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HomeMy WebLinkAboutWTR2701862 WTR-1 W-1041 STRADA DA VALLE 2350 E. VALLEY RD-ANMARCO BEGINNING OF FILE FILE TITLE W TRW-I WI- 1041 JfiajQ kA 14,004& JC360 E - Q�mahc'.o- Y FILED FOR RECORD AT REQUEST OF Office of the City Clerk Renton Municipal Building 200 Mill Ave. S. 91/07%Oe pC19^ Renton, WA 98055 �� 1R UTILITIES EASEMENT RFCO F 9.00 RFCFF.F 2.fol THIS INSTRUMENT, made this day of _7,,o. CRSHFI. "4'd"'*1 "00 55 by and between and $tr- di na 11d114i D_..hnor� Y$SMbt Washington Gantral and ere na ter c e rancor s an t ---C7TT—TP-- T5N a Aun3cFp—a1 Corporation of King County, Washington, her, natter called "Grantee." WITNESSETH: That said Grantor(s), for and in consideration of the sum of $ _0_ paid by Grantee, and other valuable consideration, do es by these presents, grant, bargain, sell, convey, and warrant unto the said ,Ttantee, its successors and assigns, an easement for and public utilities (including water and sewer) with necessary appurtenances over, through, across and upon the following described property in King County, Washington, more particularly described as follows: WATERLINE EASEMENT 'A' A FORTY FIVE FOOT WIDE STRIP OF LAND IN THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 30, TOWNSHIP 23 NORTH, RANGE 5 EAST, W.M. IN KING COUNTY, WASHINGTON, SAID STRIP BEING 22.50 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHWEST CORNER OF SAID NORTHWEST QUARTER; THENCE SOL.e O1052'25" WEST ALONG THE WEST LINE THEREOF A DISTANCE OF 267.48 FEET; THENCE SOUTH 88'07'35" EAST 30.00 FEET TO THE EAST MARGIN OF EAST VALLEY ROAD AND THE TRUE POINT OF BEGINNING OF SAID CENTERLINE; THENCE CONTINUING SOUT:i 88'07'35" EAST 30.00 FEET TO THE TERMINUS OF SAID CENTERLINE. WATERLINE EASEMENT 'B' A FIFTEEt' FOOT WIDE STRIP OF LAND IN THE NORTHWEST QUARTER OF THE NORTHEAST Q'IARTER OF SECTION 30, TOWNSHIP 23 NORTH, RANGE 5 EAST, W.M. IN KING COUNTY, WASHINGTON, SAID ,STRIP BEING 7.50 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHWEST CORNER OF SAID NORTHWEST QUARTER; THENCE SOUTH O1'52'25" WEST ALONG THE WEST LINE THEREOF A DISTANCE OF 547.98 FEET; THENCE 0 SOUTH 88007'35" EAST 30.00 FEET TO THE EAST MARGIN OF EAST VALLEY ROAD AND THE TRUE POINT OF BEGINNING OF SAID CENTERLINE; THENCE CONTINUING SOUTH 88'07'35" EAST 35.00 FEET TO THE TERMINUS OF SAID CENTERLINE. WATERLINE EASEMENT 'C' A FIFTEEN FOOT WIDE STRIP OF LAND IN THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 30, TOWNSHIP 23 NORTH, RANGE 5 EAST, W.M. IN KING COUNTY, WASHINGTON, SAID STRIP BEING 7.50 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHWEST CORNER OF SAID NORTHWEST QUARTER; THENCE SOUTH O1`52'25" WEST ALONG THE WEST LINE THEREOF A DISTANCE OF 870.48 FEET; THENCE SOUTH 88607'35" EAST 30.00 FEET TO THE EAST MARGIN OF EAST VALLEY ROAD AND THE TRUE POINT OF BEGINNING OF SAID CENTERLINE; THENCE CONTINUING SOUTH 88'07'35" EAST 50.50 FEET TO A POINT HEREINAFTER REFERRED TO AS "POINT A"; THENCE NORTH 01'52'25" EAST 15.50 FEET; THENCE SOUTH 88'07'35" EAST 9.00 FEET TO A POINT HEREINAFTER REFERRED TO AS "POINT B"; THENCE CONTINUING SOUTH 88'07'35" EAST 147.00 FEET; THENCE SOUTH 01'52'25" WEST 24.00 FEET; THENCE SOUTH 09'25'44" EAST 162.00 FEET TO A POINT HEREINAFTER REFERRED TO AS "POINT C"; THENCE CONTINUING SOUTH 09'75'44" EAST 131.00 FEET; THENCE SOUTH 4705O111" WEST 105.28 FEET; THENCE NORTH 88'07'35" WEST 128.00 FEET TO A POIi1T HEREINAFTER REFERRED TO AS "POINT D"; THENCE CONTINUING NORTH 88'07'35" WEST 60.24 FEET TO SAID EAST MARGIN OF EAST VALLEY ROAD AND A TERMINUS OF SAID CENTERLINE; RETURNING TO THE AFORESAID "POINT All; THENCE SOUTH of'52' 25" WEST 18.0O FEET;THENCE SOUTH 88'07'35" EAST 24.00 FEET AND A TERMINUS OF SAID CENTERLINE; RETURNING TO THE AFORESAID "POINT B"; THENCC NORTH O1'52'25" EAST 25.00 FEET TO A TERMINUS OF SAID CENTERLINE; RETURNING TO THE AFORESAID "POINT C"; THENCE NORTH 80'34116" EAST 28.47 FEET TO THE WEST MARGIN OF S.R. 167 AND A TERMINUS OF SAID CENTERLINE; RETURNING TO THE AFORESAID "POINT D"; THENCE NORTH 01'52'25" EAST 25.00 FEET TO THE TERMINUS OF SAID CENTERLINE. 1 STRADA DA VALLEADA DA VALLE PARTNER EXCISE TAX NOT REQUIRED King Co.Records DMislon 1 Hy: _ CeP�Y #91 -3a Cary M, erlino, Partner OtAL4 40Y000// F.53q 2D-4'9 ��} STATE OF WASHINGTON ) ss. COUNTY OF KING ) On this `Ld day of •`'` _, JAY", before me personally appeared r�., m MoLI,nn and to me known to be general partners^of �a Jall� , the partnership that executed the foregoi g nstrument, and acknowl- edged said ins` :ument to be the free and voluntary act and deed of said partnership, for the uses and purposes therein mentioned. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal the day and year first above written. Notary Public in and for the State f W ington, residing t. Commii �a � My omm g�Ft z% (PARTNERSHIP) jk �.F.a %.�'1,''••..... •'• gyp•` C`2 O x O O V4 M �I-32- 19 24 N 69'1Y56" W 2659,44' 6'zr . . — — 1 30 rl o � o o 0 J' N J N N 0 r T � l�Sfi94i4 3to'2r d ` m N r N y N 1 f"=5o' a m y -'T P.Cb l.4t20' 7Y.ZI O I O W4 09 i Q• J A O r. �[ L419 BUSH,ROED &HITCHINGS,INC. CIVIL ENGINEERS&LAND SURVEYORS WrnF,MU.919NotoN 3234144 L�1324(0 R'f Z19 — W)4 NE'li 307 1 3o lop 2�,�( 0 (-S+944" 3to er 1 1 tN U o� U^, N 6' C '� I � � I c I u 1 N 111--SO , o o � u p Nl E F t r N s eerorss' c I so_oa �/Is:oo�'i]u C 5�.07'3S„E P .,o.y o�' �If TGN 1 oIL WA'TtzuuF_ �91 -3a- '� ( BUSH,ROED&HITCHINGS,INC. I CIVIL ENGINEERS&LAND SURVEYORS S[ATTIE,WASWNOTON 313-1114 '19 N 69'5V56' W 2659.44' _---- —' to'FT 30 � 5� �o '[wP ti3►�l R� SEA Vct M , Rr , G M � 5a+22- 3t9'er r z- _ � n s s� : 15.00' 9 e�If u 2b31 C1�; &l_ s eenru!iy _i6zoo:.- T N 1. •T..Y. ,.+..�� S 66OY)5' E 50_00' :50.50' 011. W =. Sl6V7'J5' E 1[:� '1 m �dL < +�.. . � tY t3 a I 54ErCW �or WXTTcJkLI►Al' 1. ` 1 tsb\. BUSH,RCIED&HITCHINGS,INC. CIVIL ENGINEERS A LAND SURVEYORS 525�`� SEAT1lE,WY�SNINOtoN J' 15.00' N / •'� ! _ keemi5' w 7( eero7�o- : tteoo ✓ P �� q, 6024 30.00' 3�'Rr WS 3. 53+�4'6 36'er / P/L 321.75' N 89'46'13' W �../ 1mS SPACE tESENEO 1M aECOeDU'1 USL Pioneer National TWO Insurance Compay NASKINOTON TITLa O'VMON Filed for Record at Request of - TO 4 %08%O1 41365 A REC^ fr Renton a 'CjpnI Et1d9 RECFEE 2.130 _ 200 Mill Ave.So. CAcHSL +.a:+:xwi.00 Renton,WA 98015 ---- PORN L salt BILL OF SALE KNOW ALL MEN BY THESE PRESENTS: That STRADA DA VALLE PARTNERS e 3eattle County of Ki nq ,State of Washington, the part.ee: of the first part, for and in consideration of the sum of One and no/100------ --------------- Dollars lawful money of the United States of 4merica, to them in hand paid by the City of Renton the parties of the Second part, the receipt whereof is hereby acknowledged, do by these pra<nts grant. lf-) bargain, Sell and deliver unto the said part iesof the second part, the following described personal property now located at 2300, 2400 and 2500 East Valley Highwey in the City of Renton ,County of Kinq and State of Washington, to-wit: 7 Work No. 1041 tX.. Approximately 829 l.f. of 10" Ductile Iron pipe and 811.f. of 8" t7 Ductile Iron pipe and 21 l.f. of 6" Ductile Iron pipe; and 4 each of ON 51" Fire Hydrant Assemblies; and 3 - 10" and 3 - 8" ;ate Valves; and all appurtenances pertaining to said watermain, exp, ssly warranting said watermain against any expe ses, costs or liens hereto incurred thereon by, through or under seller herein. TO HAVE AND TO HOLD the same to the said part iesof the second ;-rt, their heirs, executors, administrators and assigns forever. And said part iesof the first part, for their heirs, executors, administrators, covenants and agrees to and with the said part iesof the second part, their executors, administrators and assigns, that said parties of the first part are the owner s of the said property, goods and chattels and have good right and full authority to sell the Same, and that they will warrant and defend the Sale hereby nude unto the said part iesof the second part, the,r 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 iesDf the first pan have hereunto set their hand and seal this day of �-S^TR AAA r1q VALLE PARTN,;:S (wart) (SEAL) _(SEAL) STATE OF WASHINGTON, ss. County of el K k- f4 spsunaara /n• /NLj,�Kw Ora this� Ily aced before One G to me kno �• viu�- described in and who executed the within and foregoing instrument. and acknowl + signed the mine as k �.A free and voluntary act and deed, for the use and etn mil. enftonel q GIVI N uncle,my nan }n Liid seal this P?��� f/ etis wOF Wa�S Ap Notary Public in and for th, Star, of WaFrnVlon, �e4�$.53�,�,gyp,f t}eerfdln� ar COST DATA AND INVENTORY SUBJECT: Strada DA Valle CITY PROJECT NUMBERS: W- 1 041 East Valley Road S- 524 _ NAME OF PROJECT ST- yy_A_I TO: CITY Or RENTON FROM: An March UTILITIES DIVISION ' 200 MILL AVENUE SOUTH 9125 _ 1 0th Ave- South RENTON. WA 98055 Seattle, WA 98108 DATE: July 8. 1991 Per your request, the following information is furnished concerning costs for improvements installed for the above referenced project. WATER SYSTEM: Length Size Type 829 L.F. OF 10 U.I. WATERMAIN 81 L.F. OF 8 D.I. WATERMAIN 21 L.F. OF 6 D.I._ WATERMAIN LF. OF WATERMAIN 3 EACH OF 10 D-I. GATE VALVES 3 EACH OF 8 D.I. GATE VALVES EACH OF GATE VALVES SUBTOTAL S 2S"non 4 EACH OF 94, FIRE HYDRANT ASSEMBLIES 1, 5,000 (COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY). TOTAL COST FOR WATER SYSTEM $ 30,000 SANITARY SEWER SYSTEM: Length Size Type 8 L.F. OF 8 _Syr SEWER MAIN 20 L.F. OF 6 PVC SEWER MAIN L.F. OF SEWER MAIN 2 EACH OF 48 DIAMETER MANHOLES TOTAL COST FOR SANITARY SEWER SYSTEM $ 5.000 STORM DRAINAGE SYSTEM: (Private System) Length Size Type L.F. OF STORM LINE _ L.F. OF _ " STORM LINE _ L.F. OF STORM LINE EA. OF STORM INLET EA. OF " STORM CATCHBASIN EA. Or " STORM CATCHBASIN TOTAL COST FOR STORM DRAINAGE SYSTEM $ -0- STREET IMPROVEMENTS: (Including Club, Gutter, Sidewalk, Asphalt Pavement and Street Lighting) 700 L.F. of 6N concrete walk, -0- L.F. of concrete curb And gnttar_ TOTAL COSTFORSTREETIMPROVEMENTS $ 35.o00-Do IGNATURE) (SIGNATORY T BE AUTHORIZED AGENT OR OWNER OF SUBJECT DEVELOPMENT) BOND NO. B1425753 MAINTENANCE BOND KNOW ALL MEN BY THESE PRESENTS; That we STRADA DA VALLE, GENERAT PARNERSHIP - a5 Pr1nCl�a1T , and _ RE_ LIANCE INSURANCE COMPANY , a cOrpOratlOn organized and existing under the Laws of the State of NNSYLVANIA , Surety are held and firmly bound unto CITY OF RENTON as Obligee, in the total sum of THREE THOUSAND FIVE HUNDRED AND NO/100--------- N 3,500.00 ) Dollars, for the payment of which, well and truly to be made, the executors, administrators, successors and assigns, jointly and severally, firmly by these presents: for MAINTENANCE BOND FOR P.W. IMPROVEMENTS TURNED OVER TO THE CITY OF RLNTON ON THE STRADA DA VALLE PROJECT P-7560 i 6 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the Principal shall maintain and remedy said work free from defects in materials and workmanship for a period of ONE year(s) following completion, then this obligation shall be void; otherwise it shall remain in full force and effect. SIGNED, SEALED AND DATED this 11th day of July 1991 i STRADA DA VALLE, GENERAL PARTNERSHIP RELIANCE INSURANCE COMPANY BY W. Doyle, 6 orney- n- act ItH:I.InN�:N: INSUKANCF- COMPANY NEAO OFFICE,P1NLADCLOWA,PfMNSVLVANIA POWER OF ATTORNEY KNOW ALL MEN By YNESE PRESENTS. In., mJ RELIANCE INSURANCE COMPANY.J cddrJOrM Ouq wpen,md unOd Ine Sara W me Slim ul P,rIV,aMJny aOFe namd'n4.F COnfnluN Na ,.n' !IM W. DOYLE OF SEATTLE, WASHINGTON----- ,b eve d,0 YwkA A11Pnyr'M.i Fcl tl,RAM.F.e[uY.fYl Jn0 OY,vN bl MO On b OMJB.Jn0 Jf N Ka elf tlFW ANY AND ALi. BONDS AND UNDERTAKINGS OF SURETYSHIP------------- yM in and FJ REU*. E INSURANCE COMPANY nde0, M Mly Yq b M sarM Ji enl Y,1 PKn uorda and uMw„elu,ge And One, wn\nyf ud1,VJlory n eN nm m owes'wem NonaO"on Ea..lNF Odle,Or F,J RELIANCE:NSURANCE COMPANY a ise1J0 JnC Fneera by On-o,nJr d FUCII OTCM1 and heml y reOMi and Cunkrmfl all MI M fald MOmayml'm-FAG,,ryY W In drnWnU MreM. Ma Power of Anomey la IWIVO under and by audorry O Ar„cN NI of the By-Laws of RELIANCE OSURANCE COMPANY wNcn became adetave Saa,O,b ) 1978.wncn dorRmf Am. ri No Wce e, e"M mad'nV as lollOrs ARTICLE W—EXECUTION OF BONDS AND UNOLRTAKINOS 1. Tina arW al o,mc da Or Pmabanl M Cha,mrn M ar 9rm,any Send NCA Prendant.any Noe Pfaaaam d AaHfrnl Nu paraW,t d dine,Olft a dr,one,ad by ar Bosm OI Olmcbra"If ham I)Owef And aualodty W(e)appdnl AlbmMys-In-F&iA add In euOgnce lfm m aaeC,M pn bem"OI elf Company,I Ondf end PndefNbn a.mCOonl3t#nC*1L C V*Cb nl IlWemndy And dnM wd1w.OClloeklry N Te nAbPe E .I.And IN b mn m Any sla I A!1dMy-In4A0 At Any lime Are,woke IRA POwM MO eulMny olvw,b ham 2 A(IdiNyf-In-FAC1 YMi ne,re Pdw-NM A-OW 111 WOInq b"W mA And IYn bbpnf d ON PJ'wd OI eOOnwi salted b dMm,ad lneCVN Md0 daiN O,behalf al M COnpanY.bars And,MOfrkdryA rq',Op,Mz1,%r.Q-IUALO el mOanmdy And pnu, wna„of O "W'M tlr IMbm a,e,a01 T,r C aaa anal N nO1 MCeAFAn,fd,OM validity Of any bOndal And u kxgA mOOomzan cOndAcb d IndwnnM And oF,er wMnI;*MlgetdY M ade naaam dWM(. a AhPneyA-m-FM aldall,rw[wvref and..,hoery b arecW altldAvhf rad.l.A b ba&M Javd ad bonds mCOpnizan'ea conbecb nM dr Old- C IIIMA1 Or Obldpan"l,onderrkbdf And ary"if aNO haw main,and aWwfdy:a oe,dty,ON anandal arrnrnl p Ode Cdnaa"and b cop"Of Or By'tavm al Ole Com v d any ancla d faction ara01. TYaa I W a, a0ortry b synod and soaNA by ft Yrnde uncle, and by euabnry 01 Una lotl~no RrONdm AOOPW by ar BOefd Of or= lda of RELLA 4CE INSURANCE COMPANY At A maakrq I On Ina Sm day di Jury 197S,at wNtft•quorum—Brent and rdd RaapuOOn has not b n aniandied d mpealad: 'Resolved, ,At Or ayrrWma of AL f dime fOfa And oTGam And ar aaa,Of M CdnOAny fry M aRaad b any 1uO,power of e0orrday d any Mnur rai dalo ling ar by btamd, e and Any A„nJ1 pares, d addrr,ey O MOON b uy aa. veto lace fn"s,orrlu.d bCMm1N srl"Ia v w and detl,fy upon Ore CdnpM,y and Any u,O1 pores r sclerakd An di by buimuA a,onawnds Ar�rCalmiM f W"I M.11d and b,ndirp uvOn ON CM-0any In M kym re,rwpecl b any dFdd dr un0e,rk+ry b r b a R lma r - N yi TNESS WHEREOF.Or H,L'ANCE INSURANCE COMPANY Ira c ,laid Orr d,asams b D•NOrrd by as Vba Praskk K and Ili corWrsb seal ow nismaD aill vee 14THeAyp NOVEMBER 1990 REjLMNCE INSURANCE W%IPAMY f�A I: NrfMfO l STATE r>f Wa ShlnVt 011 CXXAM OF Finy On Mb 14TH dayof NOVEMBER IV 90.pe,sdrM appaamd Lawrence W. Carlstrom b Irle Wda„b W ar,AOA.pm&d,ant OI M RELIAFX-E NSURUJCE COMPANY, ^r117ad Oral ha raLr,aad se,''loaded ar ImapdnV haes,rrlard and a114ad IRA ral plaid<orparAlan Grab.Are,hat A L W. 1.2 ]f!ar!y-leas Od said Cdnp"And M Reaolu- OOR Ada IOra,arrn,am an In NF ILVCe My CanaimAabn EApfa � ��L May 15 .ro 94 ilea Norry Pubtb in and brEwaa ashi ngto Revelrya Tacoma L Robert D. Rit2haupt .Au,alan,Setrea+'Y Of One REwNCE INSURANCE COMPANY,00 hw*Oy Witt art IN, AWve Are,bmVOby R A na,and COfrM dopy of a Pow«OI AnCrfry eaeL"bd by rid RELIANCE NSURANCE COMPANY.a1dIM r NO M Nil dofoa and aRaea N WITNESS WHEREOF,1 have Ird,nb eat my hanf And AI1Llad N rr al asld Cdi^pAny aW 1101 Milli July 19 91 /.Ja,elA1M N11L`a*w"^ i Robert D. Rit sup \:i'E AUTHORIZATION OF SPECIAL BILLING DAM PROJECT NAME' 5 J'— PROJECT NUMBER. oW — I D4 I WORK ORDER NO.: (:•7 I C 1 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 BILLING TO BF SENT TO: � Name:�'��„y�C=� City �sA L UR��IV8\O� Attw. Phow No. " er/Developar, atrwtor or Authorized Agent CONSTRUCTION FIELD SERVICES 1ft. i041 FINAL OCCUPANCY INSPECTION REPORT f- 7560 DATE: JULY 29, 1991 TO: UTILITY SYSTEMS [ j STORM - RANDALL PARSONS [ j SEWER - DAVE CHRISTENSEN ( ] WATER - ABDOUL GAFOUR [ ] PLAN REVIEW - GREGG ZIMMERMAN - [ ] CONSTRUCTION SVCS - STEVE PINKHAM/RICK.-KOKKO [ ] ZRANSPORTATION SVCS - CLINT MORGAN [ ] LANDSCAPE/ZONING - BOB ARTHUR [ ] BUILDING FINAL - RANDY MARTIN L ] FIRE PREVENTION FROM:_CONSTRUCTION FIELD SERVICES- RANDY MARTIN X6171 SUBJECT: ANMARCO DEV (STRATA DE VALLE) PERMIT NO. : B-15654-56 (WO#87101 2300, 2400, 2550 E VALLEY RD TYPE BUSINESS: OFFICE BUILDINGS The subject project is nearing completion. Please investigate your area of responsibility and indicate below either your acceptance or non-acceptance. Please retur:t this form by MONDAY, AtLGUST 5. 1991 in order that a permanent Certificate of Occupancy may be issued. If no comments are received by the above date, the permanent certificate will be issued. TO: CONSTRUCTION FIELD SERVICES DATE e/5/91 FROM: ABDOu, G"euf. . This project is approved by this department subject to the following corrections: (Note: see copy of 90 day requirements attached) NON-LIFE 15A ETY ITEMS LIFE SAFETY ITEMS Ix`N[ Nt!rJt DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMAt7ENT CERTIFICATE OF OCCUPANCY? (IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES". ) [ ] YES [ X] NO if�VAu pAfo urL' _ Authorized Signature /3:finto« NOTICE OF NEW FIRE HYDRANT IN-SERVICE NAME OF DEVELOPMENT I, Ilk \,L-LSE ADDRESS C - AGL L/ INSTALLATION CONTRACTOR WATER PROJECT NO. NUMBER OF HYDRANTS HYDR:,NT LOCAT IONS / (FOR FIRE DEPT. USE ONLY) Jet I. - 14 9 4 Z• S HYDRANT NO. z. IaZ�� 7. T 3. _ YqL 4. 5. 6. INSPECTOR 1 �• //N�T1HM q 7 AI n�`T C__. —__ v J. DvGi aa1 r�pW --- ` 14 tl kd h1qu+�zV N3 dlbt� 'S1M ��gwassb to -y 67ty b� CITY OF RENTON WATER DEPARTMENT Pressure Test G Purification Test Form PROJECT NO. 1//#/D NAME OF PROJECT V-'ER/NJI!/`U� ViO�E PRESSURE TEST TAKEN BY:5&Z( !T jrA ON AT A PRESSURE OF „ o O PSI, FOR Z L ///? ,S MIN. TEST ACCEPTED ON g�Z//�L� /� C PURIFICATION TEST TAKEN BY t.S �s��//,'"IY-]ON �ZP� g„� �- PURIFICATION TEST RESULTS, SAMPLE 01 1 SAMPLE M2 SAMPLE M3 REMARKS: • CITY OF RSNTON WATER DEPARTMENT Pressure Test & Purification Test Form PROJECT NO._ - xl NAME OF PROJECT PRESSURE TEST TAKEN BY AT A PRESSURE OF J. CL L?_ PSI, F08 L MIN. TEST ACCEPTED ON p PURIFICATION TEST TAKEN BY PURIFICATION TEST RESULTS, SAMPLE 01 -�'G ✓ - � SAMPLE $2 SAMPLE 03 REMARKS: NOTICE OF NEW FIRE HYDRANT IN-SERVICE t NAME OF DEVELOPMENT �� ADDRESS INSTALLATION CONTRACTOR WATER PROJECT N0. Ni1MBER OF HYDRANTS i (FOR FIRE DEPT. USE ONLY) HYD{tANT L HYDRANT NO. VkL ���-2.c.hk 2. i 3• 4. 5. 6. INSPECTOR i" CITY OF RENTON WATER DEPARTMENT Pressure Test 6 Purification Test Form PROJECT NO. G'l'/J¢/ NAME OF PROJECT MAIL-t PRESSURE TEST TAKEN BY�1 ^S .pAV-4*y% ON 1_ 7/S9 D AT A PRESSURE OF Z`� PPSI, FOR Z TEST ACCEPTED ON CIS#-p PURIFICATION TEST TAKEN BY '- K(1LC '!'JL1 PURIFICATION TEST RESULTS, SAMPLE M1 SAMPLE M2 '�A4,SC-�C."�SJ U SAMPLE N3 n REMARKS: CITY OF RENTON WATER DEPARTMENT - ' Pressure Test E Purification Test Form PROJECT NO. �JfL�4I NAME OF PROJECT -73Le A bA bL1 QALJ PRESSURE TEST TAKEN BY S P-\kJWk,\ ON AT A PRESSURE OF ,_=.L}j-p -�Pf1SI, FOR TEST ACCEPTED ON PURIFICATION TEST TAKEN BY - ON PURIFICATION TEST RESULTS, SAMPLE *1 SAMPLE K2 4 � SAMPLE 83 R®IARKB: J CITY OF RENTON WATER DEPARTMENT Pressure Test E Purification Test Form PROJECT NO. NAME OF PROJECT '' • __ E ON - PRESSURE TEST TAKEN BY ��fl1L Y>�1� n PSI, ROR ? h 5 LAIN. AT A PRESSURE OF - /' :%iST ACCEPTED ON //l /!2 � A C PURIFICATION TEST TAKEN BY V� inY f�'Ar✓� ON N PURIFICATION TEST RESULTS, SAMPLE #1 SAMPLE N2 SAMPLE #3�_.� REMARKS:-FLOEll_IF CITY OF RENION WATER DEPARTMENT Pressure Test 6 Purification Test Form PROJECT NO. j NAME OF PROJECT �4 I A [-A QA I I 1 PRESSURE TEST TAKEN BY � -,Vz�1p,y ON I 1 k i AT A PRESSURE OF PSI, FOR E, � � NIN. TEST ACCEPTED ON PURIFICATION TEST TAKEN BY ( F ON /, r) PURIFICATION TEST RESULTS, SAMPLE N1 SAMPLE N2_ ry SAMPLLE^MS REMARKS: T-r Y .( , STATE OF WASHINGTON DEPARTMENT OF HEALTH WATER BACTERIOLOGICAL ANALYSIS It msbucllons aTe n N tollo.od,sample wdl De If lacled DATE COLLECTED TIME COLLECTED I COUNTY NAME MONTN DAY/ YEAR 1TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE: tg CuIss I I.D No. �J J .) 1 E 3 4 ❑ INDIVIDUAL D. � F NAME OF SYSTEM 1 SPECIFIC IDUiOI E 51MPlE CGllFC1FE SYSiFM OIRRR/IEBI 1YIAAW1IEiFROYF fO .wrr�\ M.1n MRs.NVAF.v �'-4Z_4 %Qev 1 "\C A.I I-N (._ - ( -I., u - d SAMPLE CDILBCTW IIMAMI J flr HrF SOURCE TYPE C� NA SURFACE ❑WELL ❑SPRING ❑ PURCHASED Fa��HERTON SEND REPOPT 10 IR'n'Fun MaKN,AtYJ'REF AKE b.GFaRI :hf�. CCU WASEMgTOiLT-W TYPE OF SAMPLE (1�11rl� 1. ❑vDRINKING WATER 1n� � I FTC CMcA Imalmenl `r"rr'LL777t..„11nAIb m OIMr ' Y. ❑ RAW SOURCE WATER [l 3. QNEW CONSTRUCTION o.REPAIR$' 1 Ty9�� 4. ❑ OTHER ISwItYI 1 COMPLETE IF THIS SAMPLE IS A C LWENTON mmous lAP No Qlaineering Dept. PREVIOUS SAMPLE COLLECTION DATE REMARKS. LADMATOR►REWITS IOR W YBB GMT) E4PN-COLIFORM STO PLATE COUNT SAMPLE NOT TESTED BECAUSE. MPH DILUTION TEST UNSUITABLE ❑ Sample Too DID �tM ft /. ❑ Con11uM1 Growth ❑ Not In NY F CDDt2~ MF COLIFORM $. ❑ TNTC ❑ IDAUiaima— leaso RIhftltNK:! �� ProwoW—PINES RAAd IMITUCI'D06 on Form FECAL COLFI-FIB 3. ClEAWFE DADHE ❑ MPN / MF 4, ❑ ❑ "DAY FOR IMMO WATER SAMPLES ONLY,THESE RESULTS ARE SATISFACTORY ❑ UNSATISFACTORY SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAE NO DATE,TIME RECEIVED— RClrvED DY DATE REPORTED I LAMMATOAY I REMARKS O ".IxD'REV 112YI WATER SUPPLIER COPY A. STATE OF WASHINGTON DEPARTMENT OF HEALTH WATER BACTERIOLOGICAL ANALYSIS II Instructions ere nOl followed.Simple will be rejected DATE COLLECTED TIME COLLECTED I COUNTY NAME MONTH MY YEAR [''1..A : / TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE'. ❑ PUBLIC a Hass ❑ IN LD. NO. y>. > L_ 3 NAME OF SYSTEM r t F/ ' r :� r SPfCIf IC LDCATRB N SAMPE OOLLfCTE SKIM OMEA+MDR%Aw AND i 9"m NO wPHIeiR. HYMPA SAMPLE COINED BY.INPn»I SOURCE TYPE ❑SURFACE ❑WELL ❑SPRING PURCHASED C.4OMBINATION or OTHER SEND RE Jul,NnrH An,,,y...rw 21P COMI a 71t'Zyf t wAfHBIgTOH1`'C,t�, TYPE OF%AMPLE 1. DRINKNG WATER I cWk ,L.�E„)MIMM M O"Mir 2. I�I----]�E HAW SOURCE WATER 1)E� 1 !U 1nJ90 3. IJ NEW CONSTRUCTION w REPAIRB i. ❑ OTHER IS elcltYl COMPLETE IF THIS SAMPLE IS A . K M N Us NO 116111@Erlrig Dept. MEVMUS PREVIOUS SAMPLE COLLECTION DATE • Ml6_ y'' L'T FIF l LABORATORY REMTS(FOR LAB=ONLn MEN COL FORM STD PLATE COUNT SAMPLE NOT MM DILUTION TEST UNSUITABLE ❑ SemPRITM old A100'ni 1. O Cor,twem Growls ❑ Nm R,Proper C.M&R,61 ME COLIFORM P TNTC 1neulfmlenR Imormallon �W Provided—PIeAx Reid Inet1uOlone a0 Form FECAL COLIFOR 3. ❑ EYcuA Deir16 ❑ MPN ❑ ME ,, �IOD m FOR L) OW NO WATER SAMPLES ONLY.THESE RESULTS ARE'. 10 SATISFACTORY O UNSATISFACTORY T SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAS No MIE.TIM[RECENED- BREWED BY DArE AEPOYTEDI I LABORATORY REMARKS DDN X&M IAEY 121L WATER SUPPLIER COPY ,A. STATE OF WASHINGTON DEPARTMENT OF HEALTH WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION READ INSTRUCTIONS ON SACK OF GOLDENROD COPY If instructions are it followed.Sample will be relec•nd. r DATE COLLECTED TIME COLLECTED COUNTY NAME MpNTn DAV YEA R iiC T] ❑ �i G ZS o-AM PM TYPEfIF SYSTEM IF PUBLIC SYSTEM,COMPLETE. POSUC I.D. No. ,sar ❑ INDIVIDUAL 1 j 3 «so v«s.a. NAME OF SYSTEM c,� . . $PELIF,C LOGT EPE SAMPLE COLLELTF SKFE4 pRERr AIGR NAME NNDiElEFM1NE NO « As -7 zK DVS/ VAIVE SAMPLE COLLECTED BY.Mann, rNkH�r�� . -r� A SOURCE TYPE s,�EL ❑ SURFACE C]WELL C SPRING ❑ PURCHASED 1e--MBIER NATION .�u�1y / w OlTNNA BE Tr O/`i(B/✓ 11 L'�Fi✓ �/I/7 4 '. •� _wAeNINOTON7Ll_,� TYPE OF SAMPLE 1. ❑ DRINKING WATER ❑ CnlorinaL I(Residual—Total—Frew c hill lreatmenl—I. ❑ FItCr<d ❑ Lei ..leda Cline, — Y. r❑I .RAW SOURCE WATER LYN i 3. tW CONSTRUCTION or REPAIRS 4. ❑ OTHER ISpact,; _ COMPLETE:F THIS SAMPLE IS A CHECK SAMPLE RIEVtOUS I�B NO j PREVIOUS SAMPLE COLLECTION DATE f REMARKS. V(( Vill - LABORATORY RESULTS(PON ue USE ONLYI MPN COLIFORM $to PLATE COUNT SAMPLE NOT TESTED /m BECAUSE: iDvo,wa MPN DILUTION^ TEST UNSUITABLE ❑ Simple Too Old /{q mI 1. ❑ Cr Imam Growth ❑ Net o Proper Container MF COLFORM $. ❑ T.ITC ❑ Inau%l,l nt to orma0on /100 m Provided—please Read FECAL COLIFOR 3. ❑ Escess Coolie Mille:bons on Form ❑ MPN ❑ MF 4 ❑ ❑ /00 ma I FOR,.�fB�gKING WATER SAMPLE$ONLY,THESE RESULTS ARE: L:9 SATISFACTORY C UNSATISFACTORY SEE REVEREF SIDE OF GREEN COP'FOR Fx PLANAIION OF RESULTS _ Ua NO. DATE I ERECEIVED— RECEIVED by qua., i� DATE REFONIED. LAeDRATDRY � I REMARKS dbH:,osw2,9L, iLeBl WATER SUPPLIER COPY STATE OF V ASHINOTON DEPARTMENT OF HEALTH WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION READ INSTRUCTIONS ON PACK OF GOLDENROD COPY It instructions are not followed,sample Will be ralected. DATE COLLECtED TIME COLLECTED .UNTY NAME M nTH WV YEAR _ _� I AM ❑ PM -TYPE OF SYSTEM IF PURL..SYSTEM,COMPLETE: B vuauc I.D. No. '-7 /�-� ncs cuss ❑ INDIVIDUAL 1 y � 3 A '/NAME OF SYSTEM �r��` 5L ' 59EFIEIOL PI IC SKIEM ONNER/NW NNAME MO TELERIINE MO a� �1� 1 �1�� y �iE 7 SAMPLE COL TED BY:IWMI � 1 3'�J �2 -Ao 5 �nkl1AM SOURCE TYPE ,�,yE(y ❑Q SURFACE ❑WELL ❑SPRING ❑PUNCHA$EO LE'--"'91NATION .,OTHER SE REyPORT TO�.1h� Fm,Name.AO Ann[ rt ll! AT Af Y� �S h!1 F'afi11�e1DH.,ul�RS` lYF6 OF 3AMPI.EMKE 1 ORINKINGWATER {{❑�-1I ORIer1 gVM�To F,aF) CWk treatment, A.0 yoAdd �❑�W SOURCE WATER 3. L7NEW CONSTRUCTION W REPAIRS' 4. G OTHERISWOV)__ COMPLETE IF THIS SAMPLE IS A c11E '+ WEVlftt CAB NO L'I1 y PREVIOUS SAMPLE COLLECTION DATE_ REMARKS' -- I LADONATORY RESULTS WON LAS USE ONLYI _ COLIFORM STD PLATE COUNT SAMPLE NOT TESTED /S BECAUSE'. MFN DILUTION TEST UNSUITABLE ❑ Semple Too Old �00 mI T. ❑ Conllwnt Groan ❑ Not In Proper C,lgW W MF CCLIFORM Z. ❑ TNTC IrMiclod- leas.RUOn AW mt PrwlOb-Plpana Rest, � FECAL COUFOR 3. ❑ EnCbn DIDns IftmX bnn On Form ❑ MPN ❑ MF 4 ❑ ❑ �OD mI FORfNQ WATER SAMPLES ONLY.THESE RESULTS ARE SATISFACTORY_ ❑ UNSATISF CTORY SEE REVERSE SIDE OF GREEN COPY FOP E%PUNT ION q�RE4„C,_; LAS NO DATE,TIME RECENEL- nECENE0 Bt c1 13 $ tkl ill ru. GATE AEPMATED � Ua01MlOM REMARKS DOH NYSq IAEV ,ENM A WATER SUPPLIER COPY uts _f — I I -1 E.\/AMEN *.Vk. J -7 1G`1$!b6 v.l )to X b" fC'eDV�.sR� cz,�ffrtrr� Slia"s 609 VVVZ[ o.,... sm"s 001 Zoll" SiMs OS ,VPCL .. PACIFIC WATER WORKS SUPPLY CO., INC. 2900 FIRST AVE. SOUTH SEATTLE.WASH.9BI31 BACKFLOW PREVENTION DEVICE TEST AND MAINTENANCE REPORT FILE NO. FIRM NAMES T�/4 ADDRESS 15'69 F 041 L AS r R'CITY?1++ T-^- wA ZIP C)Cr PHONE NO._ PARTY CONTACTED 1,C!h REDUCED PRESSURE BACKFLOW DEVICE C' DOUBLE DETECTOR CHECK DOUBLE CHECK VALVE ASSEMBLY PRESSURE VACUUM BREAKER r- r SERIAL NO.AM' 2 __SIZE ��L.----- MAKE OF DEVICE /N�s MOOEL 7 6 BY-PASS DATE INSTALLED - �'l METER NO. 0 3Gi" METER READING ` � LINE PRESSURE {¢:PSI PRESSURE DROP ACROSS FIRST CHECK VALVE _PSI LOCATION OF DEVICE --- DIFFERENTIAL CHECK VALVE NO. 1 CHECK VALVE NO. 2 PRESSURE RELIEF VALVE' TEST BEFORE OPENED AT __--PSI `, REPAIRS LEAKED L LEAKED CLOSED TIGHT �. CLOSED TIGHT 9REDUCED PRESSURE PART CLEAN REPLACE PA' CLEAN REPLACE PART CLEAN REPLACE -�� ❑ C ❑ ❑ NEW 11 ❑ ❑ ❑ ❑ cl PARTS ❑ ❑ ❑ ❑ ❑ ❑ AND 0 cl ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ REPAIRS ❑ ❑ � REMARKS: TEST CLOSED TIGHT CLOSED TIGHT OPENED AT _ _PSI AFTER REDUCED PRESSURE REPAIRS 'REQUIRED ONLY ON REDUCED PRESSURE BACKFLOW DEVICE RETURN REPORT TO: TESTED BY �!n � S•-y DATE J� 'w REPAIRED BY _ _ i DATE — W, Lim n/ FINAL TEST BY _ DATE —. µ,are, TESTERS WASHINGTON STATE CERTIFICATION NO. WMTEGUSTOMER RINK 0MCE CANARY.REVORT FILE PACIFIC WATER WORKS SUPPLY CO., INC. a�J 2900 FIRST AVE. SOUTH SEATTLE.WASH.98134 I j ,.1 BACKFLOW PREVENTION DEVICE TEST AND MAINTENANCE REPORT RcPT0i1 FILE NO. FIRM NAME ADDRESSISoa F, V'°LtT MITY iie2+.7� IL-A ZIP V-4;'S� PHONE NO.— PARTY CONTACTED !> Et b— _ REDUCED PRESSURE BACKFLOW DEVICE ❑ DOUBLE DETECTOR CHECK FC DOUBLE CHECK VALVE ASSEMBLY _ PRESSURE VACUUM BREAKER ❑ MAKE OF DEVICE C�,4ZJ--MODEL-7� f SERIAL NO. Lr_3ZY SIZE B BY-PASS DATE INSTALLED_—_--.—METER NO. METER READInG . LINE PRESSURE to-L PSI PRESSURE DROP ACROSS FIRST CHECK VALVE PSI LOCATION OF DEVICE At++ V G !4f CHECK VALVE NO. 1 - CHECK VALVE NO. 2 DIFFERENTIAL TEST PRESSURE RELIEF VALVE' BEFORE REPAIRS LEAKED LEAKED OPENED AT PSI CLOSED TIGHT CLOSED TIGHT y REDUCED PRESSURE PART CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE NEW ❑ ❑ ❑ ❑ ❑ ❑ ❑ c ❑ ❑ ❑ ❑ PARTS AND ❑ ❑ 0 ❑ ❑ ❑ REPAIRS ❑ ❑ ❑ ❑ ❑ ❑ REMARKS: TEST CLOSED TIGHT CLOSED TIGHT i_ OPENED AT PSI AFTER -J REDUCED PRESSURE REPAIRS 'REQUIRED ONLY ON REDUCED PRESSURE BACKFLOW DEVICE RETURN REPORT TO: I�11 TESTED BY -���� — DATE 3—/S' 9/ REPAIRED BY _ DATE rp FINAL TEST BY __ DATE x.R.co aw s..«y mr R'NN Rand 1.l "s 1917 TESTER'S WASHINGTON STATE CERTIFICATION NO. O `/ PMITECUSTOMER PINflCFFICE CANARY-REPORT FILE PACIFIC WATER WORKS SUPPLY CO., INC. 29M FIRST AVE. SOUTH SEATTLE,WASH.98134 BACKFLOW PREVENTION DEVICE TEST AND MAINTENANCE REPORT FILE NO. .__._ FIRM NAME 0/4 ADDRESS 500 £. t/A[G EER�TY1 ZIPaff4f5 PHONE NO. PARTY CONTACTED Y ii b REDUCED PRESSURE BACKFLOW DEVICE LL DOUBLE DETECTOR CHECK DOUBLE CHECK VALVE ASSEMBLY .- PRESSURE VACUUM BREAKER -- MAKE OF DEVICE W/077J MODEL_ -SERIAL NOJ O '7�1 SIZE BY-PASS DATE INSTALLED METER NO9073�22/2 METER READING -_ LINE PRESSURE (2 Z_PSI PRESSURE DROP ACROSS FIRST CHECK VALVE _-_PSI LOCATION OF DEVICE & �AS�+t'�'��- - DIFFERENTIAL CHECK VALVE NO. 1 CHECK VALVE NO. 2 PRESSURE RELIEF VALVE' TEST BEFORE _ REPAIRS LEAKED L.: LEAKED OPENED AT PSI CLOSED TIGHT p5. CLOSED TIGHT ftc' REDUCED PRESSURE PART CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE NEW ❑ ❑ ❑ ❑ ❑ C ❑ ❑ ❑ ❑ PARTS ❑ ❑ ❑ ❑ ❑ ❑ AND ❑ ❑ ❑ ❑ ❑ ❑ REPAIRS ❑ ❑ ❑ ❑ ❑ J { REMARKS: _ t 3 TEST f� CLOSED TIGHT n OPENED AT PSI AFTER CLOSED TIGHT REDUCED PRESSURE REPAIRS I 'REQUIRED ONLY ON REDUCED PRESSURE BACKFLOW DEVICE RETURN REPORT TO: TESTED BY �LL-A-" '�' DATE FAUXREPAIRED BY _ DATE TER VIQ RKS FINAL TEST BY _ DATE _- SWwIg ft w44"Nb$Ifoupy Sm rBn TESTER'S WASHINGTON STATE CERTIFICATION NO. G p y�— WM ,CUSTOMER PMKOFFiCE CANARY REPORT FILE PACIFIC WATER WORKS SUPPLY CO., INC. 29W FIRST AVE SOUTH SEATTLE.WASH.96134 BACKFLOW PREVENTION DEVICE TEST AND MAINTENANCE REPORT FILE NO. FIRM NAME S T�eoA ' LALLL ADDRESSSae Ei Of"ry &JCITY wA _ ZIP 80 S PHONE NO. PARTY CONTACTED M f/h -- REDUCED PRESSURE BACKFLOW DEVICE 'J DOUBLE DETECTOR CHECK DOUBLE CHECK VALVE ASSEMBLY PRESSURE VACUUM BREAKER MAKE OF DEVICE Lu.4T/S MODE) -7O's ERIPASSNO. f 6 3 9y SIZEBY- DATE INSTALLED __ METER NO. METER READING LINE PRESSURE �e 7 PSI PRESSURE DROP ACROSS FIRST CHECK VALVE'_PSI LOCATION OF DEVICE-�►. ticCT '��/'"� DIFFERENTIAL CHECK VALVE N0. 1 CHECK VALVE NO. 2 PRESSURE RELIEF VALVE' TEST BEFORE OPENED AT ----PSI REPAIRS LEAKED LEAKED CLOSER TIGHT CLOSED TIGHT REDUCED PRESSURE s PART CLEAN REPLACE PART CLEAN REPLACE I PART CLEAN REPO CE ❑ ❑ ❑ Ell ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ PARTS ❑ ❑ ❑ ❑ AND ❑ ❑ ❑ ❑ ❑ ❑ REPAIRS ❑ ❑ ❑ ❑ ❑ ❑ REMARKS: TEST I CLOSED TIGHT ❑ OPENED AT ___ PSI AFTER CLOSED TIGHT — REDUCED PRESSURE REPAIRS 'REQUIRED ONLY ON REDUCED PRESSURE BACKFLOW DEVICE RETURN REPORT TO: ,?J � '/ ,/` ,M%'�♦�111C TESTED BY V�—�d�--- DATE .w,I j� REPAIRED BY DATE r, FINAL 1"EST SY _ _ DATE VI ,r, KS — o$y� sen+np mn were wont:I0, S. Iv+' TESTER'S WASHINGTON STATE CERTIFICATION NO. WHITELUSTOM1IER OWDFFICE CANARYAEPORT FILE PACIFIC WATER WORKS SUPPLY CO., INC. 2900 FIRST AVE.SOUTH SEATTLE,WASH 98134 BACKFLOW PREVENTION DEVICE TEST AND MAINTENANCE REPORT FILE NO. FIRM NAME STfd 44 DA,p—� eft-'L f'_- y �+►u�.-.��*-- ADDRESS?SOO F��cVALLLGV l'CITY c�c w� ZIP grL.af5- PHONE NO. PARTY CONTACTED Af REDUCED PRESSURE BACKFLOW DEVICE ❑ DOUBLE DETECTOR CHECK L DOUBLE CHECK VALVE ASSEMBLY ❑ PRESSURE VACUUM BREAKER C-t� MAKE OF DEVICE LUA77S MODEL'Sy —SE SERIAL NO.IALS I3(l7c SIZE 4!l — DATE INSTALLED-----METER NO.C/64 317/2 METER READING LINE PRESSURE(a PSI PRESSURE DROP ACROSS FIRST CHECK VALVE ___PSI LOCATION OF DEVICE R y6 e — DIFFERENTIAL CHECK VALVE NO. 1 CHECK VALVE NO. 2 PRESSURE RELIEF VALVE' TEST BEFORE REPAIRS LEAKED L' LEAKED _ OPENED AT PSI CLOSED TIGHT CLOSED TIGHT REDUCED PRESSURE PART CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE ❑ ❑ ❑ ❑ ❑ ❑ NEW ❑ ❑ ❑ ❑ ❑ ❑ PARTS ❑ ❑ ❑ ❑ ❑ ❑ AND ❑ ❑ ❑ ❑ ❑ ❑ REPAIRS ❑ ❑ ❑ ❑ ❑ ❑ REMARKS: TEST CLOSED TIGHT CLOSED TIGHT 1: OPENED AT --PSI AFTER REDUCED PRESSURE REPAIRS 'REQUIRED ONLY ON REDUCED PRESSURE BACKFLOW DEVICE RETURN REPORT TO: �� TESTED BY f1� ^ n�^"'"'" DATE PAC VI/ T DATE REPAIRED BY _ DATE FINAL TEST BY _ VI rr KS ___ -- Sa•.+p m.W.Wa,'re m+n S. 9r1 TESTER'S WASHINGTON STATE CERTIFICATION NO. WHiTECUSTOMER NWN OFFCE W,ARYAERORT FILE PACIFIC WATER WORKS SUPPLY CO., INC. 29M FIRST AVE.SOUTH SEATTLE,WASH.94133 BACKFLOW PREVENTION DEVICE TEST AND MAINTENANCE REPORT FILE NO, FIRM NAME ✓ALL £ c-l"d ADDRESS2_:FP_P £i A"_C CITY �+,.z�a+'+ ^_ _ ZIP TO SS' PHONE NO. PARTY CONTACTED N E2 REDUCED PRESSURE BACKFLOW DEVICE E DOUBLE DETECTOR CHECK DOUBLE CHECK VALVE ASSEMBLY PRESSURE VACUUM BREAKER �. MAKE OF DEVICE W* ITS MOUE 70 SERIAL NO. ��S1[_SIZE 8 " BYPASS DATE INSTALLED ___METER NO. _METER READING LINE PRESSURE PSI PRESSURE DROP ACROSS FIRST CHECK VALVE _PSI �A .. LOCATION OF DEVICE b.a VOLT ,�r>t�n�r ,'l/ A9-9.1 CHECK VALVE NO. 1 CHECK VALVE NO. 2 DIFFERENTIAL TEST PRESSURE RELIEF VALVE' BEFORE REPAIRS LEAKED LEAKED OPENED AT PSI CLOSED TIGHT CLOSED TIGHT ❑ REDUCED PRESSURE PART CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE NEW SG.rT ❑ g' S�,oT ❑ I� ❑ ❑ - ❑ ❑ ❑ ❑ ❑ ❑ PARTS AND ❑ ❑ ❑ ❑ ❑ ❑ ` REPAIRS ❑ ❑ ❑ ❑ ❑ ❑ R ockS RoC/Cf REMARKS; S TEST CLOSED TIGHT CLOSED TIGHT OPENED AT PSI AFTER REPAIRS REDUCED PRESSURE 'REQUIRED ONLY ON REDUCED PRESSURE BACKFLOW DEVICE RETURN REPORT TO' KTESTED BY � /'T� _ DATE���s�y� CFREPAIRED BY 12n_ is , DATE R VIFINAL TEST BY ir-ll k l,� DATE 3-'s-91 uan < Sang 1 eWe waxy km "Sera 1917 TESTER'S WASHINGTON STATE CERTIFICATION NO. WHITEGUSTOMER PW DFFICE CANARYAEPORT FILE d PACIFIC WATER WORKS SUPPLY CO., INC. 29M FIRST AVE SOUTH SEATTLE.WASH. 98134 BACKFLOW PREVENTION DEVICE TEST AND MAINTENANCE REPORT FILE NO. _ FIRM NAME S T f14A4 PA VAC L F— GAS'r 0.01.44Fy ADDRESS? �VO0 CITY ZIP 2 k os" PHONE NO. , 1 PARTY CONTACTED REDUCED PRESSURE BACKFLOW DEVICE ❑ ,r n z9 DOUBLE DETECTOR CHECK ❑ DOUBLE CHECK VALVE ASSEMBLY 09 PRESSURE VACUUM BREAKER ❑ MAKE OF DEVICE �`4 3 _MOQEE SERIAL NO. 1 3 3!5_SIZE /�— BY-PASS � c_ DATE INSTALLED. METER NO. METER READING LINE PRESSURE PSI PRESSURE DROP ACROSS FIRST CHECK VALVE _PSI LOCATION OF DEVICE _N G'_.-y''"�YL_.[�j__L�� CHECK VALVE NO. 1 CHECK VALVE NO. 2 DIFFERENTIAL TEST PRESSURE RELIEF VALVE' BEFORE REPAIRS LEAKED LEAKED ❑ OPENED AT CLOSED TIGHT � CLOSED TIGHT REDUCED PRESSURE PART CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE NEW ❑ ❑ ❑ ❑ ❑ ❑ PARTS ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ AND ❑ ❑ ❑ ❑ ❑ ❑ REPAIRS ❑ ❑ ❑ ❑ ❑ MARKS TEST CLOSED TIGHT CLOSED TIGHT LI OPENED AT PSI AFTER SS , REDUCED PRESSURE REPAIRS 'REOUIRED ONLY ON REDUCED PRESSURE BACKFLOW CEVICE RETURN REPORT TO: //''__�� KTESTED BY �"O�1 .�L.�'_ DATE 7- 1 7�7„L REPAIREC 4Y _. _ DATE FINAL TES BY DATE do <c Nc .swAv ow Wa ov M btPoy ate 1911 TESTER'S .VASHINGTON STATE CERTIFICATM NO. C WHITECUSTONIER PINKti.TICE CANARYAEPOPT FILE PACIFIC WATER WORKS SUPPLY CO., INC. 29M FIRST AVE.SOUTH SEATTLE,WASH.98134 BACKFLOW PREVENTION DEVICE TEST AND MAINTENANCE REPORT ✓c FILE NO. . ` FIRM NAME 1 7I•N �.� �f (SAL L Cr rl.t,,.yG�r Gr+y/ �t, a'suFy/� � p ADDRESS' - ' _ CITY /[�+�a"'� ----- ZIP 9�re3'S PHONE NO. PARTY CONTACTED -. REDUCED PRESSURE SACKFLOW DEVICE DOUBLE DFTECTOR CHECK ❑ DOUBLEJCHQCK VALVE ASSEMBLY PRESSURE VACUUM BREAKER c� ❑ MAKE OF DEVICE fd /� rI S MODEL 2ej cq/SERIAL NO. ..Z`Ly-SIZE . BY-PASS DATE INSTALLED _METER NO.--.METER READING LINE PRESSURE PSI PRESSURE DROP ACROSS FIRST CHECK VALVE _PSI LOCATION OF DEVICE 6/4 �.Z !� c 0'- /, �� oC CHECK VALVE NO. 1 CHECK VALVE NO. Y DIFFERENTIAL TEST PRESSURE. RELIEF VALVE' BEFORE — -- REPAIRS LEAKED ❑ LEAKED _. OPENED AT PSI CLOSED TIGHT . CLOSED TIGHT 1'r- REDUCED PRESSURE PART GLEAN 'REPLACE PART CLEAN REPLACE PART CLEAN REPLACE NEW L_ LJ \ i;•`. ❑ ❑ ❑ ❑ El 1 PARTS AND ❑ \Y q.T ❑ ❑ ❑ ❑ REPAIRS �.. MARKS TEST CLOSED TIGHT CLOSED TIGHT tJ OPENED AT --PSI AFTER =�-- REDUCED PRESSURE REPAIRS V j _ 'REQUIRED ONLY ON REDUCED PRESSURE BACKFLOW DEVICE RETURN REPORT TO: LL PACFICTESTED BY i--)Lr y ..!\..-�%/ — DATE Z"1?�7 i T�� REPAIRED BY DATE i FINAL TEST BY _. __._.._ _ ___.___-__ DATE VI Q ,,.K t Swwy ma mw wars m 8"S" .977 TESTER WASHINGTON STATE CERTIFICATION NO. WHITECUSTWER PINK{KFICE Ck"RYAEP RT FILE PACIFIC WATER WORKS SUPPLY CO., INC. 2900 FIRST AVE. SOUTH SEATTLE WASH 98134 BACKFLOW PREVENTION DEVICE TEST AND MAINTENANCE REPORT e✓ FILE NO. - FIRM NAME r� T ADDRESS 2i00 'L • U9c[ FY PCITY ZIPS trOS_ _ PHONE NO. PARTY CONTACTED NEL.b REDUCED PRESSURE BACKFLOW DEVICE ❑ ' DOUBLE DETECTOR CHECK ❑ DOUBLgHI CK VALVE ASSEMBLY I7 PRESS04_) tUM BREAKER MAKE OF DEVICE MODEL- .°-1_aj—___SERIAL NO. L37 R/Y SIZE �1- ---- BY-PASS DATE INSTALLED-- --METER NO.--- -.----METER READING LINE PRESSURE f'i�991 - PRESSURE DROP ACROSS FIRST CHECK-VALVE _PSI LOCATION OF DEVICE .�y.r_. I DIFFERENTIAL CHECK VALVE NO. i CHECK VALVE NO. 2 PRESSURE RELIEF VALVE' TEST BEFORE '"" OPENED AT PSI REPAIRS LEAKED ,.�! L�AKED - - CLOSED TIGHT ,� CLOSED TIGHT � REDUCED PRESSURE — PART CLEAN iIE LACE PART CLEAN .'REPLACE PART CLEAN REPLACE ,L I " El ❑ ❑ NEW LJ �/ 4 ❑ ❑ ❑ PARTS - ❑ LJ ❑ El ❑ J '....,.L ❑ ❑ ❑ AND ❑ I ' JL.. REPAIRS ❑ ❑ �ll �ij�� ❑ ❑ REMARKS: TEST CLOSED TIGHT CLOSED fGHT 1� �� OPENED AT PSI ARER REDUCED PRESSURE REPAIRS 'REQUIRED ONLY ON REDUCED PRESSURE BACKFLOW DEVICE RETURN REPORT TO: i �� TESTED BY �� ._-- �1 DATE Z. DATE _ \ R REPAIRED BY - __ _- FINAL TEST BY DATE rvQn. water Waxy ft.W"%,xti 1-17 TESTER'S WASHINGTON STATE CERTIFICATION NO, Qif-�� WHITE-CUSTOMER PINKDFFICE CANARYAEPURT FILE U.S. $ANK EFFECTIVE DATE: APRIL 5, 1990 1,ETTER OF CREDIT NO. : S080668 EXPIRATION DATE: MARCH 31, 1991 TO: FROM: CITY OF RENTON U.S. BANK OF WASHINGTON, FINANCE DIRECTOR NATIONAL ASSOCIATION 200 MI-L AVENUE SOUTH 1414 4TH AVENUE, 5TH FLOOR RENTON, WA 98055 SEATTLE. WA 98101 4 . (206) 587-7049 DEAR CITY OF P.ENTON: WE (THE "BANK") HEREBY ESTABLISH, AT THE REQUEST AND FOR THE ACCOUNT OF ANMARCO, 9125 LOTH AVENUE SOUTH, SEATTLE, WA 98108 (THE OWNER) , IN YOUR FAVOR THIS IRREVOCABLE STANDBY LETTER OF CREDIT NUMBER 5080668, IN THE AMOUNT OF ONE HUNDRED EIGHTY THOUSAND U.S. DOLLARS ($180,000.00) , TO INSURE PAYMENT OF TRAFFIC MITIGATION FEES FOR THE PROJECT KNOWN AS "STRADA DA VALLE" (SA-058-87 AND ECF 053-87) PURSUANT TO THE FINAL VALLEY TRAFFIC MITIGATION PROGRAM TO BE ADOPTED BY THE CITY COUNCIL OF THE CITY OF RENTON. THIS LETTER OF CREDIT SHALL BE EFFECTIVE IMMEDIATELY AND SHALL EXPIRE MARCH 31, 1991. WE HEREBY IRREVOCABLY AUTHORIZE YOU TO DRAW �N (IS BY DELIVERING TO US IN ACCORDANCE WITH THE TERMS AND CONDITIONS HEREOF, YOUR SIGHT DRAFT OR DRAFTS, WITH EACH SUCH DRAFT ACCOMPANIF, BY YOUR SIGNED AND DATED STATEMENT DETAILING THE REASON FOR THE DRAW- DOWN, IN AN AGGREGATE AMOUNT NOT EXCEEDING THE AMOUNT SHOWN ABOVE. MORE THAN ONE DRAFT MAY BE PRESENTED SO LONG AS THE ENTIRE AMOUNT OF SUCH DRAFTS PRESENTED I' CONNECTION THEREWITH DOES NOT EXCEED THE AMOUNT AVAILABLE HEREUNDER. EACH DRAFT AND CERTIFICATE PRESENTED HEREUNDER MUST BE DATED THE DATE OF PRESENTATION TO THE BANK. ANY DRAW-DOWN PRESENTED PRIOR TO 10:00 A.M. WHICH IS :N FULL COMPLIANCE WITH THE TERMS OF THIS LETTER OF CREDIT WILL BE HONrPvL BY OUR PAYMENT TO YOU OF THE DRAFT AMOUNT BY WIRE OF IMMEDIATELY AVAILABLE FUNDS FOR THE ATTENTION OF THE SPECIFIED BY YOU IN SUCH DRAFT, NO LAMER THAN 1:00 P.M. ON THE BUSINESS DAY COINCIDENT WITH THE DATE OF PRESENTATION OF SUCH DRAFT. ANY SIGHT DRAFT SO PRESENTED AFTER 10:00 A.M. WILL BE HONORED NO LATER THAN 11:00 A.M. ON THE BUSINESS DAY NEXT SUCCEEDING THE DATE OF PRESENTATION OF SUCH DRAFT. DRAWINGS MAY BE MADE 'INDER THIS LETTER OF CREDIT IN ACCORDANCE WITH THE TERMS HEREOF. MORE THAN ONE DRAWING MAY BE MADE UNDER THIS LETTER OF CREDIT AS DESCRIBED AHOVE. ** THIS PAGE 1 FORMS AN INTEGRAL PART' OF CREDIT S080668 ** J �sawr s ru A U.S. Bancorp Company I U.S. $AIVK ANY PRESENTATION UNDER THIS LETTER OF CREDIT MUST BE MADE AS HEREIN SPECIFIED TO THE LETTER OF CREDIT OFFICE OF THE BANK. THIS LETTER OF CREDIT IS SUBJECT TO THE UNIFORM CUSTOMS AND PRACTICE FOR DOCUMENTARY CREDITS OF THE INTERNATIONAL CHAMBER. OF COMMERCE, PUBLICATION NO. 400 (THE "UNIFORM CUSTOMS") AS IN FORCE ON THE DATE OF ISSUANCE OF THIS LETTE.n. OF CREDIT. THIS LETTER OF CREDIT SHALL BE DEEMED TO BE A CONTRACT MADE UNDER THE LAWS OF THE STATE OF WASHINGTON AND SHALL, AS TO MATTERS NOT GOVERNED BY THE UNIFORM CUSTOMS, BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE, INCLUDING WITHOUT LIMITATION THE UNIFORM COMMERCIAL CODE OF THE STATE OF WASHINGTON (THE "UCC") IN THE EVENT OF A CONFLICT BETWEEN THE TERMS OF THIS LETTER OF CREDIT AND EITHER OF THE UNIFORM CUSTOMS OR THE UCC, THE LETTER OF CREDIT SHALL CONTROL. AS BETWEEN THE UNIFORM CUSTOMS AND THE UCC, THE UNIFORM CUSTOMS SHALL CONTROL. ANYTHING TO THE CONTRARY IN ARTICLE 45 OF THE UNIFORM CUSTOMS NOTWITHSTANDING, 'THIS LETTER OF CREDIT IS INTENDED TO REMAIN IN FULL FORCE AND EFFECT UNTIL IT EXPIRES IN ACCORDANCE WITH ITS TERMS. �7 FOR RENTON: FOR THE BANK: SIGNATURE: SIGNATURE* NAME: NAME: , TITLE• TITLE• TELEPHONE: TELEPHONE: ** THIS PAGE 2 FORMS AN INTEGRAL PART OF CREDIT S080668 *+ 16.,Ns vae A U.S. Bancorp Company SPEED LETTER 4� 1 is SUBJECT: \"gj • • i Al .:� a ■■i"ill■ , r � � KCM 1 . r L`,1 FJA CITY OF RENTON No.N° 27431 UTILITY ENGINEERING ♦ ♦ 200 ,ILL AVENUE SOUTH RENTON, WA 98055 �,�•�,�� PHONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION dttounI Na. Meter Charge 5 — Work Order No. 8/ la Less Stub Service Credit Down Payment 30 Sundry Sale No. System Development Charge NO, P- MO In City Yesj No Late-Comers (City) _ On Sewer Yes No (Others) 1 Water Usage: Residential ❑ Comme'cial I ,dustri.1 TOTAL FEE Othe• ___ 1 INSTALLATION:( Meter Size 1 /Z. INCH DQNEIYW Size SerYice Temporary Hydrant Meter Y,s No Meter Make Sewage Exempt Meter Yes No% Meter No. Fire Protection Service Yes No Date Installed a Comments: 211E1V Inymity 6Y 4alIIA[ca Service Address 2350- �• qku l Ru. Rk% `A FktBS DQCD -I ale MpiEA pA by _ Legal Description S"d.BAn& -t�lim" IM Ill = 3OZ3 I)I; q 103 (�ilITt11L9 LEdIIE. l'k+ g; GIC Sip ag ¢ —_— CROSS CONNEr' CONTROL: Backflow, Protection Device Require! Yes❑ No® If Yes, Type of Device: Reduced Pressure Backflow, Device M Double Check Valve Assembly Air or Pressure Vac Breaker Make of Device Model Serial No. Size Date Device Installed Meter No. File No. owner's Name ANM AIR CO rnone 76Z -qu5 Add,." g125 10 M1E y city so",ii State WA zip g8108 Contractor's Name 6-A" MEC.U110 (BLAST ^gone Address 4A125 to Is kF 30 C,ty$EMRF state WA zip 11lod Area Served by Renton Water Seattle Water Seattle Water Code No. Temporary Service Agree Marc Yes No® If Yes, Agreement Recording No. Service to be Located oa an Easement Yes Cg No If Yes, Easement Recording No AI.1041 Is There an Existing Siub Service Yes R No M If Yes, Water Project No. W- 1041 Existing Late-Comers A,,reement Yes❑ No If Yes, Agreement No. In Favor of Address City State Zip Charge S System Development Fee Yes$2 NO[:] If Yes, System Develdpmen[ Fee Based on 4.102, ai 6 4 quare .at No P-7510 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 REN70N'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 TH U HAS A D SALE OF WATEr THIS IS IN ACCORDANCE WITH CITY OF RENTON NTON ON CODE, CHAPTER 2, SECSJ.0.!y-703. White - Utility Billing Iatme-bi Ltumel oR gel.t — Yellow - Engineering � Q Pink - Mate. Shop � first p Y1i- 1 1 Gold - Customer Cty 6 Kenton wing Agent O*" v CITY OF RENTON No.N? 27421 UTILITY ENGINEERING 200 MILL AVENUE SOUTH RENTON, VA 58055 PHONE: 235-2631 ORDER jR WATER SERVICE INSTALLATION Account No. Meter Charge S _ Work Order No. 87101 Less Stub Service Credit Cy Do. PPaymentP undry Sale No. System bevelopment Charge Mb P- 75 In City Yes No late-Comers (City) (Others) Or tier Yes No $ 300n� /'1♦n l Voter Usage: Residential � Commercial � Industrl al TOTAL FEE Other LANOSGAG INSTALLATION: Meter Size% VL 1NCh 14-16Ai1CW Size service Temporary Hydrant Meter Yes kO K Meter Make Sewage Exempt Meter Yes No C1 Meter No. Data Installed Fire Protection Service Yes No SZ'EIfL + ItS�fA1N 8Y GTAT( r��r� 1,A��(� �{I(�v u Comments:NC�E0. Service Address Z 50�-��0pi•Q1%nL "�"' A D 04�1--I ID' ti�L' 6S Ca( Legal Description CAMAC � 0A `j TAx ,!let tic•. 30 2 3 05 q 103 g a -- �Us*l, N sisc 3!10el If ves, Type of Device: 7+ CROSS CONNECTION CONTROL Bac kflow Protection Device Required Yes® No❑ l Vac Breaker Reduced Pressure Backflow DeIlCe DOI.le Check Valve Assembly® Air or Pressure Model Serial No. Size Make Of Device File No. � Date Device Installed Meter No. 'Jr Phone 761- Owner's Name �� rya- •k Address q+25 _ M City CLAKA— State �, , nZi1dA l" N� 0 awSf PNDne 762 gItfp Contractor's Name �_ R81� 911 10TA M City SttE Slate s Zip Address Area Served by Renton Water g Seattle Water Seattle Water Code No. Temporary Service Agreement Yes No® If Yes, Agreement Recording No. Service to as Located on an Easement Yes No If Yes, Easement Recording No. 10 i Is Therr, an Existing Stub Service Yes® No If Yes, Water Project No. W- Existing Late-Comers Agreement Yes No 5g If Yes, Agreement No. In Favor of Address _ City State zip Charge S pM C,^ System Development Fee Yes� No rl If ves, System Development Fee Based on'�f�SR ` W 7sW THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY 1'HE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RE.NTON'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 A SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER z, S -203. / net :, o en De gzi �e White - Utility Billing �r B 1— —qI Yellow - Engineering Cs Pink - Water Shop fFfa� l r/E1Y Gold - Customer �tt U CITY OF RENTON L A UTILITY ENGINEERING No.N° 2741, • • 200 MILL AVENUE SOUTH RENTON. WA 98055 PHONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account 4.. 1 Meter Charge $ g Work Order No. 6! IdI less Stub Service Credit Down payment Sundry Sale No. System Development Charge In City yes No❑ Late-Carers (City) On Sewn Yes No❑ (Others) Water Usage: Vesidential ❑ Commercial l,X Industrial ❑ TOTAL FEE 5 d� I1M Othx- Meter Size I42 tNCit 17G11p$, i1(, INSTALLATION: Si.. Service Temporary Hydrant Meter 4s ❑ He® Meter Make _ Sewage Exempt Meter Yes L NO® Meter MO. Date Installed Fire Protection Service Yes ❑ i'+ Ccmnents: j(jNIE? 47y i nN:l'es C. (M,I ' Service Address 2'lSt1• E• V�fti (� dll.� iMyr jnk S{ re'n�T Legal Description STMls 0A_ 'JAUF -tttro ncE:t.rr �0 2�os g►03 sego Lucile, 04 ghey- swe° g o CROSS CONNECTION CONTROL: Be ✓lo. Protection Device Required Yes❑ No ja If Yes, Type of Device' Reduced Pressure Backfiow Device❑ Double Check Valve Assembly❑ Air or Pressure Vac Breaker ❑ Make of Device Model Serial No. Size Date Device Installed Meter No. File Mo..t Owner's Name 9_"h W sy�� Phone �� 1(2s, 1 Address 4 O W 'F1 � City �hlZs i-. State 01 zip 921o? Contractor's Name 1 *"2 `�'1-IIC `�'•' phone 76'L'RIZi- Address 1�_. Ut Artie _ City State U}} zip qR 10f _ Area Served by Renton Water® Seattle Water❑ Seattle Water Code W. Temporary Service Agreement Yes❑ No Ig If Yes, Agreement Recording No. Service to be Located on an Easement Yes 1n No❑ if Yes, Easement Recording No.W_IO_1 Is Thera an Eaisting Stub Service Yes ® pNo❑ If Yes, Water Project No. P- Existing L m Late-Comers Agreement Yes ❑ to No If Yes, Agreement No. In Favor of Address C 1 ty State Zip ��L Charge 5 System Development Fee Yes No❑ If Yes, System Development Fee Based on 244�OL 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 SMALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER 15 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, Ana ut¢ geMt u¢ white - Utility Billing o, v... oA Pella. - Engineering Pink - Water Shop �S --��- CRId - Customer Z.�to Renton-Tui tT—Mzutg Agent+ 0-4 "" CITY OF RENTON NO,N° 27401 UTILITY ENGINEERING 200 MILL AVENUE SOUTH RENTON, WA 98055 PNONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account No. Meter Charge 5 _ Mork Order No. 27 01 Less Stub S Ice Credit Down Payment 4y Sundry Sale No. System Development Charge In City Yes fA No Late-Comers (City) ` (Others) On Sewer Yes[] NO Voter Usage: Residential El Commercial [V Industrial GI TOTAL FEE S Other UhiD$CAPE -�RF C4MrlCt� INSTALLATION: Meter Size 1(E�z'2M IRPY-1 filhfi'o1� Site Service Temporary Hydrant Meter Yes ❑ No Meter Make Sewage Exempt Meter Yes ® No New No. ^ Date Installed Fire Protection Service Yes LJ No v y �_ 1t_ � e Comments: L'h+IVfty=t /(trrtd a[Ilr ImV I�zl_yJ Service Address 271 Snn/aa'nn �. UdUO'f f[RNa(}.l� m:2d% -A4 S-s..sYw -1 ri maYA, t— Leaal Description • A C J A«E A F �— -tND Mcecrr i �o2aas G�o3 4<f pole CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes K No❑ If Yes, Type of Device: Reduced Pressure Backfluw Device 71 Double Check Valve Assembly fe Air or Pressure Vac Breaker Make of Device _ Model - Serial Wo. Size Date Device Installed Meter No. File No. s Owner's Name AshKce Phone 704' IIGJ �s ,----- Aeareae9125- 1 N - 5—. city ,Ea state l! np46lOF Contractry 1{C4UftC GPN>i' Phone Address 91251 IA 11. All GD City �tia si State utf%, Zip Area Served of Renton Water It Seattle water Seattle Water Code IN Temporary Sa.+ice Ar,ree.e Yes No A if Yes, Agreement Recording No. f Service to be Located on an Easement Yes W No❑ If Yes, Easement Recording No. W'16— l Is There an Existing Stub Service Yes Q@ No 71 If Yes, Water Project No. W- Esisting Late-Comers Agreement Yes No tg If Vas, Agreement No. - In Favor of Address City State Zip Charge S p�y��, Svvtem Development Fee Yes W No If Yes. System Development Fee Based oro"+6n �� Square Feet NO ':HE 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,, SSEE'CCTII�ONN,3-203. }. Mite - Utility Billing q e Yellow - Engineering . , Pink - Water Shop Rte Gold - Customer — c,ly cp entpn ut cu:mg gent CITY OF RENTON No, N? 2738, �. UTILITY ENGINEERING -- ♦ ♦ 200 MILL AVENUE SOUTH RENTON. VA 98055 PHONE. 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account No. Meter Charge B7�O' LISS Stub Service Credit Work Order No. Do,e` Payment . L ;3Q(\M Sundry Sale No. Svstem Development Charge N, 7560 In City Yes� No Ldte-Comers (City) i✓• - (others) On Sewer Yes No❑ S 3fi0<y TOTAL FEE Water Usage: Residential ❑ Conme:cial Industrial Lj Other .`' INSTALLATION: Meter Size INICA DTMCY e/ Size service Temporary Nfdrant Meter yes Non C Meter Make Sewage Exempt Meter Yes G1 No ® Meter No. Date Installed Fire Protection Servl��<e Yes ,�1 u1sfooWR y Cortments:Y.f_2 ssf- — i s �psJ7ylq/ Service Address Z3r Legal Description N"Mh b2% NI 7ft lee 3D23A5 g103 Ag CROSS [ONNELt I9'. CONTROL: Backflow Protection Device 0.putred Yes CD No If Yes, Type of Device: Reduced Pressure Ba<kflow Device Double Check Valve Assembly Air or Pressure Vac Breaker Model Serial No Size Make of Device _ File No. Data Device Installed Meter No. Au"CEO Phone 7(2- owner's Name —� State .1�_ ZIIs Address QIU- M � F City ,`^ Phone Contractors Name Address 91�J I) K Ma �• city sate q;n zip f ICa Area Served by Renton Water Sea tie Water U Seattle Water Code No. Temporary Service Agreement Yes me 0 if Yes, Agreement Recording No. ..0 Service to be Located on an Easement yes k5 No❑ if Yes, Easement Recording No.W"W��M Is There an Existing Stub Service Yes$3 No if Yns, Water Project No. Y- Existing Late-Comers Agreement yes No rjj� If Yes, Agreement Me. In Favor of __ Address City State Zip __ Charge S System Daveiopna n[ Tea yes 14 No If Yes. Svsta, Dev0oonent Fee Bated on 244,6(t�. _.—Souare Feet PMD- THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY HATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN AC CORDaNCE WITH THE CITY Of TTRENON'SHET WATERS ISE TTOL BE USEOT NOTED HEREON ANOO TOIME TO CONFORMIME BE TO AND ASIDE BY THE CIC R THE Y OF RENTONt'SPOSE RULES AND WHICH AND REGULATIONS IN FORCE, RELATING TTTOO�T HHi PPUURRCHAASSE/1 imD SALE CA WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 3-203. oklge White - Utility Billing Yellow - Engineering d ut Geld Customer Pink - Vatar Shop - L"i.ty ag R.tpn u.s tpM.a_axu g¢n ;�1 O CITY OF RENTON UTILITY ENGINEERING ND,NeO 27391 ♦ ♦ 200 MILL AVENUE SOUTH .r. RENTON, WA 98055 PHONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account No. 1 —� Meter Charge S _ Work Order No. ol Leas Stub Service Credit Down Payment Sundry Sale No. System Development Charge Mb r•75Eo In City yes ] No Late-Canars (City) _ On Sewer Yes Nn® (others) -� Water Usage: Residential Comwer,!a! W industrial TOTAL FEE S 30cl lA Other wTY ZMe IgAAlgloj INSTALLATION: M rys�.� aa,.;g--11 Meter Size ,Yy ,aavt VTcstCM Size Ser.ice Temporary Hydrant Meter Yes No® Meter Make Sewage Exempt Meter Yes® No u Meter No. Date Installed Fire Protection Service Yes CD No® �vv e ° Comments: m,.r� sea4P\ ,1Rad' Service Address 23�jp UnuN Q Wow• G __ Legal Description �YAa�A t�_AU Qb3D 4N 3o23e5 gIB3 —.e-9ntr4rte CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes® Mt,❑ If Yes, Type of Device: ^ Reduced Pressure Baekflow Device L� Double Check Valve Assembly® Air or Pressure Vac Breaker INate o1 Device _ Model ___ Serial No. Size Date Device Instailed Meter No. File No. Owner's Name 0 Phone -M- ILS Address 0 M ° n State Lam. _ zip _4RIQ8 Contractor's +HEX N at$C Phone Address • '�� W JN J City State Luz� — zip Area Served by Renton Water Seattle Water Seattle Water Code No. Temporary Service Agreement Yes No® If Yes, Agreement Recording No. ,a Service robe Located on an Easement Yes Y No� s If Yes, Easement Recording No. w,Wg', Is There an Existing Stub Service Yes N No If Yes, Water Project No. W- j Existing Late-Comers Agreement Yes 0 No In If Yes, Agreement No. In Favor of Address City State Zip ��,,Mt�� '^ 7`Chargg/t/ e $ System Development Fee yes)g No If Yes, System Development Fee Based on24±4 40L 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 CI Ty OF RFNTON'S SCHEDULE OF RATES WP.ICM SHALL FROM TIME TO TIME SE LEGALLY IN EFFECT FOR THE PURPOSE F00. WHICH THE WATER IS TO BE USED NOTED HEREON, AND TO :ONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE, RELATING TO THE PURCHAb[ AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CIiY OF RENTON CODE, CHAPTER 2, SECTION 3-203. ' xgnatute D odt drt er< . C White Utility Billing Yell. - Engineering V A./ 1 -1-q Pink - Water Shop �iR� Is' — Gold - Customer sty a entun a mu_tn4 en et¢ C t O CITY OF RENTON No. ,I L UTILITY ENGINEERING ND.N? 2749 ! ♦ 200 KILL AVENUE SOUTH RENTON, WA 98055 PHONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION Accou.tt No. �p Meter Charge $ NI L Work Order No. 8710� Less Stub Service Credit Do. Payment Sundry Sale No. I System Development Charge I . City Yes I& No IVI Late-Comers (City) On Sewer Yes tb U (Others) i Water Usage: Res identtiiael Commercial LV Industrial TOTAL FEE S N,L Other rKe PQA'TECrfN INSTALLATION: neter sire , 11 bl- VASi HQ(t11. CN �h MMu Ul1E' Size ServiceTemporary Hydrant Meter Yes No L Meter Make _ Sewage Exempt Meter Yes No Meter No. _ Fire protection Service Yes No Date Installed ��zzss /s Co.mronts: A DC1.'.11 lh ;,V.'r4 slit"�tR�itLY � �v Service Address 27Jy Fi �hut"t QQ 61di e`t, �1lkktt�RA M` .S01f 1�t'd (fBssr�v�-- Legal Description k9�QA UMIr h*p U(C 3C3 23 D' 4te3 _ Sqnatute CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes No If Yes, Type of Device: Reduced Pressure Backflow Device 06fk• Double Check Valve Assembly® Air or Pressure Jac Breaker Make of Device Model Serial No. Site Date Device Installed Meter ho. File No. Own,"s Name � p _ --- PMp« 7C2 -4115 Ad,. .,s9125- /6aVk1" hgtM �S._ city State �{9_ Zip IOA_ Contractor's Name 6Y� FN.W�i It Phone sswmD Address Q17J' ^ t4* {kk Q City 90aKeState WC111 zip tyy Area Served by Reston Water in Seattle Water Seattle Water Code N,. Temporary Service Agreement Yes No M If Yes, Agreement Recording No. M Service to be Located on an Easement Yes 54 No If Yes, Easement Recording No.I,,W-1041 Is There an Existing Stub Service Yes lit N01�0 if Yes, Water Project No. W- Q 41 Existing Late-Comers Agreement Yes No 12 If Yes, Agreement No. In Favor of Address City State — Zip Charge 5 System Development Fee Yes Yd No If Yes, System Development Fee Based oa PMD - E S16 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 IFrALLY IN EFFECT FOR THE PURPOSE FOR AHICH THE WATER 15 TO BE USED NOTED HEREON, AND TO CONFORM TO AND lE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WA I. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 3-203. '3�ud KcTckesc*1 �R qfDate__-- White - Utility Billing gn0.tn:¢ o met of Agera v xe Yellow Engineering ) -s_r - /air_n Pink Water Shop Nwsasav Q,ptfsYl,/ Gold - Customer C'tJ as ¢n—'-R tend. iot,_,ng g" ¢ ME \C� O CITY OF RENTON ,ND V A UTILITY E NGINEERING A O 2750 , ♦ ♦ 200 MILL AVENUE SOUTH RENTON, WA 96055 PHONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account He. Meter Charge S m'7 Nw Work Order No. p /IC'1 Less Stub Service Credit Down Payment Sundry Sale No. System Development Ceerge PAM P- 7560 In City Yes No Late-Comers (City) — On Sewer Yes He (Others) — Water Usage: Residential 0(�Commercial ® Indus* �al El TOTAL FEE S 0 Other bee p4gricir F. S �tN�Y.���� /�� INSTALLATION: Meter Size[,,61-Yts.Y (W Bit t"I R� PTCi CI I+ "AINI Size Service Temporary Hydrant Meter Yes ❑ No® Meter Make Sewge Exempt Meter Yes ® No❑ Meter No. Fire Protection Service Yes g No Date Installed m /J 1f GG W Conents:IyAtle is 1T y41h In {TmY t�Bll� Service Address %�77L C IIAU ED 1�IQ/. q Su,D�TG(d -1, ',Mg"da S•1 &Wyf¢(It( Legal Description S-%WA DA VAur; �"— TAR ILT 3 CS- q 10 3 _ � A CROSS CONNECTION CONTROL: Backfiow Protection Device Required Yes ® No If Yes, Type of Device: Reduced Pressure Backflow Device DET Double Check Valve Assembly® Air or Pressure tac Breaker G Make of Device Model Serial No. Size Date Device Installed No. /� No. File No. Owner's Name A�MA1k Ekl �� yyy�� Phone 7�2 - ch24 Address City 1 'L�` tss—uk^ State Ida zip Cl RIOF_ Contractor's 1'1E: l� tm T Phone Address 9115, IA iM Mir Sr City - state 4 _ Zio Area Serveo by Renton Water In Seattle Water Seattle Water Code No. Temporary Service Agreement Yes No LYs If Yes, Agreement Recording No. n� �,.,_(F.. Service to be Located on an Easement Yes 0 No� If Yes, Easement Recording Nc.1U'IV41 Is There an Existing Stub Service ves C5 No If V.S. Water Project No. 'I_ Existing Late-Comers Agreement Yes I] No JE If Yes, Agreement No, In Favor of Address City State Zip __ Charge System Development Fee Yes W No rl If Yes, System Development Fee Based orftA 7 P-AaO Sauuaar Ceat 7` � THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTEn 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. SMALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER 15 TO BE USED NOT-I HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON's RULES AND REGULATIONS IN FORCE, RELA1 ,G TO THE PURCHASE AND SALE OF WATER. THIS 15 IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 3-205. White - Utility Billing 9n¢ a o, ie'. 02 g¢nt aft Yellow Engineering �t✓ 1 9 (11 Pink - Water Shop Gold - Customer ab. enron ut ang Agentat. CITY RENTON UTILITY OF ENGINE No,N? 27511 L T UTILITY ENGINEERING ♦ / ♦ 200 MILL AVENUE SOUTH RENTON, VA 98055 F�C`� PHONE: 235-2631 ORDER FOR WATER SERVICE .NSTALLATION Account No. s Nu Cr q Meter Charge Work Order No. pZ ��f Less Stub Service Credit pave Payment Sundry Sale No, System Development Charge rnb Q.7C In City Yes® NoU Late-Comers (City) On Sewer Yes ❑ No ag (others) Vac.- Usage: Residential ❑ Canme�rcial 1, Industrial ❑ TOTAL FEE $ N�(/ Other awft�`,PQSQ Ieir t�^ Meter Size'Li A7-PIt'SS C)J Q U fik MMN INSTALLATION: V Size Service _ Temporary Hydrant Meter Yes ❑ Nu Meter A. Sewage Exempt Meter Yes Co No❑ Meter No. Fire Protection Service Yes ® No❑ Date Installed r� CC ,�11 V e 1 + commnnts:.'rik1P+ K in Y1 I n Yhl i Yc L Service Address 2W'- c oufy Qu '614 1-, Suranl:W� Yt w3 IAM7 al SE Y19ef,w Legal Description Sl ,1,0_DA V1511C V tOy tf al 3tY23a; -cilo3 Signatuote _. CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes tg No ❑ If Yes, Type of Device: Reduced Pressure Backflow Device❑ QK. Double Check Valve Assembly❑ Air or Pressure sac Breaker ❑ Make of Device Model Serial ft. Size _ Date Device Installed Meter No. File No. Owner's Neme N P, 'r+ hIon^e -762 -q►Zf Addr-: �.`1 s- So City w State _— Zip!12108 Contractor'slNameNCY Cj„S'j Phone Address 41 y" (C ♦h �tV{: SD. City _ State WA Zip qw? Area Served by Penton WaterK Seattle Water❑ Seattle Water Code He - - Temporary Service Ayreement Yes ❑ No g if Yes, Agreement Recording No. _ ,,1 Service to be Located on on Easement Yes)n No❑ If Yes, Easement Rer. ng No.W-1C41 Is There an Existing Stub Service Yes L4 rNo❑ If Yes, Water Project No. W- Existing Late-Comers Agreement Yes ❑ No LY If Yes, Agreement No. In Favor of \ddress City State Zip az_ Charge $_ System Development Fee Yes K No❑ If Yes, System Development Fee Based on P1NVy„t V'7560 Square fiO THE UNDERSIGNED SUBSCRI R REQUESTS THE C11Y OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE TF.c 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 %MICM THE WATER 15 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. T41S IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 3-20- '&I/w I c 1'3-4, White - Utility Billing 1 gna U't¢ p, nea Ca y¢wC e Pink - Water Shop ` Gold - Customer 7V L"'J p6 n eAZ-9 gem n t PUBL.0 WORKS UEPARTMLNT 1 O ENGINEERING DIVISION V1 �� C17Y OF REN'-ON, WASHINGTON �� PERMIT "w�9 APPLICATION ONLY - UNTIL VALIDATED NUMBER p7�j/pv Owner Location of Work !>r-�+.pA rfb ALJ-IG Address ql -1-s 1 v-I- ,A-4 F 5 - A. INSPECTIONS �`c�'� FEES 5A+1 —J'S iL'fC�v^ � CONSTRUCTION Sanitary Sewer/Storm Water Permits rUc�,cc Right-of-Way Construction PERMIT Right-of-Way Inspection Fee: 1 2 4Z (Public Right-of-Way) Water Inspection/Approval Fee Special Utility Connection Fee, Water Water Latecomer Fee A Special Assessment District, Water -98 F ate Issued Sewer inspection/Approval Fees O Special Utility Connection Fee, Sewer O • piration 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 1 tJ5 i Al..l1 "4r� L 1'V;— ~J ('L��.6. —t �11 -rG t AA T l4 t�)t~FS t-CC% l y� lk� 4 � '(7FJ �At K 4 VZ(4EiJA,4 _ Contractor Business �e ���/ License d1el-I Address Bond ^ Telephone l _ �GC' IT IS UNDEPSTOOD THAT THE CITY OF RENTON SHALL BE HE:,) 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 DOME 3Y A LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING. j�nm�C�v CALL 23S-2631 FOR INSPECTION. ��tr Call between 8 AM and 9 AM for APPLICANT W inspection in afternoon; call before 12 Noon the day before for inspection in morning. PUBLIC WORKS DIRECTOR PECIFY TIME FOR INSPECTION. L 235-2620 for straet signs CALL BEFORE YOU DIG By (.<' rid lighting. 48-HOUR LOCATORS 1-800-424-5555 �.>!I ,� \ Esc' '� •�•��_ we ?='•'1• , 'E N 10 t ; I 1 _ t�t• I+ 1 ITIE :r idhl LOA 1 I •I 7T F _V I C IN ITV M A P SCALE 1" . 2540, LEGAL DESCRITION That Prrtion of the northwest quarter of the northeast quarter,Section 30, Township 23 North, Range 5E W.M. in King County. Nashiriton, lying westerly Of the west margin of primary State Highway No. 5 and easterly of the east margin of the East Valley Highway except the North 100. , l i xX. VON r NW 30-23-5 5' PS H771. 7�� NEN-A „ ,•`EA$T •• VALE v, NVT. - tNs....�� M I aS t ♦ I1 y� ems» t t : Z NOIN]tl 01 31'd�'$ t V• n N _ i ��� to � I IF REVISIONS, ROUTED WITH L /} PREVIOUS PLANS AND COMMENTS. GREEN NO. _ _ V 7z CITY OF RENTON A111LtD1XG DIVISION P aN EVI N AO rTIN 6 IP //yyJJ DATE 3/da/9 y APPLICANT: '=d Gc l� JOB ADDRESS:_ a3,Ja NATURE OF WORE: /Ultl Kv TO: Commente Due Comments Due IRE PREVENTION BUREAU �_ BUILDING CODE REVIEW WATER SYSTEMS ENERGY CODE _ SEWER SYSTEMS _I STORM DRAIN SYSTEMS. TRANSPORTATION DIVISION PIANNING DIVISION OTHERS __ �_� MECHANICAL _ Comments/suggestions should be provided in writing. Please provide comments to the Puilding Divisior. by 5too p.m. on above date. REVIEWG DEPARTMENT/DIVISION APPROVED APPROVED WITH CONDITIONS �_� NOT APPROVED C7 Lik{�l�-sf� t�L�l I DATE Signature of Director or Authorized Representative form9#2:pinrev mveimxxixiuxvo: �q 31' EE APPLICATION: —1 DEVELOPMENT APPLICATION REVIEW SHEET CM ENVIRONMENTAL CHECKLIST REVIEW SHEET W PLAN REVIEW ROUTING SLIP OTHER DATE: I- 22-1D APPLICANT: ANI M1ARCO --- ' ,.OB ADDRESS: 2.656. C. uAu,1V Rwo NATURE OF WORKt PROPERTY MANAGEMENT DATE RECEIVED Comments Due BY PROPERTY MGMT. It-zi• 90 Comments or suggestions regarding this application should W provided In writing. Plaase provide comments to the Comm. Dev. Dept.(C.D.O.) by/S:00 p.m. on above date. REVIEWING DEPARTMENT/DIVISION VROYER% HANA4EMEwf�/ 4ibw& (AmM Estes UFXr ©FEES APPLIED CANNOT APPLY FEES ❑LEGAL DESCRIPTION NEED MORE INFORMATION ❑SQUARE FOOTAGE F3 FRONT FOOTAGE ❑VICINITY NAP It is the intent of this development fee analysis to puq the a, -oper/owner on notice, that the fees quoted below will apply to the subject site upon development of the propert•'. Al'. quoted fees are due and payable at the time the construction permit is issued to install the on-site and off-site Improvements (i.e. underground utilities, street improvements, etc.) PROJECT COST LATECOMER LATECOMER AGREEMENT - WATER NO FEE _ CITY HELD —_ PRIVATE DEUUPER HELD LATECOMERS AG - JIMER PRIVATE DEVELOPER HELD I SPECIAL UTILITY CONNECTION CN11R%E-- WATER UNITSSUCC FEE JUigJjLJA&ft_CgsldentiaI dwelling unit S30011ot x I -- Apartment. Cando, eaca mglSj2it1A_0i _ Commmrciallift" Lrlal i.QJ/39._.Ct._9f property x144 1_ 7 5441 SPECIAL UTILITY CONNECTION CHARGE - SEWER _ Single family residential dwelling unit_$300/lot x Apartmtnt. condor. each mgWDlex unit S115/ea unit t o. r ial/Industrial S 041Su.ft of Drop erty_ab .704. Je-rf SPECIAL ASSESSMENT 0I3 _ DEVEtQpNENTS NITIt 1500 GPM FIRE FLOWS OR LESS I Are a_Char gD_I9.034-pgr_�q ft x Frontage Chjrge_JJLQO_DBE_front_ft. x DEVELOPMENTS WITH GREATER THAN 1500 GPM FIRE FLOWS: Are: Charge SO 048 per so ft. x -_ Frontage Charue S18.00 per front ft. x SPECIAL ASSESSMENT DISTRICT (Honey Irk, In 7% SO FEE AREA CIIARGES:___ Res tdenttal dwelling units or eaululuts: S250 per dwelling omnerclal developments --5. FRONT FOQI9NE CHARGES: 137.19 per Front Ft, ton ea— L"It S74.38 per fr.ft-(prpty TOTAL: f 19,568. 16 .,The,above quoted fa:s do NOT include inspection fees, side sewer parmits, r/w permit ` fees or n0e�cost of water meters. /1Tr ps, 6A(v / IS& DATE I'LL'9O .,1"SIVesture of Director or Authori:;d Representative SnM 'rw5 37 g9 i PLAN REVIEW ROUTING SLIP DATE: APPLICANT: Antln�i nGV C'n JOB ADDRESS:_ ECAfx j )(nli f f C/il A-14fil-'I', NATURE OF WOM: TO: Comments Due Comments Due 1_1 ENGINEERING DIVISION � � FIRE PREVENTION BUREAU_Lj- ,25 1_1 TRAFFIC ENG.DIVISION ��� BUILDING CODP, REVIEW I_I UTILITIES ENG.DIVISION ��� ZONING I PARKING I_I OTHERS ��� ZNERGY CODE Comments or suggestions regarding this application should be pr. e/ A writing. Please proviCa comments to the Building Division by p 7 above date. REVIEWING DEPARTMENT/DIVISION I_I APPROVED 1-_I APPROVED WITH CONDITIONS 1-�Z, NOT APPROVED i i FYI ad aYsw Old 11 M heft OuhOly nlml -/z � 2) hRUN I{M nN outus nPW-aJ(-/O.(9 C.Hk.,k),T4� how Fn on[ZS - oD �} �y ' OOWNuI 1FIrMN mMry1� �L11'�/F/ /rq Fit, InmlFit, nus mbll M MMW //,� Mt Ord III} 6) FM INrs IFOM IpNrN p Y Phn N OI UWANF Nr It1m1.. - KM Y�- AAAIUfl Y i T 1989U`' IbIwItm. ' IlDIF7GDMSIGN fim MI�.�., L IIm b y V� time ? Im mftxl,,,G is def �,f � X4" k �e� I .� DATE as p9 B gneture o D rector or Au—thor Czad Reprea' tat vm /18J V � A R