HomeMy WebLinkAboutWTR2702073 W-2073 Chevron (Grady Way S) - New Fire Hydrant
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BILL OF SALE
KNOW ALL MEN PY THESE PRESLNTS Thu y} C.
l /•A. ray,.
Caemy el $na....e.. ' swe of W.ahinglOn,the P.,e el(t,he Mn volt.
for and in 1.1411.1ion OI the 11,eN 0n.
DO16n
Iwlul money of tlr United Saus el Mnexu,a A,adN.ai•.•S.�i end D.id ly t ti .1 Qa..._
We Fort al Or..d In. he receipt •hereof 11 nenoy .cYno.ledled, on by p.. Dn.na
laq.in,.11.YI ddivol not.the laid pan nl the uc.md part,the lelio.ing clue in,d normal property no
't O ladeted.l 30t S. C.•.a, a)ll
�e1 I.to City of � ,CoYmy of k,..e and State of W Wungion,to-wn
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Ong Rua HT d.«� Awe..bly a..d an AM.•Frw...<a �..}.,,,,,,j
fn S<.d W.•hr Wren. tnp.us/T Warnym�.nr fa:d a.�d•r^✓^
A'.,xar awT enPawarl r ata�f •� /rewf Aara�• •n a..rr�d
*Aarae. sy IA. jrA •,• ,.. 6m' i./l i Aatm...
TO HAVE AND TO HOLD me ame to the aid put el time wanted pxt, heir,
edminhtralon and wi,, lerrvfr. And mid part el the Ant pan, 1m nnn,
einculnrs,Admininratw.,,sredm and.Foe. to and.ill Ih. ,aid part el to.. cmdl pan,
alnuton.Administrators and anima, that aid part nI the Snr pan come, of In, mid
property.goods and matle4 and W IOW fight and lull authority to nll the vme and a.
.pal nolnm And dflend the We holm,mad.into the aid pot OI toe and part,
utaYan,adminiltraan and..dins,,dint ail aad eery parwn er prams,•lomsdrer,I..'011 dummy m w
dtlm Ih.sum.
IN WITNESS WHEREOF,Toe and part .I the A..part he ace.mo rat f.nd
1 end maltni, •J 3 ^� day of
Ap.. l rvv?
STATE OF WASXINGTON, ll
CDumy OI KI I
IA mi,day perandly appe.not ealoee me
to me 1nnan It,oe the iodivid.el d.vrihed to and woo uncured the nithin and foregoing cosvmem o d
cl d.ledged that signed Ne vine a free and voluntary act and deed in, mr
a.and purport,tureln mentimel.
GIVEN under my nand and official real thin 7,.0 do,.f 111. t`Yl 3
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CONSTRUCTION FIELD SERVICES
L I vIPO BY/FINAL OCCi PAN Y IN P !TION R pORi W (?0`3 iI
DATE: April 14, 1993 ��Bd
a v
TDB UTILITY_sysTEMc —
[ ) STORM - RON STRAKA [
[ ]SEWER - DAVE CHRISTENSEN APR 1 41993
[ ✓1 WATER - ABDOUL GAFOUR ;�
[ ) ELAN REVIEW - NEIL WATTS CITY OF RENTON
( ) coNSTRU CTION SVCS - PINEHAM/KOKKO Engineering Dept
[ ) TRANSPORTATION V c - CLINT MORGAN
[ 1 L&NDSCAPF/ZONING - BOB ARTHUR
[ ] BUILDING FINAL -
[ ) FIRE PREVENTION -COREY THOMAS/KEVIN CASEY
FROM: CONSTRUCTION FIELD SERVICES- JIM CHANDLER - Building Official (6180)
PROJECT NAME: Chervron Station PERMIT NO. : Biei65
ADDRESS: 301 South Grady Way
The subject project is nearing completion. Please investigate your area of
responsibility and indicate zeilw either your acceptance or nonacceptance.
Please return this form by April in order that a pe
Certificate of Occupancy may be issued If no comments are reecceeiivedtby the
above date, the temporary/p_%Maaent certificate will be issued. Comments
to be clear and specific enough to be readily enders* >od by the
owner/agent. Comments should include the appropriate cost to install or
provide whatever is needed.
TO: BUILDING OFFICIAL DATE_
FROM: d6ft
This project is approved by this department subject to the following
corrections: (Note: see copy Of 90 day requirements attached)
NON-LIFE AFrTY ITEMc I LIFE SA E&Mti_ SAFETY IT
{ 546Mii "0"") 1" RE*"t (M OCUA I &A, TAIA iit c 1Au05U�f NfifQA
'� Su61+iY Qp� aA 5A1C ka. .fo,3 rtro _wMf ks�Myy
- I
I_
IF MORE SPACE IS NEEDED, USE THE BACK OF THIS FORM. DO YOU HAVE ANY ;)
OBJECTION TO ISSUANCE OF A TEMPORARy/yjEBMAMENT CERTIFICATE OF OCCUPANCS'? `
[IF YOU HALF LISTED ANY LIFE SAFETY ITEMS, MARK "YES".)
( ) NO
Authorized Signature
F
+� ->~ CITY OF RENTON
`u Planning/Building/Public Works Department
_ Earl Clymer, Mayor Iym Gausseaa Administrator
4
r
April 9, 1993
p
4PR 1 3 1993 +=,
Timonthy D. Johnson
Chevron U.S.A. Products Company OF RENTON
20500 Richmond Beach Drive NW CITY pept.
Seattle, Washington 98177 Engineering
Dear Mr. Johnson:
SUBJECT: Permanent Occupancy -Chevron Station
301 S. Grady Vi ay -Renton.Washington 98055-2189
Our office has received your written request for an extension of time to complete items for a
permanent occupancy, as listed in our letter of March 17, 1993. r
i
rant will We an extension until May 14, 1993, to obtain the necessary� 9 V Permits from
PSAPCA . Please keep our office informed of the status of the VIES system with PSAPCA.
Thank you for your prompt response in this matter. Should you have any questions, please
contact me at 277-6180.
Sincerely, -
im Chandler
Building Official
Development Services Division
JAC:mjk
a:93 077
Pc: Abdoul Gafou•
Dave Christensen
Clint Morgan
Kevin Casey
t
200 Mill Avenue South•Renton,Washington 98055
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WIfN RECORDED RETURN TO.
oR.cc of,Ac Ury Oc,Y U1111e5 P.Kc,Flc
Raman Munk Hal avilEinp ----�"�—�
xoo wu n.r,,,,.sa„e EASEMENT r..«i ru naca„a,a
0.<mon,bA W55 G,+nmgs)Nan„
RTSW
THIS INSTRUMENT,made this 16th day of NOVEHBER 19 92 8
by and bcmccn and 3'
�� in..w.ve•o.won"".:....0
CHEVRON USA, INC., A PENNSYLVANIA CORPORATION and and
and
gAIL
hereinafter called"Grantor(s);and the CITY OF RENTON,a Municipal Corporation of Ring Countv, ;
Washington,hereinafter called'Grantec"
That said Grantor(s),for and in consideration of the sum of S '0 00_
paid by Grantee,and other valuable consideration,receipt of which is hereby acknowledged,do by g
these presents,grant,bargain,sell,convey,and warrants unto the said Grantee,its successors and
assigns,an easement for public utilities(including water and sewer)with necessary appurtenances over,
through,across and upon the following described property(the rightof--way)in King County,
Washington,more particularly described as follows:
THAT PORTION OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF
SECTION 19, TOWNSHIP 23 NORTH, RANGE 5 EAST, W.M. , IN KING COUN-
TY, WASHINGTON, DESCRIBED AS FOLLOWS:
COMMENCING AT THE NORTHWEST CORNER OF SAID SUBDIVISION, 'THENCE
SOUTHERLY 1100.50 FEET ALONG THE WEST LINE THEREOF;
THENCE NORTH 77a29'03" EAST 554.30 FEET;
THENCE SOUTH 00-31-47" EAST 51.26 FEET TO THE SOUTHERLY MARGIN OF
GRADY WAY (S.S.H. NO. I-L) ;
THENCE CONTINUING SOUTH 00a31147" EAST 17.00 FEET TO THE TRUE
POINT OF BEGINNING;
THENCE NORTH 89a28'13" EAST 15.00 FEET;
THENCE SOUTH 00031'47" EAST 15-00 FEET;
t THENCE SOUTH 89°28'13" WEST 15.00 FEET;
THENCE NORTH 00031'47" WEST 15.00 FEET TO THE TRUE POINT OF
BEGINNING.
THE PARCEL DESCRIBED ABOVE CONTAINS 225 SQUARE FEET.
SITUATE IN THE CITY OF RENTON, KING COUNTY, WASHINGTON.
COPY OF
ORIGINAL FIt Pall
NOV2 5 1992 u F .cn, Y an V M Y
King County
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'For the purpose of constructing,reconstructing,installing,repairing,replacing,enlarging,Operating and
maintaining utilities and utility pipelines,including,but not limited to,water,sewer and storm drainage
lines,together with the right of ingress and egress thereto without prior institution of any suit or
proceedings of law and without incurring any legal obligation or liability therefore. Following the initial
construction Of its fat:WtiCS,Grantee may from time to time construct such additional facilities as it may
require. This easement is granted subject to the following terms and conditions:
1. The Grantee shall,upon completion of any work within the property covered by the easement,
restore the surface of the easement,and any private improvements disturbed or destroyed during
Iexecution of the work,as nearly as practicable to the condition they were in immediately before
commencement of the work or entry by the Grantee
1 2. Grantor shall retain the right to use the surface of the easement as long as such use does not
S�S interfere with the casement rights granted to the Grantee. Grantor shall not,however,have the right to:
a. Erect or maintain any buildings or structures within the easement;or
b Plant trees,shrubs or vegetation having deep root patterns which may cause damage to or
interfere with the utilities to be placed within the easement by the Grantee;or
c. Develop,landscape,or beautify the easement area in any way which would unrcasombly
increase the costs to the Grantee of restoring the casement area and any private improvements therein.
d. No digging,tunneling,or other form of construction activities shall be done on the property
which would disturb the compaction or unearth Grantee's tacWtics on the right-of-way,or endanger the
lateral support facilities. -+
e. No blasting shall be done within fifteen(15)feet of the right-of-way.
This casement shall run with the land described herein,and shall be binding upon the parties,their heirs,
"- successors in interest and assign;. Grantors covenant that they arc the lawful owners of the about
properties and that they have a good and lawful right to execute this agreement.
5,ianatures i9 ors.
+,Y and
T and
and
and
INDMD FORM OF A 0 tin rrv:E:ENr
STATE OF WASFIINGTON )
SS
COUNTY OF KING )
1 certify that I know or have satisfactory evidence that and
signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and
purposes mentioned in the inswment.
I
Dated
Notary Public in and for the State
of Washington residing at
My appointment expires.
r i
UWitke Farrn,cnr
- SMer 3 N z
IMlvidual F.
�ra:�:p:pry�leMlral:•l4MIM
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r
is
For the purpose of constructing,ttconswcting,insulting,repairing,wplacing,charging,operAHng and
maintaining utilities and utility pipelines,including,but not limited to,water,sewer and storm drainage
lines,together with the right of ingress and egress thereto without prior institution of any suit or
proceedings of law and without incurring any legal obligation or liability therefore. Following the initial
construction of its facilities,Grantee may from time to time construct such additional facilities as it may
require. This casement is granted subject to the following terms and conditions:
l 1. The Grantee shall,upon completion of any work within the property covered by the easement,
restore the surface of the casement,and any private improvements disturbed or destroyed during
execution of the work,as nearly as practicable to the condition they were in immediately before
commencement of the work or entry by the Grantee.
2. Grantor shall retain the right to use the surface of the easement as long as such use does not
Interfere with the easement rights granted to the Grantee. Grantor shall not,however,have the right to:
f
a. Erect or maintain any buildings or structure. within the casement;or
b. Plant trees,shrubs or vegetation having deep root patterns which may causr damage to or
interfere with the utilities to be placed within the easement by the Grantee;or
c. Develop,landscape,or beautify the easement am in any way which would unreasonably
increase the costs to the Grantee of restoring the easement am and any private improvements Therein.
d. No digging,tunneling,or other forth of construction activities shall be done on the property
which would disturb the compaction or unearth Gtantce's facilities on the ightof-way,or endanger the
lateral support facilities.
e. No blasting shall be done within fifteen(15)feet of the right-of-way.
This easement shall rim with the land described herein,and shall be binding upon the parties,their heirs,
"—'-+ ta—r am asrtans. Grantors covenant that 'ley arc the Awful owners of the above
L-PURP"Of[�ACKN� WLIDGMENT
State of
i County of co%*-A— � CAPACITY CLAIMED BY SIGNER
111 Q INDIVIDUALIST
on 11 f14)— before me, R Q CORPORA IE
�
OFFICER(S)
�WTE rMr4.T11lrO VrGA.r6.' DJ[.MJiMY e' inLElal
personally appeared `` ` "yr\ i Q PARTNER(S)
AwAflwp anv+rMs! ATTORNEY IN FACT
r personally known t0 me Q TRUSTEEISI "
to be the persor4V whose name IsAtr Q SUBSCRIBING wITNEss
Subscribed t0 the within instrument and ac- Q GUARDIANCONSERVATOR
OrAML SEAL knowleaged to me that he
SIISAN R.mtE7 executed Q OTHER
Notary Prb:c-Caucr:o the same in his/ authorized
CONTRA COSTA COVMP/ capacitya, and that by hi�
rMCoffirrill a d 3O1995 G signatur on the instrument
wheentityupon behalf ofwhlchthepersonW VIGNERISREPRESENTING:
acted,executed the instrument rxn�r
Witnes my hand and official seal.
Q
6X3NAiVgf Or NJIAPV
ATTaNTiaN.pTAaT:Ap,uy�mr nrormno�rpwrlr]ONpw V RPtxll/Al n ra,q
VrwM'Ir1-.Wl4nr'M—MNTMI O,Mq wlryAGlr b YfIY11Fp1iM 1YC111,Mn1 THIS AT i Title or Type of Document
BE MUST BE ATTACHED
TO THE DOCUMENT Number of Pages Date of Document 7 1
DESCRIBED AT RIGHT. Signer(s)Other Than Named Above i
rV,a.M to a]on nY
t
Buses.RMO s HITCHPMllk tw-
EXHIBIT "A"
t WATER METER EASEMENT DESCRIPTION
I
THAT PORTION OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF
SECTION 19, TOWNSHIP 23 NORTH, RANGE 5 EAST, N.M., IN KING COUN-
TY, WASHINGTON, DESCRIBED AS FOLLOWS:
COMMENCING AT THE NORTHWEST CORNER OF SAID SUBDIVISION, THENCE -
SOUTHERLY 1100.50 FEET ALONG THE PEST LINE THEREOF;
THENCE NORTH 77-29-03" EAST 554.30 FEET;
THENCE SOUTH 00.31147" EAST 51.26 FEET TO THE SOUTHERLY MARGIN OF
GRADY WAY (S.S.H. NO. 1-L) ;
THENCE CONTINUING SOUTH 00"31'47" EAST 17.00 FEET TO THE TRUE
POINT OF BEGINNING;
THENCE NORTH 89-28-13" EAST 15.00 FEET;
THENCE SOUTH 00°31147" EAST 15.00 FEET!
THENCE SOUTH 89.28'13" WEST 15.00 FEET;
THENCE NORTH 00-31147" WEST 15.00 FEET TO THE TRUE POINT OF
BEGINNING.
THE PARCEL DESCRIBED ABOVE CONTAINS 225 SQUARE FEET.
SITUATE IN THE CITY OF RENTON, ' ING COUNTY, WASHINGTON,
_.A A. ROBERT H. LEE 6 ASSOCIATES
��. WAS G'� CHEVRON STATION NO. 9114
+ WILLIAM A. HICKOX, P.L.S.
/ BRH JOB NO. 86046/SUR565
OCTOBER 27, 1992
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ORDER FOR WATER SERVICE INSTALLATION No 3102 —..
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A.b e.ee.le ''1'OF RENTON WATER UTILITY.Zpp MILL AVENUE SO 7H RENTON.WA 9"S PHONE FJSeetl Vl
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Site address
301 S Grady Way, Renton WA.98005
property owner.
Chc�on U.S.A., Inc.
V King Counr Accessor's Parcel N: 9054-03
Legal description:
That portion of the Northwest 1/4 of the Northeast 1/4 of Section 19.Township 23 North, Range
t` 5 East W.M.,desxribed as follows:
i.' Beginning at the North 114 cornet of said section 19; thence Southerly along the West line of said
Northeast 1/4,1100.50 fecti
thence North 77' MY East 554.30 feet;
thence South 00' 31'47"East 51.26 feet to the Southerly margin of Grady Way(S.S.H.No.1-1),being
.. the true point of beginning;thence south 00' 31'47'East 150 feet;thence north 89. 28'13' East to
a poin!on the Westerly margin of an easement to the City of Seattle recorded under recording No.
5687013; thence continuing North 89• 2S 15' East 1.58 feet; thence North 00* 31'47"west 181.15
feet to the Southerly margin of Grady Way (S.S.H. No. 1-L); thence Southwesterly along said
Southerly argm to the true point of beginning;
4
Situate in the City of Renton,County of King,State of Washingtoii.
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RE C E t t' Eft
8'112\87021S12 J
AUG 1 3 1991
ORDER FOR WATER SERVICE INSTALLATION No,_ 3103
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wP o..wrr CITY OF A04TON WATEP UTILITY,IW*U.AVENUE BOUT" AWIDN,WA MSSE PKKTNE fM MI
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Site addrosa:
301 S.Grady Way, Redon WA,98005 `-
Property owner,
Chevron U.S.A.,
King County Accexsor's Parcel N:9054-01
Legal description:
That portion of the Northwest 174 of the Northeast 114 of Section 19,Township 23 North, Range
5 East W.M.,describes:as follows:
Beginning at the North 114 corner of said section 19; thence Southerly along kite West 111a: of said
Northeast 1/4,1100.50 feet;
thence North 77` 29'03" East 554.30 feet:
thence South 00" 31'47"East 5116 feet to the Southerly mergm or Grady Way(S.S.H.No.1.1),being
the true point of beginning; then"south 00` 31'47"East 150 feet;thence north 89` 28'13"East to
a point on the Westerly margin of an easement to the City of Seattle recorded under recording No.
5687013; thence continuing North 89' 28'15" East 1.58 feet, thence North 00, 31'47" west 181.15
feet to the Southerly margin of Grady Way (S.S.H. No. I-L); thence Southwesterly along said
Southerly margin to the true point of beginning;
Situate in the City of Renton,County of lung,State of Washington.
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13 '92 10:07 ROBERT H LEE a RSSOC
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PUBLIC WORKS CONSTRUCTION
PERMIT INSPECTION/APPROVAL
FEE CALCULATION WORKSHEET
50%INSPECTION/APPROVAL FEES PER ORDINANCE NO.4545
PROJECTNAME: 4-A6ffAY#N F,rIG/G/7YN
1. Estimate the total cost of offsite and onsite improvements for water lints, sewer Imes, stormwatu
facilities, and roadway improvements for your ptvjrct. Enter estimtatcd costs in Items (A) through (p)
below.
(A) Water $ 4oO•,e t
(B) Sewer s
(C) Stormwater $ /Vx 740,7-
(Includes On-Site Pavement)
(b) Roadway
(Street,sidewalks,street lightins,etc.)
(E) Total Improvements
(A)•(13)•(C)•(D)-(E)
2 Calculate 50 pecUon/approvalfoe for total taprovcmcnts,as follows:
(}� of First$100,000 of(E) $ -'!( ter.(l
(G) 2%of over S 100,000 bu!
less than$200,000 of(E) $
(H) 1.5%of over$200,000 of(E) $
(I) Total I*Inspection/Approval
..,.:. .,# Fee: (F)•(G)•(H)-m $
3. Breakdown of 50%Inspection/Approval Fees is performed as follows:
c m 50%Water Fee: 5 401/343.90.00.01
(A) = (E)x m-m
(In 50%Seaver Fee 371.-.i.11.L5G /401/343.90.00.02
(B) (E)x m-(K)
(L) 50%stormwater Fee: {� 401/343.90.00.00
(C) + (E)x m-(L) �1
¢'. (hi) 50%Roadwav Fee: S� _1 000/343.20.00.00
t (D) : (L)x
4. Check: Make Sure(J)•CK)•(L)•(M)-m �/ ••
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IROPL f MANACL14ENT FEE REVIEW
PLAN REVIEW ROUTING SLIP
( J DEVELOPMENT APPLICATION REVIEW SNi ET ❑
❑ ENVIRONMENTAL CHECKLIST REVIEW SHEET THEN
\ —4 _
:,.. ADDRESS
:_s21' r -__—
URE OF WORK:
E RECEIVED NY RECEIVED FROM COMME//NT��SyyD WONUE _------ .?�•
rPER MGMT. \ 1{.0 IL6C-� GREEN o � /2 "
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LEGAL DESCRIPTION 1
- &/FEES APPLIED ❑ NEED MO�tE INFORMATION ❑
p ❑ SQUARE FOOTAGE
❑ NOT APPROVED FOR ❑ FRONT FOOTACE
S APPLICATION OF FEES � -
`�p ❑ VICINITY MAP O OTHER
�!��/`••��(��� ,,4 the developer/ewer ee wetice,that the fees quoted below wilt apply to
Y U,latest of M6 dawlgRsaal Iw ana.
e wa)eet she oHn dowloPMat of the p All gusted lees are due and payable J the Wee the constrvdlon permk Is
rued to to",the "Ito and o"It"IMP"'----(Lr.aadergroswd aUlNlu.street Im►rowmeets,etc)
PROJECT COST LATECOMER
RIVATE DEVELOPER HELD FEE
LTFCOPAER AGREEMENT NO. PER. FIG.
WATER F..
SEWER
OTHER !
F'T0. SAD FEE t}
:PFCIAL ASSESSMENT DISTRICT L;
.. _ WATER `
_SEWER . .
OTHER
UNITS70,306
E
SPECIAL UTRTTY CONNECTION CHARGE•WATER SIngM hmly MIA Imm dwelling an"Sfd0/Ist a
Apartment Cu4 each tramples No N "Is'uoh _
4wmerclal/lodtu al.l S.t2e/N•R-of Property s eZ7 29�d
(eat th-th-Sg4L00)
_ UNITS SUCC FEE
j SPECIAL UTILITY CONNECTION CHARGE-SEWER
Iamb)fast.... dwelling anR SA70/let a
Stools
Aeartraee�Jtlplea anR 5270/u ask a
CemmerJJ/ladaablJ$.OAg/w•R of proprA7 a Z�a s� cj S�•,j
toot leas than$470.00)
TorAt: � 5? . �
TM ab.gusted lees do NOT laded.laspec0es lees.also arwM erfmlta•r/w ParmR flows as too cod of water Reuters.
ez GT r '- 3
u dJdtz'Suc ��euoir-N,/T_ Itl2S000.N dtt.d�.wtia/ 6
f�� $s,wt.✓$/,(rC,: • / .• /O a/., ,
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AUTHORIZXIIUN OF SPECIAL BILLING
�1 f_ DATE:
PROJECT NAME f/�tl/�/�_j
PROJECT NUMBS :
>2¢WORK ORDER NO_ ..
Il 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 We following work l
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BILLING TO BE SENT 10,
I04/w/Name: C-145VF04 UgA PRaR)GSS
Address',
YOU WILL BE BILLED TIME AND MATERIAL w e
FOR ANY WORK DONE BY CITY STAFF TO City:-
REPAIR DAMAGES
Attu: �v10FA/QUILIYF.,
Phone No_ 510)aq?.-Son
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GNn�r,Contractor or�
Authorized Agent
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CITY OF RENTON
PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT
MEMORANDUM
DATE: January 6, 1993
TO: Abdoul
FROM: Arneta
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SUBJECT: CHEVRON ON S GRADY WAY
W-2073
WORK ORDER/872"
The following attached documents are for your files:
NOTE: This project is to have an onsite precon prior to consMctiofn.
• A copy of the utilities constriction permit with legal attached
• A copy of their cost estimate breakdown
• A copy of my workshew for calc fees
• A copy of Arlene's worksheet for SUCC cale
• The ORIGINAL signed Letter of Special Billing
• The ORIGINAL meter applications prepared
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PUBLICNT
ENGINEERING DIVISION
CITY OF RENTON, WASHINGTON
APPLICATION ONLY - UNTIL VALIDATED NUMBER PEKMIT�PF.///
OWmer - Location of Mork
Address „ vc/� 7A� �4'gl
�' T C/
INSPECTIONS FEES
/ CONSTRUCTION Sanitary Sewer/S'orm Water Permits BO. eo
Right-of-Way Construction
,QS PERMIT Right-of-Way Inspection Fe,s
urnl SJ!.410
(Public Right-of-Way) Water Inspection/Approval Fee 2a0.00
Species Utility Connection Fee, Water
Water Latecomer Fee
Special Assessment District, Water
Date Isauad q,�,e0
Sewer Inspection/Approval Fees
Special Utility Connection Fee, Sewer
Expirifitl6n Date Sewer Latecomer Fee
Spec'axll jAsssessssment..��Diserri�ic,I�, Sewer �
Reference Data SpxsI DeGl T, 40
Pii4ate
Spacial deposit,Cash Bond
TOTAL FEE -LG1.Ja.L
Description of cork �j _� Cn/./7
and Number of rest -t2 /U't!'l; Ir'l`l_i, t ,Ja✓OJs SK fi
C14 v .�vst AT p O d. 41,2-0 Z-3
Contractor j /� // r,� Nuainess
Address � 03 I LG Bond ��-
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Tela hone
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IT IS UNDERSTOOD THAT THE CITY OF RENTON SMALL BE HELD HARMLESS OF ANY AND ALL
LIABILITY, DAMAGE OR IWURY ARISING FROM THE PERFORMANCE OF SAID WORK.
ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUST BE DONE BY A
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LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING.
CALL I1 FOR INSPECTION.betWee /
Call betwen 8 AM and 9 AM for APPLICANTlC�l9)
inspection in afternoon: call
before 12 Noon the day before
for inspection in morning. PUBLIC WORKS DIRECTOR
SPECIFY TIME FOR INSPECTION.
CALL 27hting. for street Rigns CALL48-H BEFORE YOU DIG BY
and lighting, 48-HOUR LOCATORS
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