EACII 0f _qp_ 61A11EiEA HANOOLLS
TOTAL CUSI ron SANIIARV SEWTn SFSIEM 1 206,4041 .59
STORM UMINAGE SYSTEM:
Length Site type
L.r. Or 11wr brahl 6"Als Sion" LINE
—1Zg2 L.F. OF _�e;—�"1bllc; SlOntl LINE
_136b L.r. (IF l " (%),Lc_ STOR11 LINE
or.—10 C11I1c. SIOIIM LINE
L.F. f--
of tvv�c.
101AL CIISf FIIR STORM IIIIAIMG[ SYSTEM f 98,964.75
STREET IMPtIOV[MCNIS: (Including Curb, Ginter, Sidewalk)
strwet: I&;IiL - aaplmtt tvtvlly - clearing A gradlllg.
_ 800t t.F curb 52 542 s TdewaTr 11,686 SF asp a t
l0tAl COST FOR STREET IMPROVEMINIS { ' 606,909.49
tur
Signature must be thurized agent or
owner of Subject Developaent
� a�u
/* N� CITY OF RENTON WATER DEPARTMENT
0 r "tj Pressure Test F, Purification Test Form
'b
AZvc bra•-f
PROJECT 140. w9578 _ &-; 0 5307
NAME. OF PROJECT �u NI p.A T.:>
PRESSURE TEST TAKEN BY ON
AT A PRESSURE OF PSI, FOR MIN.
TEST ACCEPTED ON G
PURIFICATION TEST TAKEN BY 4E:—:-. ON
PURIFICATION TEST RESULTS, SAMPLE N1
SAMPLE 02
SAMPLE 83
d
REMARKS: S—
.
22
tq — — --
` \ 34 `'0105 gyp, 1glg21 \ EXISTING SU4MMERIWIND DiV �� ; ; `�� L�Ig0-
Q 35 �� `�,� Jg10 c Od`Y _ i' � -� ' It�� �.6�
, `Ij403/
— 36 oh , 9 -, ool ^
z6 i
SUMMER D}�IV. 4J
'Ile
f1(�pL1i I ` 16
— 37 �. 1� 17
/ . . a
" 46i .7 j0 `_
� .
;
38 CULUE5AC it, S�D I gey \h� ZS6S
-,•`, ! 5/3 �� / A' ,� 14 491$ig
-rRIAN
39 p 10 /5l . `\ �d1� 72 H .ALWAYS �7' 46
A 1 \ t 13 A 51 17 `I
73. 4010 1�71 52 k 50
y/ 71° �t\ 1 45
12 ti I 42, Soo S►0� 7.4
y aSOL
4 40 0 \/4 74 79 S Wi OE
9 8 /qyl \ly5°°1' t+ 6r, = SriS 5 � `ii%��� G 44 i
41 wl t� �� S1 i' S1°s Syo1 v
�_. -59 -w - ie r -- 5? 1'
n 7 -.-_L 0S �7 5a s R304
3.
-- Z\ So 6 55 56 I D
►h 2
G
42 ` \67 y$ ME WI D DIV. 6 se a1 a% r, 2 —
j9.tV R
a 3 6
, 6 65 r �
l 64 63 � latt 41
43 I 10 Sr L 62
V, I t 5I06 S//p 59
rn W /7Tia
I 5 ! 4 - �`\ -NE 5l a� ! f11140 :.
i Qom/
t JT ZZ 1 ..
44 n QI ;a Q �L6 60 i
e< li►3y Ell ��tiVIR
y a y F 5 IJ� \USA j' ' IV 'Dlo9 ��/.3 '�� �+?G l 111�139 r
45 V LL� \ 6 7 IZ 15
IlJ 17 .
138
4e 18 37
DETENRtON �\ Q
� y �� f0 � _ \ _
O 2 POND1��' 3
TRACT ' f9
47 \ I �DIVISIONS415
36 I 35
20 SJub� �� 1J
—lAT—
SEC. 3, TWP.
r
FUT RE EXISTING OUMMERWINO OIV. id
uM�MEXpISTING SUMME WINO I I
• ' fiOEf pD DtWIND,PI`.r". 11 ' DIV. B /�O �SIS�� ff5�l 5� G01 ,� � �I S/fiD 1 �p5
iL
27
i 1/ �� L3 / _ NG 2.o Tw SIT --
32 �.g,}e 33 30 2e /Y, ylo5 51 � 5f13 gf� oa' (sf� � s-� s/$S 1 Q --
33 �t Y y/ l �23
��'r,. �b \oil
,
p �°'°� �``? 22 sU'� IS ' /f� ��k/ � � K �uy7-
' \ 34 G�O�p !� / Igfl21 �\ l EXISTIIYO SUJVIMER�lVINO DIV / �5c, - t =q 0 y —
35 q �� 1�10 _ c opLy — 1 ,14pL,? —
► ti 20 54� rat
1 E
— 36 C Il9 O
SUMMERWINO 6IV. 4 L'
too -
/ , — \
- -
— L
17 4B
38 \ G1LDE3s G (� IgOti 49 i
T M 256s„ '
/ /3 14 ;
39 f v A Pgp��155 R14N 1� 1
30 /�/�\� �4�`i 72 H .nLkWAYS 1 47 46
71 51 50
II 70
:G 31 73 3p10 L i
c y '$2 oob 5/Iq Sz fo�I �101 60e5 Y
-4 40 0 A� i2 l \ 4 74 5 S S �CAJLDE A—
:: I e too _ 44
57,05
nN
l 43
7
- 2 Z� jUoS - 55 54 55 56
a2 ` , 6 �o� . \\ 67 SUMMEAWIND DIV. 5) 5e `" 112b42 - —
15 /� S/�� ��� 39
3
a6 y ff 9 d 17 . 5 +z / t � 10 \
I \ L 38
0 2 OETEN'TION Lu 10 I¢ 18 /\ 37
I V POND I I- I
47 b i \ TRACT r 1 ' 1 (f64
1 01 (DIVISIONS 41S 1 11 19 t
1`LO3, I 1 36 35
48 —�yy � � 12 ,�o y \ 20 sto4 S¢.la
,0 _ + i
- KF N-fON- 155AQVq� �{�� (t C { 5 V� NE+ �GrN
fn t.. ( 33 Y
C \M��/ 5 qQ �` i3 21
'/ >I
4205 SZ 11
i� 14 Q
22 1529 33 34
( I -
' 411\ 23 (5Lp31
3` i
24
S+9s�o,�\ So25
27
.ZA,LP: I"-too'100
2e
p 1
-rvm ° V.g.G. {r.51
P 1516 MAR Ki \ 29 I '
MON. GgyE t JOI FTW e%r-
T'CD AT INl KK5FLTloN OFFT
IL W AVE. NB f me 20Tw ST. 7 )
r-
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
WATER BACTERIOLOGICAL ANALYSIS
If Instructions are not followed,sample will be rejected.
DATE COLLECTED TIME COLLECTED COUNTY NAME
MONTR DAY YEAR �--- "
VY AM ❑❑ PM A
TYPE OF SYSTEM IF PUBLIC 6YSTEM,COMPLETE:
f, PUI LIC CMXE CLME
r ❑ INDIVIDUAL AID. _ 2 B 0
IwM mry i wYNm
/NAME OF.YSTEM
SPECIFIC 1 A110N WHERE SA yRE DDLLECTEO Sy$TEM OA'kW SR NAME µ01B(MM n
I+.sue RP a Arwd.m Alea.
k gRA1PI,E CIXLECTEO BY:PFees'
SOii—
URCE TYPE
❑SURFACE ❑WELL ❑SPRING ❑EURCeEASEB V`OMBINATION
'P-,pb OTHER
SEND REPORT TO:IHIM FWI IAeaIA A,paaa mlm EW eft*
lam.r r-IsF ' i ' t om
_5_Lyid Si fry,vJ ct
GTON
l TYPE OF eAMPLE
iVwon mM1 o-r. iae cowmnl
1. DRINKING WATER ❑ GNlonnam,IR9e1dDa1;_iMal__Frer
clieCA treatmanl .0, ❑ Filtered
❑ Untreayyprptller
2. ❑❑'-RAW SOURCE WATER
�p-J1EW CONSTRUCTION a REPAIRS
1. ❑ OTHER Speclty)
COMPLETE IF THIS SAMPLE IS A CHECK SA
PAEVIOUS tAB NO
PREVIOUS SAMPLE COLLECTION DATE
LABORATORY RESULTS from LAB USE ONLY)
(7115..
-COLIFORM STD PLATE COUNT ( SAMPLE NOT TESTED
115 . BECAUSE
�mi
MPN DILUTION TEST UNSUITABLE ❑ Sample Too Old
/00 ml 1. ❑ Conlluenl Growth ❑ Not In Prol»r Conlainar
MF COLIFORM
2. ❑ TNTC in..ltinem IWIOrmaLDn
/100 m ❑ Prwlded—Please Rea,
FECAL COLIFOA
9. ❑ E%eeee Dail InamIct1,n4 on Form
❑ MPN ❑ MF 4 ❑�__ ❑
�00 ml
FOR DRINKINO WATER SAMPLES ONLY.THESE RESULTS ARE.
EB■ SATISFACTORY '° UNSATISFACTORY
A SEE REvfRGE SIDE OF GREEN COPY FOR EXPLANATION OF RFSUL TS
CA E NO. DATE.nMF REOFWED—
RECFrvEO BY
D ATE IREPORTED U RATORY l )
�rl
� REMARM1E .yak
DON e05 2(REV IMI YY
WATER SUPPLIER COPY
/// IlBN81ai»(RHtI
STATE OF WANOIWMN
11 ,/ OlANTU M OF SOCIAL Alp HSALTTI SONIC[{ —
t WATER BACTERIOLOGICAL ANALYSIS
k SAIAn''.l COI It L:T1011 Fit ADWS'8DCT10NS ON RACY Of GN DENROD COPY
If Instructions are not followed,sample will be relected.
1 DATE COLLECTED TIME COLLECTED I COUNTY NAME
MoNTM DAY YEAR : ly
!i(f AM ❑ PM
TYPE OF SYSTEM IF PtNOX SYSTEM,COMPLETE:
`�yNy/�,`'1BLIC ClKLE CLASS
/ IU INDOODUAL I D NO 1,?]S
NAME OF SYSTEM L 2 3 1
C .
I
l /rY o 'cs v: o L/ 4
SR:CIHC OCAtON WMTNF SAMPYE OILLLCTE MQMEarI16A N11AE A101FL[ROR tO
a.nC..-.y•.moa.ns nu..,lo..uw
! 1/I,l:7ACA VTlr,F/
O� pe zd--% i
SAMPLE COLLECTED BY.(Namel
SOURCE TYPE
O SURFACE ❑WELL ❑SPRING ❑PURCHASED COMBINATION
o OTHER
SEND REPORT TO:If tint Fun Name.Am:ess Mm 21P CW l
Gay —,l7V Al // /c/!/t"' .s=xaY2
; 10 �i�JLLd�c knMsAs dO isr
"E of SAMPLE
{r Iy_�c1�ymn aw i.rn.n cr.mn
j 1. L DRINKING WATER ❑ CMaI'.wd,gaBWuar,T�Total__Freml
cNecY IrlAlment--b- ❑ Filtai
❑ Ulyoi Oor
2.. C�❑3 RAW SOURCE WATER
[ 3 NEW CONSTRUCTION or REPAIRS
4 t. ❑ OTHER ISpil l
{k COMPLETE IF THIS SAM'LEIS A C"ECCAAMILUF FFNTOPT—
MCVIOUS IAS NO
f PREVIOUS SAMPLE COLLEC'ION DATE_
tl4 REMARKS S r' !_//iJ/1Y4�/W//iq/ �•'F✓. s
Z�dnirgg Lc) 0-- = ?LIB L tas,
LABORATORY RESULTS IFOR LAS USE ONLY)
MPN-COLIFORM STD PLATE COUNT SAMPLE NOT TESTED
Q J BECAUSE
- S r„e..w..,... /,�,
MPN DILUTION TEST UNSUITABLE ❑ Sample Too Old
11DD ml 1. ❑ COnlluenl Growm ❑ Not In Proper Codbiner
MF COG
LIFOHM
2. ❑ TNTC ❑ Insulf timl Inlormallon
Ji W tin PfoV10ed—flail Rea
Instructions on Form
FECAL COLIFOR 3. ❑ Excess Debris
❑ MPN ❑ MF A ❑ ❑
AOO m
FOR DRINKING WATER SAMPLES ONLY.THESE RESULTS ARE:
$ATISFACTORV ElUNSATISFACTORY
- '"pL JI GRCF'.N(OPY tJV Et✓IPYr,t10N OFHFRUTAn
LAe NO DA ,TWE KCSWSO— RECEIVED BY
nnTE HEPURIe'i� ' uwKATom, '.
nEIIAR"•
WATER SUPPLIER COPY e,
( STATE OF WASHINGTON
DEPARTMENT OF HEALTH
WATER BACTERIOLOGICAL ANALYSIS
11 instructions are not followed,sample will be rejected.
DATE COLLECTED TIME COLLECTED COUNTY NAME
Am DAY YFAR
AM ❑ PM
TYPE OF SYSTEM IF PRLI UOSYSTEM,COMPLM:
PIIBUC 1IE--.�TI E CLASS
❑ INDIVIDUAL I.O. O. I / I/ I! r �iL _ '2 7 /
..,,rK r- .K
NAME OF SYSTEM
$FEGIFIC AION WHERE 'I}LEC1Ef $vSrtM LVAWR MFA NM4MOTBHMPE NOL
Awfw aRIinLrn M.MK -
w:platy, —
N
SOURCE TYPE
C SURFACE ❑WELL ❑SPRING ❑ [.PURCHASED 4'OMBINATION
a OTHER
SEND REPORT TO Iami FVR NAme.AeeNEe nZ*Zlf
- "-A TC/_; ♦JTIU IL.:_" f'Nt:.{'
—wAeNINDroN
TYPE OF SAMPLE
1. L�^DRINKINGWATEP ❑ CMonnatld lPeeldDU'�-To1FiV.P.,_FtN)
cMCM traPlment�-► ❑ FlltereC
❑ UntreateBaL,�ther V �' t'�, ;
2. ❑ 'RAW SOURCE WATER - V
3,�rn EW CONSTRUCT,ON o:REPAIRS
4. ❑ OTHER ISpecltyl
COMPLETE IF THIS SAMPLE IS A CHECK SA LE 1(A
FRFm01i51AB NO
PREVIOUS SAMPLE COLLECTION DATE
REMARK&` .L R V A
LABORATORY RESULTS Pon LAB tear oFAY1
COLIFORM I STD PLATE COUNT SAMPL E NOT TESTED
/B
BECAUSE-
rvM.�...n... �m
MP_N DILUTION TEST UNSUITABLE ❑ SemPM Toe Ole
❑ Conllueni Growth ❑ Not In Proper CommOer
MF COUFORM
$ ❑ TNTC ❑ Ineulllcient InlormA
/pp go
. Proylp onfe R
In!lrucl.ons DOne on Formt.
FECAL COLIfOH 3. ❑ Hcefe DeMle
❑ MPN ❑ MF 4 ❑ ❑
/RI m
FOR OR IHQ WATER SAMPLES ONLY.THESE RESULTS ARE.
11"AC. ❑ UNSATISFACTORY
SEF RFVERSE SIDE OF GREEN COPY FOR EYPLANATION OF RESULTS
LAB NO DATE.TIME RECEIVED- RECEIVED eY
DATE REPORTED i LABORATORY 1
REMARKS
DOH,g.op11REV flaw
WATER SUI PLIER COPY E+f
4
IIIIH 0.YCOi IREI '"I
!�\ STATE OF WASHINGTON
DEPARTMENTOFHEALTH --
WATER BACTERIOLOGIC
OGICAL ANALYST
11 instructions ale nOt IONO Ftd.aaRPle wlll be""acted.
F OAIE COLLECTED TIME COLLECTED COUNTY NAME
f MONTH DAY YEAR /"� .
�1 , e 6 PM -
TYPE OF SYSTEM ^,IF PUBLIC SYSTNE.COMPLETE. 1
fARIF CLASS
PUBLIC I.D.NO. 2 3 a
❑ INDIVI..UAL
1.
NAME OF SYSTEM
I(. CRIC L MIpN WKSE S Glt>t pMEAIIECA MEK IEIND IO
" SAMPLE COLLECTED w:ORRIN ..
G?d!✓. r
BOUNCE TYPE V COMBINATION
I Cl SURFACE wquL 13 SPryryyp ❑PLRICNASEO M MOTHER
SEND REPORT To�_ERw'M"K AM'eEE EiO rP� ,r.:,E/GF
ell/i" `, j7� IIIHIWTON
nrE Os sAM.LE
FMCY aMI�n Mn dumm�
[] l hIli.NCIMMEMI:+.�-•mod—clxal
1.❑ DRINKING WATER
cMCh IrNlmnnl--* 0 um DIM,— V.
Z. Cl RAW SOURCE WATER
NEW CONSTRUCTION N REPAIRS
OTHER ISP*CItYI
COMPLETE PLE IS A CHECK _
RRIv*u51AB NO ---'—�—
PREVIOUSSAMPLECOLLECTIONDATE {
R MAR
�.
LAOOILATORY RESULTS FOR L"1ME 016TI
a MPN�COUPd1M
810 PLATE COUNT SAMPI &STED
/5 v..s•.E !m1
APN DILUTION
TESTUNFIIITABLE U StlnPl.Too OM
�00 ma I ❑ DmIhMn1 G'.Ih ❑ Nol In%PP.r Cwt.wM
MF GOIIFORM 2, ❑ TNTC ❑ %cvlleee ntPle.aR Re.O
W m InpruCllms m Fwm
FECAL COLIFOR 3, ❑ Evora D.hda
❑ MPN ❑ MF 4. ❑ Cl
FOR ORRfILINQ WATER SAMPLES ONLY,THESE RESULTS ARE
SATISFACTORY ❑ UNSATISFACTORY
S E REVERSE BIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
e NO DATE.
TIME IMCEIVEp— RRE,IPWO BY
1
DAIE AEPOATEn 1AEORATORY
REMAFAS
WATER SUPPLIER COPY '�`
STATE OF WASHINGTON
OE►ARTMENT OF HEALTH
WATER BACTEMOLOQICAL ANALYSIS
ION PEAR 1N.dHUCI IONS ON ya;- :,dk DENROD COPY
It instruClion3 ale not f011Owed.BtlOPIe will be rejedtelL
DATETIME COLLETED COUNTY NAMEYEAR •PM
AM PM
-IF POOL SYSTEM.COMPLETE'
C'KLE CLASS
LD.No. 2 3 A
NAME OF SYSTEM
SPFG1FICl A WIE SAYFIE LL S TEM OMER'AAA MA"TE1FRF111E R�
w iMnn w•Mr.M.In.NPT iwnwW
eAMBIE OOLLECTBO BY:INFRRa
RWRCE TYPE COMBINATION
❑SURFACE ❑WELL C SPRING ❑PURCHASED yr q OTHER
SEND REPORT TO Ill Full NAN A.AeonM sro I P CPM
t
< WASHINGtON
TYPE OF SAMPLE
1, DRINKING WATER ❑ CMOnnRt�QtSRY'i.-r�1o41_.Froel
'WF oellmenl ❑�wIOr ea
r
❑ On slcd or
2. ❑ RAW SOURCE WATER
3.0 NEW CONSTRUCTION a REPAIRS
(. ❑ OTHER ISIMil _
COMPLETE IF THIS SAMPLE IS A CIOO SA LE
PRF wous LAB NO --- -
PREVIOUS SAMPLE COLLECTION DA?E
REMARKS: ..
LAMRATOIIY RESVETE RDR LAB 113[aan
MPN-COUFORM STD PLATE COUNT SAMPLE BECAUSEESTED
MPN DILUTION rT-EST UNSUITABLE
❑ S..ple ToD Old
AM 1. G Confluent GrOWIK rJ NOt In POPer CDnlwner
MF cot FORM 2. ❑ TNTC ❑ Insutficlent inlor tkoo
/pp YA I e luuowns DHI—Plosn~FDm,
FECAL COL FOR 3' CJ EAR DSOns
F] MPN ❑ MF 4. ❑ ❑
FOR DRINKING WATER SAMPLES ONLY.THESE RESULTS ARE
P SATISFACTOR! C UNSATISFACTORY _
NtE REYFRSL SIDE OF C:HI n
EY IYPLANATIOND
A
pAIE TIME RECEIVED RECEIVEDLB NO
DATE REPORTEC OMORATORY
REMARMS
DDH"W .REV r9/01
WATER SUPPLIER COPY �1
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
WATER BACTERIOLOGICAL ANALYSIS
It instructions are not t0110w9d.samPle w0l be rejected
DATE COLLECTED TIME COLLECTED COUNTY NAME
410HTN Wv YEAR -
A - (� AM Cl PM fl-
TY►E OF SYSTEM IF Pl1KIC SYSTEM.COMPLETE '
PUBLIC 4MRE CLASS
I.D. NO. - - L 1 2 3 A
❑ INDIVIDUAL
NAME OF SYSTEM
SFECI It 10CA low WKERE SAM EC001j; SYSRAt ONMRrMtlIIIMENO TEUFHWw0
w�n.�I..4.crw,..• ron lmnAlm'
:fJ �
SAMPLE COLLECTED SYI IN.ma -
"
SOURCE TYPE SINATION
❑SURFACE ❑WELL ❑SPINND ❑PJK*'ASEC LJ 10t"ER
SEND REPORT TD'.t"FUII N..Aaar104 4 Y EM DOOR-.
Y �
WASHINGTON�_
11
LYPE OF SAMPLE
T.� DRINKING WATER ❑ ChlotlRalaa IRaFldMi_"_Totol_Feel
CMCL ❑ FlIt.,4E a ^- '
❑ Untraw OIMr
2. ❑ PA'.V SOURCE WATER
3,--iR�NEW CONSTRUCTION or REPAIRS
6. ❑ OTHER Sp Ity) I,
COMPLETE IF THIS SAMPLE IS A CHEC F RENTON
PREVIOUS I48 NO Enk;IttBer+�R Dep=,
PREVIOUS SAMPLE COLLECTION OATE
REMARKS
LABORATORY RESULTS(FOR LAO USE ONLY)
COUFORM STJE01-
AUSE
SAMPLE
NOT TESTED
a MPN DILUTION TE ❑ Sample Too OM
t
AM ml I. ❑ th ❑ Not In Proper Conthloar
MF COUFORM 2 ❑ IneVlNclenl InlormUron
�S mPrOVlpea-Plesse RFAC
IMtn¢lione On F.R,
FECAL COUFOR 3. ❑
❑ MPN ❑ MF ❑
�qm1
FOR DRINKING WATER SAMPLES ONLY,THESE RESULTS ARE.
L, TISFACTORY O UNSATISFACTORY
SEE REVERSE SIDE OF ORcEN COPY FOR EXPLANATION O4 RESULTS
lAa NO DATE.TIME RECEIVED- RFCEwED By
DATE REPORTED LASDRATORY
RL MIRRS
DOH JroOp](REV IMI
WATER SUPPLIER COPY Pr
i
G.l - 9ci a
rILED fDR �?� "RD !T REQUEST Of
CITY OF RENTON OM�('f .)I iN CITY CLERK
P, iUN MUNICIPAL BLDG.
TEMPORARY WATER SERVICE AGRFElfENT 206 MILL AVE. SO.
RENTON,WA 9/8�055
O /
DATE -!� "SRO
I, We p dwner(s) of
Address
legally described as follows:
This plat of Summerwind Division No. 5 embrac_s that portion of Tract C, Summerwind
Division No. 4, a replat of Summerwind Division No. 3, according to the
eWplat recorded
in Volume 151 of Plats, Pages 1 through 11, inclusive, 8
This instrument hereby replaces and supersedes that certain es ofrary correcter service
agreement recorded under AFB 8906150188, recorded
and
amending the erroneous legal description set forth in said ��ebVyasjy 8n8F-� 1R
easement. RF_CD F S•C
RECFEE 2.Orf
CASHSL * *'•OO
for and in consideration of the Renton Water Department granting a permit to connect a
temporary/permanent water service and/or main in S R. 900 AKA N E. Sunset Blvd.
for the abrve property.
The owner(s) of the above described property, their successors, heirs and assigns, hereby
agree and covenant to participate In, sign a petition in support of, and accept any
Q Local Improvement District (L.I.D.) or City-initiated proposal, other than L.I.D., and
pay their fair share therefore, for the extension of the water main in cg onn AKA
u et Blvd. when required by the Renton Subdivision Ordinance, or as )
irected y the Director o Public Works.
IN WITNESS WHEREOF I (We) have hereunto set my/our hand(s) and seal the day and year
first above Witten.
(SEAL)
(SEAL)
4
(
STATE OF WASHINGTON)
) SS
COUNTY OF K I N G )
1, lY a Notary Public in and for the Sta/te rof Washington,
residing at Kam,I do hereby certify chat on this X_t day of 1jjGL .
19A'J , personally appeared before me � i�,u,s2RL 5/fL1Cr- 2lt 1C
to me known to be the individ••al s describe% herein
and who executed the within instrument and acknowledged that t signed and sealed
the same as free and voluntary act ae deed for uses and purposes
therein mentioned.
WITNESS my hand and official seal the day and year in this certificate first above
written.
NS y Public 1 and o t e State of
Washington, residing at
J O G
J
C �
- r
\I STATE OF WASHINGTON 1/ r\ S
TATE C:WASHINGTON (\ 1{
\- DEPARTMENT OF HEALTH v \� DEPARTMENT OF SOCIAL AND HEAL SERVICES"
1 WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS �I
SAMPI F CQ 1 ECTION READ INSTRUCTIONS ON BACK O: GOl DENROD COPY SAMPLE COLLECTION READ INSTRUCTIONS DN BACK OF GOLDENROD COPY
If instructions are not followed,sample wilt be rejected. If InslruCtiOns ate not followed sample will be rejected.
DATE COLLECTED TIME COLLECTED COUNTY NAME DATE COLLECTED TIME COLLECTE COUNTY NAME
MCNIN WY YEAR '�) MONTH pWY YEAR
''1J n �) AM ❑ PM .Ifl'_ O U
AM 0 PM
TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE: TYPE OF SYSTEM IF SYSTEM,COMttETE'.
`/ J.c
aI PUBLIC ,r SMUf CLASS 8L1C DACU ttMs
NNN I.D. o. I.D.No. r 2 3 e
❑ INDIVIDUAL C 2 3 4 ❑ INDIVIDUAL •7 L
Iran M••rWe.1 Iww.mM1 I.raw`sI
1 NAME OF SYSTEM NAME OF SYSTEM
SPECIFIC ATION WHERE SA RECOIL �RM QA1@/NG9 TWA ANO1BpHpNF M1 SPECIFIC OCATIONWHEMSAMR.FWLECTE 513RMB 'MBIW WTEUAOMNp
r gwNnWe I,n• r„IelwwR..ro+.Iin H.Ian,IawwM
C quo L^ B.o• [ 1Ty.OF�MTT2r.1 _cavn,"i
SAMPELOOLLECTED BY:plSsrl . - SAMPLE COLLECTED BY:INrm1
SOURCE TYPE ` ' SOURCETYPE
❑SURFACE ❑WELL ❑SPIONG ❑ PURCHASED �7 COMBINATION ❑SURFACE ❑WELL ❑SPRING ❑PURCHASED 4,rt"n OTHEATION
�1Lor OTHER �j�o_I OTHER
SENU REPORT TO:("ni Pon Mans,Aeewsit Me TIP Cosel SEND REPORT TO IPnnl Fu11 N..AUGesP Mtl zip Goal
Taw/ �rur/t`" �LIYGrt�
A.,T T'EJ' L" Icy S1, �_ r ArrrLA' .C&X 1MOAgii_'d o--
��:(.'UA.71LLd 1 ASHiNaION c1_ � 1 0(JJl1/LLdLlESO 172—A�+vN4s .. r5Y
TYPE OF SAMPLE • tytY P�E OF SAMPLE
,she•m r—n n.,oiumN
M r E 'MdE t F. i
1. DR.. rlM
.RING WATER ❑ Cn1oled ldgeft 'I FnN 'I 1. DR rkING WATER ❑ Fit1a1Nn E
chock last manl�► ❑ Ellleree��I 1,� I J V l ctrck Ilwlmsnt ❑ FIII
❑ UntraESllberp4 lW ❑ U or OIMr p
2. Flaw SOURCE WATER ���MMMAAAANN44«iiiiii rip
�JE/tl Z.�❑p RAW SOURCE WATER I,�� " 1990 VVV
FW CONSTRUCTION a REPAIRS Ht IY, t990 �/ 3-NEW CONSTRUCTION or REPAIRS
4. ❑ OTHER1SpscDY) 4. ❑ OTHER(SWilYl
COMPLETE IF THIS SAMPLE 13 A CHECK SAWLEY OF RENTO COMPLETE IF THIS SAMPLE IS A CREC L DN
_PREVIOUS I ALL NO r,gineerinY, Dc IpL vREVIOP�tARNo P
En�incerin Dc t.
i � — �'
r PRE'nOUS SAMPLE COLLECTION DATE— PREVIOUS SAMPLE COLLECTION DATE
REMARK.r>>p-�rJ7;lJ/z,L.A/Jr w/Q I\�' j REMARNS_ 'IY'7/7'YGrT/'W/ris ,L�r✓•
i,Ji, �3�,�7 �1177Jl� t �o ' 1 tw (rZu" S2o1_ ,Aj_21r_ t_
LABORATORY RESULTS(FOR w USE awn r t-�LA—BORATORY RESULTS(FOR LAS USE ONLY)
' N COLIFORM STO PLATE COUNT SAMPLE NOT TESTED MPN.COUFORM STD PLATE COUNT SAMPLE NOT TESTED
BECAUSE- /'� BECAUSE.
/5�s..r..I... /m L1.J5�w..r.��.. /m
MPN DILUTION TEST UNSUITABLE ❑ Sslrnple Too Ole MPN DILUTION TEST UNSUITABLE ❑ Sample Too Ole
/100 m 1. ❑ Connuenl GIdYth ❑ Not m Proper Container /W O 1. ❑ Confluent Growth ❑ Not In Plops'Conlel'm
MF COLIFORM MF COLIFORM
2. ❑ TNTC msulliclamm,Wil ion 2. TNTC ❑ Ineulied- IMamepon
❑ - - provldsd-Plus Reed
PmvldW-Ple�°ReW 1W wilt IOWIl Ilona on Form�pp ni 1 tinelructlOne on Fwm
FECAL COLIFORM3. ❑ ENens Depls FECAL CI.LIFOR 3. ❑ EKeese0
r] MPN ❑ MF I ❑ MPN ❑MFt 4, ❑ I ❑
�Do ml 4. 0 ❑ a
FOR
�DRINKING WATER SAMPLES ONLY.THESE RESULTS ARE'. :.FOR DRINKING WATER SAMPLES ONLY,THESE RESULTS ARE'.
yJ SATISFACTORY ' U UNSATISFACTORY Eir4ATISFACTORY ❑UNSATISFACTORY
--r.S SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS 5 F RFVFRSE SIDE OF GREEN COPY POPE F%1`I AN INN OF RFSULIR
LAB NO. DATE.TIME RECEIVED- PEG IYEO by "am DAT .TIME RECF.IYEO- REGEIVEO BY
c
DATEREP.MTEO LA RATORY DATE RFPORIfo LENOAATORY:
as IIEMARKS
a REMARKS
DOH 208.-.'IAEV 12BY1 l
WATER SUPPLIER COPY aP I WATER SUPPLIER COPY sI
\ i D!n rygglp IPEV IR91
STATE OF WASHINGTON STATE OF WASHINGTON 0DEPARTMENT OF HEALTH DEPARTMENT OF HEALTH u
WATER BACTERIOLOGICAL ANALYSIS o WATER BACTERIOLOGICAL ANALYSIS
t SAMPLE CLII I FLVON READ INSTRUCTIONS ON BACK OF GOLDENROD COPV If SAMPLE COLLECTION READ INS]RUCT IONS ON BACK OF GOLDENROD COPY
11 inelruct]ons are not followed,sample will be Mieeled. It inslructlone,are not followed,sample will be TeleDled.
DATE COLLECTED TIME COLLECTS QD COUNTY NAME WON, G DAvECTED TEME Cf`ll ECTCED COUNTY NAME MOND WY YEAR
AM
TYPE OF SYSTEM IF YSTEM,COMPLETE: TYPE OF SYSTEM I IF PL."SYSTEM,COMPLETE. P
PUBLIC 1 5234
sclE ttA55 PUBLIC ♦ cII1C1I U01
\(Tq(/ I.D.No. +L�{1
/ ,NDIVIDUAL r / INDIVIDUAL i.D.No. T J e
• p I,.., w• M1 1 INDIVIDUAL
NAME OF SYSTEM NAME OF SYSTEM
NAME
SPECIFIC AilgIN l WNfNE SAM (COILIC ED SYSTEM OMEq/
WMEMfA ANDTEF KK ND. CIi1C l A]MNI WXfRE SAMPLE PfafcTEU Spam QNER/Wit WINE NOTDDLOM NO
ayAn a• ra aH.n as GO
r� •uIw•y•w+PL Av Fnx.K IRRrMP
•Lto• s7A31f.'o
/_ /L-tip AVC /LC 045X2 S'-Zr -/ �.Q-Yc/C /,4 14:3 F711 (?cc p3S-
%tU1 PL COLLECTED BY;BYnNR ,, BAMPLE COLLECTED BY:Bfrme
SOURCE TYPE SOURCE TYPE
❑SURFACE ❑WELL ❑SPRING ❑PURCHASED"MACHASINATION ',i SURFACE •�WELL ❑SPRING ❑PURCHASED VCOMBINATION
OTHEP BOTHER
SEND REPORT TO:IRlnl Fun Nam..Aaare.s am ZIP cad) SEND REPORT TO:1 ux MMne,AaareM W iq Way
.-•
uTll..l T-1 --- �Al�-e I . L /�y�i i' [r�.✓TLN c///i�/i[-� ��vc=.r
`ti/1U MILL [lVE 51,. 0Ei 4'OkI tl,'/�1 2iiiL V,-f �/�n /
--- ...8— WASHINOT 1 OSS I Z/I/,Ar�/(/ /�✓!" �U. /Ci-,vll E/wA91AraTON
TYPE Of SAMPLE
rc •mM1 o-n•.inn.ao•v TYPE OF SKMPLE
1 . .•�.��p-�e�(�1 �•mlv oti i.•m w+•mm i
1. DRINKING WATER ❑ CNlorinatldlRiIS11MRpFrye
y l� 1 1 1r 1. ❑ DRINKING WATER ❑ CNIOyMNd I' f"EEeBf
.Mch IreslmL•nl� ❑ Flllerea �11+ `�'_ cMch 11"firsnl—► ❑ Finered�i
❑ UnlreA 1Ner V �) ❑ Unlrs OtMr
�Y. ❑ AW SOURCE WATER )' ry 19� V Q. ❑ RAW SOURCE WATER 1(11 i3 J
EW CONSTRUCTION w REPAIRS
JYLTOTW CONSTRUCTION d REPAIRS I� 1990
4. ❑ OTHER(Speclly) 4/L� OTHER(Specify) lU
COMPLETE IF THIS SAMPLE IS A CHECK SA L N I IF' •:SAMPLE IS A CHECK
e PREVIOUS LAB NO ngkneeririg.DCpt. COMPLETE EIlAkftt
OF RENTON
PREVIOUSIASND Sineerin
,A
r PREVIOUS SAMPLE COLLECTION DATE PREVIOUS SAMPLE COLLECTION DATE g DCpt.
REMARKS'. y�l �b L.)v. � �i REMARKS
��[./Ali/1[�h'ldi�%d �✓. S
(.' 1T2�� 2y =i3u'7 � Ja/.s sir Vdi � . GJ /.Jn •c�a� !,1..T„-z �- a
LABORATORY RESULTS EFOR LAB USE ONLY) 1 LABORATORY RESULTS WON LAB uEE ONLY) '
COLIFORM STD PLATE COUNT SAMPLE NOT TESTED MPN COLIFORM STD PLATE COUNT SAMPLE NOT TESTED
`' /S rvn.,r.,n.n,• /mI BECAUSE:
MOL
PN DILUTION TEST UNSUITABLE ❑ SIMP•e Too Old /5�w..Peas•. imI
MPN DILUTION TEST UNSUITABLE ❑ f*-;,"ToPOM
4 ml 1. ❑ C.,Twent Growth ❑ Nut In Proper Container /00 ml t. ❑ Confluent Growth ❑ Net In Proper ConMlnel
MF COLIFORM ME COLIFORM
2. ❑ TNTC Ineu16IIKJ-1llssaFlIOn
/BBm ❑ PrOwaea-PIUBB Reed Z• ❑ TNTC ❑ IneWNclenl lnldmallon
3. ❑TEacns dCne• Jnslructidls On Form �F_ P.t.tid P
FECAL COLIFOA /� 3, LJ ERceae Deone I°aLnwNO�N on.dm
FECAL COLIFOR
❑ MPN ❑ MF 4. ❑ ❑ ❑ MPN ❑ RAF 4. ❑ ❑
�BB mI /NIO nI f
FOR QRINKING WATER SAMPLES ONLY,TUESE RESULTS ARE'. FOR DRINKING WATER SAMPLES ONLY,THESE RESULTS ARE:
ATIS'ACTO)" P'- ❑ UNSATISFACTORY
SATISFAG?LMY •• ❑ UNSATISFACTORY
j rSEE REVERSE SIDE OF GREEN COPY FORE%PLANATION OF RESULTS S E REVERSE SIDE OF GREEN COPY FOR EAPLANATION OF RESULTS
"FIND. DATE IME RECEIVED- RECEIVED BY � '
USING DATE,TIME RECENEO- RECEIVED BY
- •Z i' 1
DATE IIEPoREfD . LABORATO/Iv I
✓ I. DATE REPORTED � , IAMRAIORY
a PEMARKe �. REMARKS
DON] =)REV 1ID11w
WATER SUPPLIER COPY Tl WATER aJFPLIER COPY w.
I'I
STATE OF WASHINGTON STATE OF WASHINGTON
U U
w DEPARTMENT OF HEALTH v • DEPARTMENT OF HEALTH
a WATER BACTRRIOLOGICAL•ANALYSIS WATER BACTERIOLOGICAL ANALYSIS
��- SAMPLE COII.FC110N READ INSTRUCTIONS ON BACK OF GOLDENROD COPY 5AMPIE COLLECTION READ INSIRUCTIONS ON BACK Of GOLDENROD COPY
/ It Instructions are not Followed,sample Wit be rejected. IF Instructions are not followed,SaMPle will De rejBOted.
DATE COLLECTED TIME COLLECTED COUNTY NAME DATE COLLECTED TIME COLLE��D COUNTY NAME
IaONTN MV YEAR- / j MONTH DGAY YEAP
.9 -1 S �i 1 AM ❑ PM / s .'.!: �f AM ❑ PM /.L/G—
OF SYSTEM IF PU 11C SYSTEM,COMPLETE: TYPE OF SYSTEM IF PUBLICSYSTEM,COMPLETE:
E` MNIF 3 1
Mae u+u I.D.NO.weuC LD.No. �- tit a E r ❑ NOIVID. n y /' L JJ 2 3 A
r : ❑ INDIVIDUAL F _, o z- -
NAME OF SYSTEM NAME OF SYSTEM
SPECNIC LnDA ON WHERE SAMPLE COILECTEO$V5IFM OKIIER/k1IR IILt[ILID IFILNF.NE fO SPEOFIC LOCATION WHERE SNAKE CDIIECTE S'SIEM OAMR/F6L NME MO>flFREIM MD
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1 ''7iMP1 COLLECTED BY:/NMM...... SAMPLE COLLECTED my:moeo
.
.....r. ........r..
SOVRCE TYPE .. ION 1,, SOURCE TYPE )WICI,
VVV n SURFACE El WELL ❑SPRING ❑ PURCHASED EpT j ❑ ot SURFACE ❑WELL ❑SPRING ❑PURCHASED 7— MBINATION
d OTHER
SEND REPORT TO:IFrirR fun Name,Aaar•.t Mrs Sb Canal SEND REPORT TO:(Pal Full Nam..Aa M am zip coal
C
.� /T/:,t/; ,E ii.�� /1-�u,P� •✓tl� LT/JA/• E_/c,C J>,/G.GE//�' �y���
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TYPE OF SAMPLE TYPE OF SAMPLE -Y
lo.Fra1�yw
1. LJ ORINKINGW-TER Cl CM1Ia1Nt9h 1 �na 1.6 DRINKINGWATER ❑ 1 •�d�l�"'.
cMCM IrNlment--J• ❑ rlllaryyyyyy;AAAeee{{II yyii J cM1ack treatment—► ❑ i
❑ UnHiledd PIMr. ❑ tfar 000
2. [] qAW SOURCE WATER ��rr��VVVVii `',�-___--_�� Y.vvv�❑rrr RAW SOURCE WATER h. It 9 1pyy
•"Y�op"/'.,E'a CONSTRUCTION d REPAIRS [4 �; no 3.EI NEW CONSTRUCTION or REPAIRS 1MJ
4. ❑ CTHER(SmIIYI erY J {❑ OTHER ISMc11W
COMPLETE IF THIS SAMPLE IS A CHEC LF I COMPLETE IF THIS SAMPLE IS A C L f0N
r- RENTON -. Ia 1PEVIDUSl4BN0 7�eetin8 Dept.
PREVIOUS AB NO Ell
r PREVIOUS SAMPLE COLLECTION DATE kept• ` PREVIOUS SAMPLE COLLECTION DATE
REMARKS: i G//Jp/J/E" ;r.lv a.Al` E rV. 1 REMARKS:
�� ' rr/ll' /..n53a� ! n/u'L! i � y..r/if' w / S^rD7 . �.:•rxs< /
LABORATORY RESULTS(FOR LAe USE ONLY) LABORATORY RESULTS ROR LAB Um dRYI
N CCi1FORM STO PLATE COUNT SAMPLE NOT TESTED MEN-COLIFORM STD PLATE COUNT SAMPLE NOT TESTED
HE CAUSE: 'mil/ BECAUSE:
MPN DILUTION TEST UNSUITABLE ❑ Sampie Too Old MPN DILUTION TEST UNSUI,ABLE ❑ Sample Too Old
/ec mI 1. ❑ Confluent GrowlM1 ❑ Nal In Proper Cont-me, W mI I. Cl Confluent O'.th Cl Nol In Proper Conlwner
F COUFORM Z ❑ TNTC Inauf icien-InlormMbn MF COLIFORM .2 ❑ TNTC ❑ Ineulfmienl lnfo,nub n
Am mI ❑ Proritle f—Plus.Raad
Proud hoes on
Rutl /i Sc a
IRMnNiNOM an Farm InMmtllone on Fdm
FECAL COLIFOR 3. ❑IE.cess Daerls' —n•,• FECAL COLIFOR 3. ❑ E.caas Debris
❑ MPH ❑ MF 4 ❑ ❑ ❑ MPN ❑ MF 4 ❑ ❑
ll�ml �W ml _
FO DRINKING WATER SAMPLES ONLY,THESE RESULTS ARE. FOR DRINKING WATER SAMPLES ONLY.THESE RESULTS PRE.
TISFACTORY }q ❑ UNSATISFACTORY SATISFACTORY ❑ UNSATISFACTORY
SEE REVERSE Of OF GREEN COPY FOR EXPLANATION OF RESULTS SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
LAB NO DATE. WE RECEIVED— RECEIVED BY LAO NO, OAT ,TIME IIECENED_ RECEIVED eY
rla( -emu Silt �a� )Iuo
DA EREPOATED - \ LADDRATORY' , DATEAEPOrlTED J LABORATORY
AEMARYA REMARKS
a DON MMae](RFV 1L6% DON JeSOSE iREV Im
WATER SUPPLIEP COPY a. WATER SUPPLIER COPY mr
STUB SERVI CL AGREEMENT W-998
(DEVELOPER INSTALLED STUBS)
A devel-n.r will be granted a credit of 60% of the current 3/4" water service cost
for Installing the stub portion of the water service when he makes a meter applica-
tion. This credit Is based on a portion of Ordinance d3056, City of Rento -,
Washington, which amends Chapter 2 of Title III (Departments) of Ordinance N1628
entitled "Code of General Ordinances of the City of Renton" pertaining to the Water
Department, relating to charges, Installations, feet and procedures.
Section 3-206, Subsection (F) as amended:
(F) Whenever it is deemed prudent, in case of a new development
of subdivision, to install the service from the main to the
property line, hereinafter referred to as "stub earnice"
prior to completion of street -onatruction, the Cit will
provide such service for eimty percent (60%) of the then
current installation scat for such service. At such time
that meter installation is requested, the remaining balance
of the then current rate shall be collected and paid for by
such developer or sub-divider.
it Is agreed by Henderson Homes, Inc.
275-118th Av. S.E. #205 (PO Box 2866) Bellevue, WA 98009
and, THE CI1T OF RENTON, that at the time of water meter installation the
difference between the stub service charge or credit and the service charge then In
effect when the meter Is Installed (as established by City Council) will have to be
paid. This agreement Is for the following legally described property:
Summerwind Div. No. 5
S gnature
-3/-P�
Date��
W- 998
Summerwind Div $5
STUB SERVICE AGREEMENT
DEVELOPER INSTALLED STUBS
(INFORMATION SHEET)
Has the plat or total property participateL in a system development charge "Tap
Fee" (Section 3-241 Subparagraph F).
If Yes, how much? Yes No
Work Order M 5307 Date Issued
Is the meter fee being paid for now?
YES X NO
If "Yes", how much?
The Stub Service Credit per lot is 6096 of Current Meter Fee
The following is a list of lots that the $400.00
00 credit (6096)
$160.06 due at time of meter application
Lot Legal Service Lot Square Lot
Description
Order M Footage Address
Elk • Lot N
Plat of Summerwind Div. No. 5
(See addresses and SOMs attached)
W7 #5307
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERVICE LOT
LOT ORDER u ADDRESS
1 2301 1823 - Field Place N.E.
2 2302 1711 - Field Place N.E.
3 2303 1707 - Field Place N.E.
4 2304 1703 - Field Place N.E.
5 2305 1635 - Field Phice N.E.
6 2306 1631 - Field Plt.ce N.E.
7 2307 1629 - Field Pl.,ce N.E.
8 2308 Corner Lot 5103 - N.E. 17th Street
1625 - Hoquiam Place N.E.
9 2309 1621 - Hoquiam Place N.E.
10 2310 1617 - Hoquiam Place N.E.
11 2311 1613 - Hoquiam Place N.E.
12 2312 1609 - Hoquiam Place N.E.
13 2313 1605 - Hoquiam Place N.E.
14 2314 1601 - Hoquiam Place N.E.
15 2315 Corner Lot 5109 - N.E. 17th Street
1620 - Hoquiam Place N.E.
16 2316 51..; - N.E. 17th Street
17 2317 5119 - N.E. 17th Street
IS 2318 5125 - N.E. 17th Street
19 2319 1607 - Ilwaco Avenue N.E.
20 2320 1603 - Ilwaco Avenue N.E.
21 2321 1533 Ilwaco Avenue N.E.
WO •5307
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERVICE LOT
LOT u ORDER +t ADDRESS
22 2322 1.529 - Ilwaco Avenue N.E.
23 2323 1525 - Ilwaco Avenue N.E.
24 2324 1521 - Ilwaco Avenue N.E.
25 2325 1517 - Ilwaco Avenue N.E.
26 2326 1513 - Ilwaco Avenue N.E.
27 2327 1509 - Ilwaco Avenue N.E.
28 2328 1505 - Ilwaco Avenue N.E.
29 2329 1501 - Ilwaco Avenue N.E.
30 2330 1510 - Ilwaco Avenue N.E.
31 2331 1516 - Ilwaco Avenue N.E.
32 2332 1520 - ilwaco Avenue N.E.
33 2333 Corner Lot 1524 - Ilwaco Avenue N.E.
5205 - N.E. 16th Street
34 2334 5211 - N.E. 16th Street
35 2335 5210 - N.E. 16th Street
36 2336 Corner Lot 5206 - N.E. 16th Street
1602 - Ilwaco Avenue N.E.
37 2337 1606 - Ilwaco Avenue N.E.
38 2338 1710 - Ilwaco Avenue N.E.
39 2339 1714 - Ilwaco Avenue N.E.
40 2340 1718 - Ilwaco Avenue N.E.
41 2341 1722 - Ilwaco Avenue N.E.
42 2342 1726 - Ilwaco Avenue N.E.
43 2343 1730 - Ilwaco Avenue N.E.
WO #5307
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERVICE LOT
LOT fe ORDER # ADDRESS
44 2344 1734 - llwaco Avenue N.E.
45 2345 1806 - Ilwaco Avenue N.E.
46 2346 1810 - Ilwaco Avenue N.E.
47 2347 1814 - Ilwaco Avenue N.E.
48 2348 1919 - Ilwaco Avenue N.E.
49 2349 1815 - Ilwaco Avenue N.E.
50 2350 Corner Lot 1811 - Ilwac , Avenue N.E.
5202 - N.E. 18th Court
51 2351 5108 - N.E. ISth Court
52 2352 5104 - N.E. 18th Court
53 2353 5100 - N.E. 18th Court
54 2354 5105 - N.E. IBth Court
55 2355 5109 - N.E. 18th Court
56 2356 5201 - N.E. 18th Court
57 2351 Corner Lot 5205 - N.E. 18th Court
1729 - Ilwaco Avenue N.E.
58 2358 1723 - Ilwaco Avenue N.E.
59 2359 1717 - Ilwaco Avenue N.E.
60 2360 Corner Lot 1711 - II•.,aco Avenue N.E.
5126 - N.E. 17th Street
6. 2361 5122 - N.E. 17th Street
62 2362 5118 - N.E. l7th Street
63 2363 5114 - N.E. 17th Street
64 2364 3110 - N.E. 17th Street
WO *5307
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERVICE LOT
LOT r ORDER ADDRESS
65 2365 5106 - N.E. 17th Street
66 2366 5102 - N.E. 17th Street
67 2367 Corner Lot 5003 - N.E. 18th Court
1704 - Field Place N.E.
68 2368 5007 - N.E. 18th Court
69 2369 5111 - N.E. 18th Court
70 2370 5115 - N.E. 18th Court
71 2371 5119 - N.E. I8th Court
72 2372 5010 - N.E. 18th Court
73 2373 5006 - N.E. 18th Court
74 2374 Corner Lot 1822 - N.E. l8th N.E.
S1Ub SERVI C, AGREEMENT W-998
(DEVELOPER INSTALLED STUBS)
A developer will be granted a credit of 60% of the current 3/4" water service cost
for Installing the stub portion of the water service when he makes a meter applica-
tion. This credit is based on a portion of Ordinance N3056, City of Renton,
Washington, which amends Chapter 2 of Title III (Departments) of Ordinance #1628
entitled "Code of General Ordinances of the City of Renton" pertaining to the Water
Deprrtment, relating to charges, Installations, fees and procedures.
Section 3-206, Subsection (F) as amended:
(F) Whenever it is deemed prudent, in case of a new develop lent
of subdivision, to install the service from the main to the
property line, hereinafter referred to as "stub service"
prior to completion of street construction, the City will
provide such service for sixty percent Wll) of the then
current installation cost for such service. At such time
that meter installation is requested, the remaining balance
of the then current rate shall be collected and paid for by
such developer or sub-divider.
It Is ,greed by Henderson Homes, Inc.
275-118th Av. S.E. #205 (PO Box 2866) Bellevue. WA 98009
and, THE CITY '1F RENTON, that at the time of water meter Installation the
difference between the stub service charge or credit and the service charge then In
effect when the meter Is Installed (as established by City Council) wl11 have to be
paid. This agreement is for the following legally described property:
Suaimerwind Oiv. No. 5
S 19nat
Date
W- 998
Summerwind Div N5
STUB SERVICE AGREEMENT
DEVELOPER INSTALLED STUBS
(INFORMATION SHEET)
Has the plat or total property participated in a system development charge "Tap
Fed' (Section 3-241 Subparagraph F).
If Yes, how much? Yes No
Work Order s 5307 Date Issued
Is the meter fee being paid for now?
YES X NO
If "Yes", how much?
The Stub Service Credit per lot is 60% of Current Meter Fee
The following is a list of lots that the $400.00
-240.00 credit (6r%)
$160.00 due at time of meter application
Lot Legal Service Lot Square Lot
Description Order N Footage Address
Blk x Lot M
Plat of Summerwind Div. No. 5
(See addresses and SOAs attached)
1
WO #5307
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERVICE LOT
LOT a ORDER n AD-DRESS
1 2301 1823 - Field Place N.E.
2 2302 1711 - Field Place N.E.
3 2303 1707 - Field Place N.E.
4 2304 1703 - Field Place N.E.
5 2305 1635 - Field Place N.E.
6 2306 1631 - Field Place N.E.
7 2307 1629 Field Place N.E.
8 2308 Corner Lot 5103 - N.E. 17th Street
1625 - Hoquiam Place N.E.
9 2309 1621 - Hoquiam Place N.E.
10 2310 1617 - Hoquiam Place N.i-.
11 2311 1613 - Hoquiam Place N.E.
12 2312 1609 - Hoquiam Place N.E.
13 2313 1605 - Hoquiam Place N.E.
14 2314 1601 - Hoquiam Place V.E.
'S 2315 Corner Lot 5109 - N.E. 17th Street
1620 - Hoquiam Place N.E.
16 2316 5113 - N.E. 17th Street
17 2317 5119 - N.E. 17th Street
18 2318 5125 - N.E. 17th Street
19 2319 1607 - Ilwaco Avenue N.E.
20 2320 1603 - Ilwaco Avenue N.E.
21 2321 1533 - Ilwaco Avenue N.E.
WO 05307
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERVICE LOT
LOT MER >< ADDRESS
22 2322 1529 - Ilwaco Avenue N.E.
23 2323 1525 - Ilwaco Avenue N.E.
24 2324 1521 - Ilwaco Avenue N.E.
25 2325 1517 - Ilwaco Avenue N.E.
26 2326 1513 - Ilwaco Avenue N.E.
27 2327 1509 - Ilwaco Avenue N.E.
28 2328 1505 - Ilwaco Avenue N.E.
29 2329 1501 - Ilwaco Avenue N.E.
30 2330 1510 - Ilwaco Avenue N.E.
31 2331 1516 - Ilwaco Avenue N.E.
32 2332 1520 - Ilwaco Avenue N.E.
33 2333 Corner Lot 1524 - Ilwaco Avenue N.E.
5205 - N.E. 16th Street
34 2334 5211 - N.h. 16th Street
35 2335 5210 - N.E. 16th Street
36 2336 Corner Liu 5206 - N.E. 16th Street
1602 - Ilwaco Avenue N.E.
37 2337 1606 - Ilwaco Avenue N.E.
38 2338 1710 - Ilwaco Avenue N.E.
39 z339 1714 - Ilwaco Avenue N.E.
4; 2340 1718 - Ilwaco Avenue N.E.
41 2341 1722 - Ilwaco Avenue N.E.
42 234' 1726 - Ilwaco Avenue N.E.
43 2343 1730 - Ilwaco Avenue N.E.
WO #5307
P-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERVICE LOT
LOT u OBDIR n ADDRESS
44 2344 1734 - Ilwaco Avenue N.E.
45 2345 1806 - Ilwaco Avenue N.E.
46 2346 1810 - Ilwaco Avenue N.E.
47 2347 1814 - Ilwaco Avenue N.E.
48 2348 1819 - Ilwaco Avenue N.E.
49 2349 1815 - Ilwaco Avenue N.E.
50 2350 Cornet Lot lgll - Ilwaco Avenue N.E.
5202 - N.E. I8th Court
51 2351 5108 - N.E. 18th Gurt
52 2352 5104 - N.E. IBth Court
53 2353 5100 - N.E. lath Court
54 2354 5105 - N.E. 1,:th Court
55 2355 5109 - N.E. lath Court
56 2356 52u1 - N.E. lath Court
57 2357 Corner Lot rt
1729 _ NwacoBAvenue N.E.
58 2358 1723 - Ilwaco Avenue N.E.
59 2359 1717 - Ilwaco Avenue N.E.
60 2360 Corner Lot 1711 - Ilwaco Avenue N.E.
5126 - N.E. `7th Street
61 2361 5122 - N.E. 17th Street
62 2362 5118 - N.E. 17th Street
63 2363 5114 - J.E. 17th Street
64 2364 5110 - N.E. 17th Street
WO #530
W-998
PLAT OF SUMMERWIND DIVISION NUMBER 5
STUB SERVICE AGREEMENT
SERVICE LOT
LOT a ORDER +r AI29SFm
65 2365 5106 - N.E. 17th Street
66 2366 5102 - N.E. 17th Street
67 2367 Corner Lot 5003 04 (
8th Court
_ Field Place N.E.
68 2368 5007 - N.E. I8th Court
69 2369 5111 - N.E. I8th Court
70 2370 5115 - N.E. I8th Court
71 2371 5119 - N.E. 18th Court
2 2372 5010 - N.E. I8th Court
73 2.f73 5006 - N.E. 18th Court
74 2374 Corner Lot 5002 - N.E. 18th Court
1822 - Field Place N.E.
CITY OF RENTON
,p TEMPORARY WATER
SEFVICE AGREEMENT
Or /Ji�tt'�G, y. DATE
I, We , caner(s) of
Address _..*'d/,!99wA
legally describeu as follows:
This plat of Summerwind Division No. 5 embract that portion of Tr• .t C, Suamerwind
Division No. 4, a replat of Summerwind Division No. 3, according to the plat recorded
in Volume 151 of Plats, Pages 1 through 11, inclusive, in King County, Washington.
C�
? This instrument hereby replaces and supersedes that certain temporary water service
O agreement recorded under AF1' 8906150188, recorded for purposes of correcting and
Gamending the erroneous legal description set forth in said previously recorded
U easement.
uw
o:
O
LL
� F-
0 for and in consideration of the Penton Water Department granting a permit to connect a
temporary/permanent water service and/or main in .R. 900 AKA N.E. Sunset Blvd.
for the above property.
The owner(s) of the above described property, their successors, heirs and assigns, hereby
agree and covenart to participate in, sign a petition in support of, and accept any
Local improvement District (L.I.D,) or City-initiated proposal, other than L.I.D., and
pay their fair share therefnre, for the extension of the water main 1n ss onn AKA
N.E. Sunset Bled. when required by the Renton Subdivision Ordinance, or as
Srect� Director o Public Works.
IN WITNESS WHEREOF I (We) have hereunto set my/our hand(s) and seal the day and year
first Sove Witten.
(SEA'.)
(SEAL)
STATE OF WASHINGTON)
) SS
COUNTY OF K I N C )
I,
ijG,LIJPbS C' a Notary Public in and for the State of Washington,
residing at iti��J7 p;� , do hereby certify that on this day of ,
191, per ionally appeared before me �� ir.hu.t L� L '�N IJ WG ��-- " c pan r� AfS
to me known to be th. Sndivi ual a described herein
and who exe.:uted the within instrument and acknowledged that signed and sealed
the same as _ free and voluntary act and deg or uses and purposes
therein mentioned.
WITNESS my hand and official seal the day and year in this certificate first above
written. / n
✓�L�To., C�- D�
tfary Public ItrIand to the Stag
Washington, residing ■t A ,aye_
PUBLIC WORKS DEPARTMENT
ENGINEERING DIVISION
CITY OF RENTON, WASHINGTON
PERMIT
APPLICATION ONLY - UNTIL VALIDATED NUMBER
Owner Location of Work
Address
INSPECTIONS FEES
1 CONSTRUCTION Sanitary Sewer/Storm Water Permits
1 — Right-of-Way Construction
iPERMIT Right-of-Way Inspection Fees
(Public Right-of-way) Water Inspection/Approval Fee --
Special Utility Connection Fee, Water
Water Latecomer Fee
Special Assessment District, Water
Date Issued Sewet Inspection/Approval Fees
- '- Special Utility Connection Fee, Sewer.
Expiration Date Sewer Latecomer Fee
Special Assessment District, Sewer
Reference Data _ _ Special Deposit, Private Latecomer
{ —�� Special Deposit, Cash Bond
TOTAL FEE
Description of Work
and Number of Feet - • _
Contractor , business
.e License
1 _Acs Bond
Telephone
IT IS UNDERSTOOD 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 W,RK 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 8 AM and 9 AM for APPLICANT �. •'
inspection in afternoon: call
before 12 Noon the day before
for inspection in morning. PUBLIC WORKS DIRECTOR
SPECIFY TIME FOR INSPECTION.
CALL 235-2620 for street signs CALL BEFORE YOU DIG BY
48-HOUR LOCATORS
and lighting. 1-800-424-5555 J
C"�.c.c.��c _ ,
��
PUBLIC WORKS DEPARTMENT t/
ENGINEERING DIVISION
CITY OF RENTON, WASHINGTON
APPLICATION ONLY - UNTIL VALIDATED PERMINUMBERT vim_
Owner Locati, of Work
'L�IL
Address p
INSPECTIONS FEES
CONSTRUCTION Sanitary Sewer/Storm Water Permits
g—/y-3'9 Right-of-Way Construction
PERMIT Right-of-Way Inspection FeesS
Gelt U (D/„ n (Public Right-of-Way) Water Inspection/Approval Fee /.so
/WI. //I"t'�_ `;• Special 'Utility Connection Fee, Water
Water Latecomer Fee
S _ q_ Special Assessment Distric , Water
Dare Issued
Sewer Inspection/Approval Fees
/ r — 9 - 87 Special Utility Connection Fee, Sewer
Expiration Date Sewer Latecomer Fee
Special Assessment District, Sewer
Reference Data-` 1 "r6 t0 00,&%go q, Special Deposit, Private Latecomer
Special Deposit, Cash Bond
TOTAL FEE } ,
Description of work �
and Number of Feet /C?rrf IJSUaa Tv /. 114tc �41- a'. k AJ4 Tom?
M4r., S Q•. 'r /q�h+ A,o4tft040 -4.J cJ -098�� Jo•PK A-c coJrta �•--) '5J 6CT O'uO U.J�,nx' 4o^eOUt V
Contractor /A1 Business
1'rt ,ero� Jr- License Sys
Address Bond wA'0�0
Telephone
�Vti - ?
IT IS UNDERSTOOD 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 EXCAVATING.
CALL 235-2631 FOR INSPECTION.
between
Cell between B AM and 9 AM for APPLICA -
inspection in afternoon, call
before 12 Noon the day before
fcr inspection in morning. PUBLIC WORKS DIRECTOR
SPECIFY TIME FOR INSPECTION.
CA:d. 235-2620 for street signs CALL BEFORE YOU D!G BY
and lighting. 48-HOUR LOCATORS
1-800-424-5555
�'� i. -tu i'li. k.4;���.
_. � - _
��� -_- - -
__ _. �.__Tc�#"� wwI":' Cif G4. ��G_T[] -
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C
t�{
CALCULATION OF INSPECTION FFES
iLl1�V�VU� �4�lJrlt� ill`' I� !1 15
PROJECT PROJECT REFERENCE #
PAVING a STREET LIGHTING:
IZI�24f3.7s
00
�`;A SEWER a STORM:
MAIER�
1ti8, ! lZ��� t,o8'-roaf = I3e3 4g`t,�-7
TOTAL CONSTRUCTION COSTS: $
TOTAL INSPECTION FEE
FIRST $100,000 S% S ZO0�,LX)
SECOND $100,000 t,5;yo - S /cGla. UO
EMAINING S �5 1je11•9! s 3(cya-7Z
TOTAL: $ '7�(o>,7z
CALCULATIONS:
PAVING & STREET LIGHTING:
=pro ,z
4ANtfiM3 STORM SEWER:
It�254'(�0 �t71((,7Z� 145� 8q
�ldo,2�I,gl
WATEERL
�gq tom-} --
BOND AMOUNT FOR 100% OF WORK 1N R/M S lay 2�f,RI
NUMBER Or STORM SEWER CONN. TO SYSTEM
NUMBER OF SAN. SEWER CONN. TO SLDG.�S)
PREPARED BY: —2�1 71-4 L.:r��,��,��l DATE �AUVOU�-5t'
D/INSP-FEE:AH:lf 6/12/89
2223 P.O.BOAVE.N.F. .=— enderson PHONE'.1206)453-OM
EVUE,W666 __ j omen„°`w��"`�.
BE LLEVUE,WA 9B009 ;Xwus�oa,usu EA%;106Wtr5907
�� rou�"om
SUMMER WIND DIVISION i5 -
COST OF CONSTRUCTION '
SUBCONTRACTOR SPECIFICAT _NNSS WORK AREA AMOUNT
Western Asphalt 13,875 SgYd. ✓ Paving $ 121,248.75
Shamrock Cement 6420 LF Curb/Gutter /
6420 LF✓ Sidewalkk-t ,41 72,765.00 V
Tacoma Electric Str"t Lights 95,096.00./
Riverton Contractors 3707 LF 12' Pipe✓ Storm
323 LF 15' Pipe J
462 LF 8 'PipeV 106,618.50
Riverton Contractors 401 LF 4" D. 1j Water
321 LF 6" D.1
1179 LF 8" D.1� i
2033 LF 12" D.I' $ 128,112.55 ✓
TOTAL.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 523,840.80
i
Y�
104
l$5,3?
___
ass i
e�rin
nnyn
'v
r
r
g ".*,k i11
CITY OF RENTON
MEMORANDUM
DATE: August 3, 1989
TO: File
FROM: Elmer Shaver, Co_, truction Inspector
SUBJECT: SUMMERWIND - DIVISIONS
Sanitary Sewer, Storm Pain, Walermain
in SR-900
W.S.D.O.T. �s approved the plans for the above referenced improvements per
approved plan.
Permit can now be modified to include construction of these utilities.
Developer has been notified.
SIi M.DI V 5.ES:mf
cc: Paul Lumbert
Arlene Haight
9
2223112TH AVE.N.E. ". ndemn
P.O.BOX 186E v L%wn"i". PHONE:12%)451L4%
BEEEEVUE,WA 98009 '"� mes 1.01111o""U. FAX:2066465907
1 MIIOVG"O V.
SUMMER WIND DIVISION t5
COST OF CONSTRUCTION
SUBCONTRACTOR SPECIFICATIONS WORK AREA AMr,UNT
Western Asphalt 13,875 SgYd. Paving $ 121,248.75
Sham ock Cement 6420 LF Curb/Gutter
6420 LF Sidewalk 72,765.00
Tacoma Electric Street Lights 95,096.00
Riverton Contractors 3707 LF 12"Pipe Storm
323 LF 15"Pipe
462 LF 8"Pipe 106,618.50
Riverton Contractors 401 LF 4" D. 1 Water
321 LF 6" D.1
1179 LF 8" D.1
2033 LF 12" D. 1 $ 128, 112.5�
TOTAL. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 523,640.80
at
7223112TH AVE.N.E. -At Wn&rsm.
P.O.BOX 3E66 �' irF17/W-1 p� v�we wn�xx. PHONE:(21ffiN530496
BELLEVI'E,WA 9BD89 '� m�' nonssionuisrn KX:2064/65907
"woo—
SUMMER WIND DIVISION Y5
COST OF CONSTRUCTION ,
SUBCONTRA�TQR SPECIFICATI N WORK AREA _AMOUNT
Western Asphalt 13,875 SgYd. Paving $ 121,248.75
Shamrock Cement 6420 LF Curb/Gutter
C120 LF Sidewalk 72,,65.00
Tacoma Electric Strest Lights 95,096.00
Riverton Contractor 3707 LF 12"Pipe Storm
323 LF 15"Pipe
462 LF 8"Pipe 106,618.50
Riverton Contractors 401 LF 4" D.1 Water
321 LF 6" J.1
1179 LF 8" D.1
2033 LF 12" D.1 $ 128,,112.55
TOTAL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 523,840.80
i
Speed Letter. 44-902 ar-- mess
1P ilso jonef. SNAP A*^Y. FORMS
To ed Letter.
XAr��--
Subject
MESSAGC /f®
--Dale Signed
t
REPLY
Date Sigred
W1lwnbn.
C4UmMss RECIPIENT—RETAIN WHITE CAPY AL JIll, PINK 0C CPY
CITY 01 RENTON
TEMPORARY WATER SERVICE AGREENEhT// DATE .5.--/ L _
I, We� !i'nr!-d owner(s) of
Address -R?&V, `to Z ,,f/�
legally described as follows:
z
_Z
O
tr
$ 5� E ,9 i 7�9eNEo
0
v.
0
1,T and in consideration of the Renton Water Department granting
temporary/permanent water service and/or main in ■ Penvit to connect a
for the aboveS �Kr �i ��i�JSD�
The c'+ner(st of the above described property, their ucceasora, heirs and assigns, hereby
agree and covenant to participate in, sign a Petition in support o', and accept any
Local Improvement District (L.I.D.) or City-L,itlatcd proposal, other than L.I,D., and
pay their fair share therefore, for the extension of the water main in_.S,]2•gp
when required by the Renton Subdivision Ordinance, �r as
directs y the Uirec[or o Public Works.
IN WITNESS WHEREOF I tWe) have hereunto set my/our hand(s) and seal the day and as
first above Witten. A�/j� '``���tt
1 i yu w a, o t,
��TAR f (SEAL)
FUSLIC >
s ua t su
lt .�-
STATE OF WASHINCTON) 1ft�tt WASN (SEAL)
SS
COUNTY OF R I N G )
d , Public f
residing at -z-�-i3�� a Notary y ona for the State of Washington,
19 Vut do hereby certify that on this /D^ day of MA y
, personally appeared before me /?jeyykD I- St/A<r
rnd who executed the within instrument andknow to bw--tacknowledgedhthatd ividua describe erd eln`
the acme as /f/ c R —�_ signed and sealed
free and voluntary act and deed for uses and purposes
therein mentioned.
WITNESS my her' and official seal the day and year In this certificate written. first above
//
otaryvPtbfti�nl-
Washington. d for tht of residing at
\
6UMMERh'IND DIVIbiONS 3, t, 5 t 6 I \
LEGj1L wDESCRIIPTION I
7h4t^portlost of ths•-Vsst half of the Root halt*
ot Section 3, Township 23
Sortt(. Reap;5 goat, W,N., In 91ap.County. Washington, more particularly
Lot 1.. 'Iting County Short Plat No. 661118, as recorded under Recording
$2031106{a. ncgrda,pf.me. .c9unky•
i
•'TOGETSSR WITH that portion of the west half of the Southeast quarter afjiald '
"SO. lon.J, lying Northerly of the Ngrth:rly right-of-way margin of State
2 .IS.E. Renton-Ipenqush Rd. ). /
'EXCEPT-that portion of said Subdivision des, .bed as follows:
REGINNING at a point which is the Intersection of the Northerly right-of-way 7�� <
, margin of said State Rd. No. 2 and the West line of the East So feet or the 10 QE Di
"Moat half of the West half of the_ West half of the Southeast quarter of said _7S.DE[IE[
Section 3; thence Northerly along said West line 600 feet; thence Easterly at
right angles .60 feet more or lea& to the East line of said Subdivision; thence
Southerly slop¢ said East line 000 feet more or less to a point which is the
'Snterseotion of the East line of said Subdivision and the South lane of the
`., North 6 acres of the East half of the West halt of the Northwest quarter of
the Southeast quarter except the East 90 feet. In said Section 3: thence
.,beater ly' along said South line 240 feet more or leas to a Point un the Wes,
' line of-the East 96 feet of the West half of the West half of the Southeast
quarter of said S&C.tfon 3;. thence Souther!; along said West line 225 feet more
or iess :to a point on the Northerly right-of-way margin of said St.ote Rd. No.
• 2: tbance Northwesterly along said right-of way adrgln 350 feet more or less \?to the P01NT OF BEGINNING.
*fSOEYCBPT. that portion of said Subdivision described as follows
-"GINNING at a Point'which- is the li.terseotion of the Northerly right-of-way
margin of said.3.ate Rd. No. Z and the East line of the West half of the East
half of the *set half of the Southeast quarter of said Section 3. thence
q'OlmaV46" 8 along said East lice 699.58 feet; thence N 76,'36'26" W E05 feet
. ',fora oc less to d point on the West line of the East 1,o feet of said
.Subdivision; thence Southerly along sell West line 375 feet more or less to
'the Northerly right-of-way margin Of said State Rd. No. 2; thence.
89ut4eOterly along said right-of-way mrrgln 260 feet more or leas to the
POINT 0# BEOINNING.
T.QGM13ER W1TH that East 100 feet of the following described parcel:
.-;.A portion of the southwest quarter of the Northeast quarter of szid
of tlia�Nort ,cress beginning
at �,SOgth4est corner of the doutheast quarter
` q�ter; thence East 1780.25 feet tD the True Pc: t of -B00inningl thence North 30 feet; thence West to the QeSt margin c� the )Sou�lirest thence South 30 feet;r of the Northeast quarter; th '
Eaatt to the Point of lieginni1g. thence
1
i
01ETERICH POST CO.
h •Q�, 1
=223„ZIH AE E -_= ende v.ro.owis,l sw„ortow».n
PHONE: 4 PO BOX mesFAX: 0& 65907BELLEVUE NA 9W9
r w4000MOVI
May 4, 1989
Mr. Don Monaghan
Design Engineer
City of Renton
Public Works
200 Mill Avenue South
Renton, WA 98D55
RE: SUMMER WIND DIVISION 15
Dear Don:
In regard to our construction permit s per your request,
enclosed please find our budget for tnt truction costs on sewer
for the above. Please relay the amount jr the permit fee to our
office at your earliest convenience.
Thank you for your attention to this matter.
Sincerely,
HENDERSON HOMES
iJ
Riche 1 L. Shaffar
Man4 r, Land Development
RLS;slh
Enclosure
r r ny s 9389
CITY Of RENTON
E,Igineerirlg Dept.
Os-16-1999 - ••
KENO?RSON HOMES, INC.
4 13:39:01 p R 0 J E C T 0 0 S T R E p 0 R T peOY 2
� ,-,•. project: C305 S......Imo Div S 1-7�1oteount
_
.. a 1244t7.... 17A1r
Number Dse �l pctpn Ortglnt. R•v1e ' Y•rUner 'YCurMett "^�' oeu . . a: • • DVY�
- 2007p1 6- PVC Se-., ploe to 12' v.. 3a,3aD.00 3a,340.00 - - - - - 31.360.00
Zo
200702 6• Pvc se-.r 01pe 12• to,1s 3,a20.00 3.420.00 - - - - 31420.00
.-e 200703 P. Pvc Seer ptpe is' to
20070a S;entlartl Nmnhole (6') 20.400.00 20,400,00 - - - 20,a00.00
7 +M1•3tit••d-M/N'fir wtna Fa no 10 Ice
e 7 r E•1•et Oetl4t itl . ,.. +T 99.3I71.30 327..E0 J' t' e' - :-
-ems v et ..• yt •..'. '.EK.t '� <-=•:p � O1LT,.3gr:^i
2CG t09 6' 01 Sw. .• to 21' Do 13,000.00 13.000.00 -
-•� 200110 9• DI Se. IN 21' to 2a' 9.690.00 9,600.00 - - - U,000.00
^.0 00'Sr
- SuDcoul: t71,36a.SO 17t,36a.50 - - - 171,36a.60
2223112TH AVE.N.E. —Sanderson
PO.BOX rwnhi« PHONE:12nW 63-01%
BELLEVUE,NN 90M r,orrssiorr�usrn
-- es ,...uc.ou+ FAX 2D&WS%7
May 4, 1989
Mr. Don Monaghan
Design Engineer
City of Renton
Public Works
200 Mill Avenue South
Renton, W.k 98055
RE: SUMMER nTND DIVISION M5
Dear Don:
In regard to our construction permit and as per your request,
enclosed please find our budget for the construction costs on sewer
for the above. Please relay the amount for the permit fee to our
office at your earliest convenience.
Thank you for your attention to this :natter.
Sincerely,
HENDERSON HOMES
Richard L. Shaffer
Manager, Land Development
RLL ,slh
Enclosure
MAY S i9A9
CITY OF RENTON
Er,;ineti.rir�g Uepf.
I
•
=r' . . •. _ . .. ^ 'K.f..,. .. .. yam..
i- OI-tB-1999 HENDERSON HOMES. INC. �••
t5,19:01 P R O J E C T C 0 5 T R E P O R T Pogo 2
Protect: 0305 Su mmerwi no Div 5 72 lets -
:
-
a d Q`i.t _.-•_'... ---- L`o'�a es _ ..A
Humber Deecriptim - Original Re ised variants Currene T.-Cate Payable_ 01eb .,'[nden/er .
200701 B' Pvr Sower Pipe to -'r 31,310,00 34 110 00 - - - - - 31.310�0 200702 B' Pvr Serer Pipe 12' to i5 3,/20•.DO 3,120.00 - - - - - 3,120,00
. e 200T03 9• Pvr 5ower Pipe is; to t 9.990.00 9.m.00
200701 Standard Manhole (B•) 20,400.00 20,400900 -
^e �- in snn 20,400.to
�D0TO9;Re teed M(H Ptnal^Pavin nn snn rr _ - -
- 0 2 550 00?^:. 2,SSO.DO ;.rntpx -•q9t
'200In. 5•iect Bedlcf fll 19 921 SO 0'.- IS,D21.tS0 ` 'j-2 � -
.151 00 .•'
nrn ne-• .:.�_ _ . �., nn n - ' - - - J']9,92t 50
3,000 n
200709 B'u01 eSewer 10' to 21' DP - 1,,,000.00 13,500.00 - 13.000 00
-�� 2007t0 9. OS Serer Pipe 21' to 24' 9,BQ0.00 9,SOC.CO - _ _
_ - - 9,900.00
j200712 Clean Outs T00.00 -�•t .^�.U4 CO
Sales Tea'. - _ _ ``! ?a 00 -?OQiD9 12,8,2.00 " i2.912.00 - _ _ *72.9a2 DD '•=�,'
SaDtotwl• 17t,3B6.50 771,304,50 - - 171,3Ba.50
U• #
171 . 388 � &t1x
3, 42'1.69#f
1
CITY OF RENTON WATER DEPARTMENT
Pressure Test B Purification Pest Form
PROJECT NO.
NAME OF PROJECT
PRESSURE TEST TAKEN BY, .d t/- '- ON
AT A PRESSURE OF SI, FOR /_> //7[AA MIN.
TEST ACCEPTED
PURIFICP.TION TEST TAKEN BY ON
PURIFICATTIN TEST RESULTS, SAMPLE M1
SAMPLE N2
S?MPLE 03
REMARKS:„ ,rl F Gf3'ari tau S /✓.q/3i�y2aC�gz A4� /7-71'SP IYC-w� /77-111
.✓E 1a CP[I[ 4 fw Tt, C
�UMMERWIND D I V V W-998 2
CITY OF RENTON WATER DEPARTMENT
Pressure Test 6 Purification Test Form
PROJECT NO.�/e
NAME OF PROJECT, y��-�-�
PRESSURE TFST TAKEN BY ON
AT A PRESSURE OF L.jC% PSI, FOR AA MIN.
TEST ACCEPTEDPURIFICATION TEST TAKEN BY CV
PURIFICATION TEST RESULTS, SAMPLE 01
SAMPLE M2
SAMPLE #3
Al- hA,Q .tY? AAC-/-7170" Sr
E>.'�,.