HomeMy WebLinkAboutWTR2702269
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FILE TITLE
2410-4
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FOR DISTRIBUTION TO: �"?�'
/
�g7lJ Water Utility ® Building Di,lsion
l Wastewater utility ® Public Worlts Conslr lnspecicr
LwJ Surface Water Utility ® Fire Prevention `4
Ma.nianenee Services
�!L -I'ransportallon Systems
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"1.0ject: ` pMYa P12"W"rtan Chu"
Location: rY.s l! 1 U ». C:(
Attocned please find copies of:
c
2 PERMIT BILLS OF SALE
/ f
® RECEIPT § COST DATA INVENTORY
I �I�
L ETTE R OF SPECIAL BILLING t+.l� EASEMENT(S)
1
STUB SERVICE AGREEMENT ® COPY OF AS-BUILT
PRECON NOTES at
i PRECON ATTENDEES
l� DRAINAGE REPORT �+
MEMO•WATER BREAHDOWN
MAP WITH NEW MAINS AND VALVES
OTHER
From: as_
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Return Address.•
City Clerk's Office
City of Renton
20 Mill Avenue South
Renton,WA 98055-2189
AL
Document Title(s): Assessor's Property Tice Pa cUmcount Number:
I. UT10TY EASEMENT ) d G 5 7 o — I rI O
Reference Numbers)of Documents assigned or released if applicable:
Additional reference numbers are on page of document
A
Grantor(s)(Lam name Mt then fin'name end iniaab): S 6 r A f�
Gr811[Ce(a)(Last name first Nen nrst nerve and initials)'.
o, 1. CIT y aF RE `j
Legal Description(abbmviated. i.e.lot block,plat or xctlmt,township.-96:
Addtuonal Ie9W is on page-'of document.
9 L. a T f� of 6 R 1 N7 w l l
Ps PER PtN7 RECORD I lot-umE ij4- OFF
PtP7s, PAQES 75 $ 7 Bn P co
AV S KING CouN 'P `/ .
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s
The Auditor ecoWer will rely on the infomnbdn prm idcd on the fdmt. 1Te Sufi will not read the document to verify
the eccuracv or com Ieteness of th<in1 x' f rmation aovldedhcmm
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UTILITIES EASEMENT
Tws INSTRUMENT,made this day pf G I R u h Rom_19 9 7
by and between CoT.h tJVRFaS PRCS. CAOROH and C'l T
tpr av,a or.w.aatJ waa�Jl
O F P, rm ZF /J and
hereinafter called"Grmtor(s),"and the CITY OF RENTON,a Municipal Corporation of King
County,Washington,hereinafter called"Grantee."
That said Grantor(s),for and in consideration of mutual benefits,do by these presents,grant,bargain,
sell,convey,and warrants unto the mid Grantee,its successors and assigns,an casement for public
f� utilities(including water,wastewater,and surface water)with necessary appurtenances over,under,
q1T through,across and upon the following described propert (the right-of-way)in King County,
M Washington more particularly described as follows:
C4 See page for legal description
W4
CO For the purpose of constructing,reconstructing,installing,repairing,replacing,enlarging,operating
0 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 a— legal obligation or liability therefor. Following the
initial construction of its facilities,Grantee may i,am time to time construct such additional facilities
as it may require. This easement is granted subject to the following temps and conditions:
1. The Grain"shall,upon completion of any work within the property covered by the easement,restore tuc
surface cif the easement,and any private improvements disturbed or desboyed during execution of the work,as
nearly as practicable to the condition they were in immediately before commeneemeut 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:
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 unreasonably increase the
costs to tha Gmtee of restoring the easement area ad my private improvements therein.
d. Dig,tunnel or perform other forms of construction activities on the property which would disturb the
compaction or unearth Grantee's facilities on the right-of-way,or endanger the lateral suppon facilities.
e. Blast within fifteen(15)feet of the right-of-way.
This easement shall run with the land described herein,and shall be binding upon the parties,their
heirs,successors in interest and assigns. Grantors covenant that they are the lawful owners of the
above properties and that they have a good and lawful right to execute this agreement.
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Signatures of Grantors:
4.,, AY, , P ,,. andIj
and
Corocra'.r! FORM OF ACKNOWLEMStF'1
STATE OF WASHINGTON )
) SS
COUNTY OF KING ) a�
1 certify that 1 know or have satisfactory evidence Nat lt�{f( J p r';nLat is the person who appeared
Q before me, an said person acknowledged that h lsbe) signed this instrument and ackn-owledged it to be
tivber)free and voluntary act for the uses and purposes mentioned in the instrwnmt.
al♦ Dated l['b 01. F-I r 1
CO Notary Public in d for the State
of Washington residing at
Notary(PItoon '
My appointment expires: l`1.
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Legal Descriplioo Rri�J:.0 YM62/r &14
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turn Nr+ralm: �' '
F..._ mcnl Area:
That pertion of the below desctibed pars)defused as follows:
Commencing at the Southwest comer of parcel described below;
Thence,South 6e012 04'East 18.01 feet to the TRUE POIN'OF BEGINNING;
Thence,North 0015't0'West 183.t0 feet;
Thence,North 880 12'04-W 't 18.01 feel to the west line of parcel(Lot B);
Thence,North 00 1 S'10'West 39,90 feet;
Thence,South 880 12'04'East 33 01 feet;
Thence South 00 15'10•East 203.00 feet;
QThence North Be 12'04'West 15.00 feet to the TRUE POINT OF BEGINNING.
rr{ PFan' I Description
�2 LOT 8 OF BRENTWOOD PARK ADDITION,AS PER PLAT RECORD IN VOLUME 114 OF PLATS,PAGES 75
? AND 76,RECORDS OF KING COUNTY;
O SITUATE IN THE CITY OF RENTON.COUNTY OF KING,STATE OF WASHINGTOW
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l4eerred Pr' AlUen-M—PnITMT
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970312134E
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Return.(ddress:
City Clerk's Office
City of Renton
200 Mill Avenue South
Renton,WA 98055-2189
Tax Parcel Number: 106
Title: B1LL OF SALE Property _
Proj.t File N: W- Z to Slydl Intenwtion or Prajetl Name.ST. !Q ENS PR $Q IAd
on page
daionil rcfetmce
Reference Numberts)01 Documents assigned w released:Ad numbers are
Grantor, ST ANVQtwS PR
[c AY•r GQ Ida CHU kCFL,for and in
consideration of mutual benefits,her
grams,bargains,sells and delivers to the Grantee,the Cit
of!e,.n t e municipal coIP0T ion the
document following
des8el ud personal
Property
ortynow
wloc .ed at:
{� Addnionallegd aon page.__
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By this conveyance,Grantor will warrant and defend the sale hereby made unto the Grantee against
all and every person or persons,whoinsciever,lawfully claiming or to clam the same. This `a
conveyance shall bind the heirs,executors,administrators and assigns forever. 711�a
IN N' ESS WHEREOF,said Gra for has caused this instrument to be r.xecuted this 1'24k Y
of rt f� `, • _
STATC OF v1ASHINGTON )SS
COUNTY Of KING )
I cenifv thu I Wow a!Aay{s+lisfac�7 tvi dcnce Nat si8ned Ws
,for the
Wur,U1Wt, euwmem and acknowledged it
. erlthen- fret and I Lary ac
sg .5�,�a� ('�( uses and purposes mentioned in the in tttent
$ ; 44 Y „1 Notary Public in
�. , or the State of Washington
- t Q ;f Notary(Print) ^r,
My appointment a�Pims: -
•�' Dated: G�,v.,.
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Please print or type information
EXHIBIT A
rWATERSYSTEM:
ECT NAME: St Andrew Presbyterian Church
L=6th, silt upc
143 L.F.of 9" _D1_ Water Main �A
t.F.of Water Main
L.F.of " Water Main
L.F.of Water Main
3 each of 6" Gate Valves
each of Gate Valves
each of _ Gate Valves
Fire Hydrant Assemblies
t
SANITARI SEWER SYSTEM: Lcnab sin ups
L.F.of Sewer Main
L.F.of Sewer Main
L.F.of Sewn Main
each of __ Diameter Manholes
each of Diameter Manholes "f
ev:h of Diameter Manholes I
STORM DRAINAGE SYSTEM: I eralh Sits IYps
L.F.of Storm Line
Q L.F.of Storm Line _
L.F.of Storm Line
each of Storm Inlet Outlet
each of Storm Catch Basin f
Val each of Manhole
t7
0 STREET IMPROVEMENTS (Inch-ding Curb.Goner,Sidewalk,Asphalt Pavement)
Curb,Goner,Sidewalk'. L,F.
QI Asphalt Pavement. SY or L.F.of Width t-
SIGNALIZATION:
�1 NA
STREET LIGHTING:
I r of Poles_ N
L_ J
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PROJECTCLOSING /4 Final cast paA
FINAL COST DATA AND INVENTORY and tnvcntory
SUDJECT: CITY PROJECT NUMBERS: Wnt _ 1
WWry
sT. Aa'DREIAJ PR E58YrFPiAN3 SWP.
Name of prolc0 G Itu R G o IntO-
TD _
I CllyofRrnton LROM 5�• ANOQt.. DRESiY1ERlnIJ CAVRGH
Plan Rcvicw Scmion
i Plannmg/Duilding/Pobllc works -
2W Mill Avcnue Soulh
Renton,WA 98055 DATE 2—)
Per the request of the Cic':lf Renton,the following iWormation is fumiahed concerning final costs for
improvements installed for the above referenced project.
WATER SYSTTM CONSTRUCTION CO.M /
Ienglh Size 1'ylse
243 LP of n-1 _ WATERMAIN
L.F.of WATERMAIN
LF of -- WATERMAIN
L.F,of WATUMAIN
rACI I of -- GATT VALVES
EACH of GAIT VALVES
LACH of GATE VALVES 16. S o 0 9.P
EACH of FIRE IIVDRAN'f nSSI:nnLLl1!S $
(CoM of Flrc Itydraws mist be holed scpamtcly)
(Include Engmccnng and Salu Tax If appholdc 3
TOI'ALCOSI'FORWA11:11SVSILM 3
$ANIT IA IY SlWI[R SVSTI'M'. N_[ORM DRAINAGE SYSTEM
1 Lc.gth Size TI'M Itngth $iEe Type
L 1- of SfM=IIN MAIN 1-.I�.OI SI'OMI UNC
I W N.u'I:N MAIN I.F.Of n0RA1 LINE
LI Of >LWLII MAIN L.F.(1r _-- +100I UNL
LA of DMMOItN CIANl10115 CA of -- STOItA1 INtll/OUI LI'I
rA of OUMIT'a x1A IIO1 F1 CA f STORM CA TKAIIIAMN
pntlwm c<n x rngnang and 4lca T.. /ha LSO( -- SfORAI CA ICII1IMIN
J apPRcLI 1 L OACIWINg rngm«nog MWsaka la
IGIALCOVIUx aANIIANY SEWER SYNI'LM 1 d a
ini AI co.,L IONCroum ORAINAGC S)STCM 3
-,ntCFr(MI'l1OVt1Al I:N1S (IncllNmg(:utb.Guncq Srdcwvlk.ANded11'avun.nl and Saco l�ghlmg)
SICN-,iZA noN (i.IooJmg Lng Dcagn Coi,.(.ILI 1'enllrr Fees.WA SI S.MaA lax)
AJ
S'1110:1 LIG^iil'ING. (Including Eng IN Ugn CIrttA,Coy knot FCC%.WA SI vica T:Ix)
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WDRU J. PRIMLANI [2'o(o 211 - 9002
I'nm ugnauuy naoa JAI phn n x
(SIf.NA111R1:1
Iunu�t.uNr un r Ixu nJi (StgnMup uk1M ba audukracd Aga-It
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Renon Address:.
City Clerk's Office
City of Renton
200 Mill Avenue South
Renton,WA 98055-2189
Document Title(s): Assessors Property Tax Parcel/Account Number:
1, UnLTY EASEMENT �I O
Reference Number(s)of Documents assigned or micased if applicable:
Additional nfmnx numbers are on psae of dmu"nt
N /A _ sue y r
Grantor(s)(last none rust own Gm nune u+d initials!''
I. S-r. AN �Aew
2. GNu10,
3.
Gmtee(s)(lan aame arse Oen Gm none end imi):
1. CITy o � E
2.
Legal DCaeriplio0(abbreviued is.lot,blob.pla or wt...townsbiy.r> 0:
Additional Ingsi is on pq;e3nf document. n A P A P K A'O V 1 -r I O o )
t- 0 T 6 of P> R''OT W Q
PS PER Plil7 REtoRD /rJ ✓ojuroE Il4 of
PLP -t .V , Pf) 4ES -75 � 7 B� RkGoR� S of
K ItJ G c (OU1, '-T
'IM Auditor «order will rely nn the in urmalion provided the form. s will rw1 nod Ne document m veri
Ne¢curs.) FI t fN de 6 nfurmetiun Monded hero.
s
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UTILITIES EASEMENT
y
'1'flS INSTRUMENT,made this IL—day nr--FEQ Ru A R X 19 9 7 ;
by and between SY A0DR�W P99S• CAURGN and___C'l7 y
tas��.+.a.n+Ma ttryyl
cF R,6NTOa _- and_
hereinafter filled"Grantor(s),"and the CITY OF RENTON,a Municipal Corporation of King
County,Washington,hereinafter"lied"Granlce."
'Mat said Grantor(s),for and in consideration of mutual benefits,do by these presents,grant,bargain,
sell,convey,and warrants unto the said Gram".its successors and assigns,an easement for public
utilities(including water,wastewater,and surface water)with necessary appurtenances over,under,
through,across and upon the following described property(the right-of-way)in King County,
Washington,more particularly described as follows:
See page=� for legal descciplion
For the purpose of constructing,reconstructing,installing,repairing,replacing,enlaging,operating
and maintaining utilities and utility pipelines,including,but not limited to,water,sewer and storm s
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 therefor. Following the
initial construction of its facilities,Grantee may from time to time construct such additional facilities
as it may require. 'hi;casement is granted subject to the following temis and conditions:
1. The Grantee shall,upon completion of any work within the property covered by the easement,restore the
surface of'he easement,and any private unpnotments disturbed or destroyed during execution of the work,as
nearly as practicable to the condition they were in unmedwte:v before commencement of the work or entry by
the Grantee.
2. Grantor shall Ruin the right to use ere surface of the casement as long as such n -does not intettem with
the casement rights gmaed tote Grantee. Grantor shall not,however,have the right,,,
a. Erect or maintain any buildings or structures within the easement;or
b. Plant totes,shrubs or vegetation having deep root patterns which may cause damage to in interfere with
the utilities to be placed within the easement by the(iramm,or
c. Develop,landscape,or beautify the easement area in any way which would unreasonably increase the
costs to the Grant"of restoring the easeme•n area and any private improvements therein.
d. Dig,tunnel or perform other forms of construction activities on the property which would disturb the
compaction or unearth Grantee's facilities on the right-of-way,or endanger the lateral support facilities.
e. Blast within fifteen(15)feel of the right-of-way. 4
This easement shall run with the land described herein,and shall be binding upon the parties,their k.
heirs,successors in interest and assigns. Grantors covenant that they are the lawful owners of the
above properties and that they have a good and lawful right to execute this agreement.
G
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Sutures of Grantors:
and
and —_ ---
Corprrd'(, to M(FACAN0%1,RxIMIM
STATE OF WASHINGTON )
) SS
COUNTY OF KING ) I _
1 certify that I know or have satisiactory evidence thetILA a_l.Q is the person who appeared
before me, and said person acknowledged that Ni91she) signed this instrument and acknowledged it to be
yher)free and
voluntary act for the uses and purposes mentioned in the instrument. /
Dared
i.r
Notary Puhlic=in amd for the State
of Washington residing at
Notate(print).. -
My appointment expires: 11 LLL� h T•�ve'v"
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mat A r ,
Legal Description
rm�n�sYnofroni
a..rw=y£. nAer�
rrn
CC__••--��MMII ss111 auaa.w...e:m: u' rerA rY:
That portion of the below desc.ibel parcel defined as follows:
Commencing at the Southwest comer of parcel doWbed below,
Thence,South$8'12'04'East 18.01 Joel to the TRUE POINT OF BEGINNING,
Thence,North 0'15'10'Webt 183.10 feet:
Thence,North Be 12'04'West 18 01 1ee1.0 the west line of parcel(Lot B):
Thence,North 0'15'10-West 39.90 feet,
Thence,South 88'12'04'East 33.01 feet
Thence South 0'IS'10-East 203.00 feet;
Thence North 88'12'04'West 15,00 feet to the TRUE POINT Or BEGINNING
� parcel Descrintion:
i LOT B OF BRENTWOOD PARK ADDITION,AS PER PLAT RECORD IN VOLUME 114 OF PLATS,PAGES 75
AND 711,RECORDS OF KING COI INTY;
SITUATE IN THE CITY OF RENTON,COUNTY OF KING,STATE OF WASHINGTON
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Return Address:
City Clerk's Office
City of Renton
200 Mill Avenue South
Renton,WA 99055-2199
Title: BILL OF SALE Property Taa Parcel Number: I o 6 G 7
Project File a: W.e a(a q Street) unsini ini or Project Nano Sf AA)pR Ekd pKES9Y lE IAAf11V C
Reference Number(s)of Documents assigned or released:Additional mlemt numbers are on page—_
Grantor, ST- ANUREK) PRESd7T RIAe) C1fURCH ,for and in
consideration of mutual benefits,hereby grants,bargains,sells and delivers to the Grantee,the City
of Renton,a municipal corpo axon,the following described personal property now located at:
Additional legalnnn pageofdocumeni. tAAhnNatediegddescr(peaa AJUSTgo Am
a
By this conveyance,Grantor wdl warrant and defend die sale hereby made unto the Grmaee against
all and every person or persons,whomsoever,lawfully claiming or to claim the same. This
conveyance shall bind the heirs,executors,administrators and assigns forever.
1N W'RESS WHF-REOF,said Grantor has caused this instrument to be executed this
aft.. l9n2 t'
�.,.d,,.� A—fin•— ckv�
STATE GF WASHINGTON )SS
COUNTY OF KING )
I y that 1 know My'sausfanory evidence that
ucun _signet this
.DP W instrument.. R insment and acknowlWged n in of 111 hcrnhrir Ice and voluntary act for the
M.r,• ..4�Sf-Q uses and purposes mentioned in the mstrymen
t�yKgj /
Notary Public in or the State of Washington - �-
Notary(Print) IL
yr+ My appointment ertpim:
Dated:
3`
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Retwn Address:
City Clerk's Office
City of Renton
200 Mill Avenue South
Renton,WA 98055-2189
oj10 - d2
Title: BILL OF SALE Property Tax Parcel Number:ST 6 G R 0 PR SS lad LMV
6 Street lnrerrrrrioo er Prolat Name. 7
Project File a: W- e__
Reference Numbers)of Documents assigned w«leased:Aaanwna)rckrcnte numae are pas
Grantor, ST RNV RE W PR�s Ny TER lna tf(u
for and in
consideration of mutual benefits,hereby grants,bargains,sells and delivers to the Grantee,theme
CC Rentony rpontiun,Nc following described personal property now located at!
Additional lead nen paS<--at docum u. (ADanNandlraal darriprion MUS7paera)
e unto the Grantee against
By this conveyance,Grantor will warrant and defend the sale hereby mad
all and every person or persons,whomsoever,lawfully claiming or to claim the saint. This
conveyance shall bind the heirs,executors,administrators and assigns forever. ALI
IN WHEREOF•said Grantor has caused this instrument to be executed
this t „ Y
361-1 Lg
STATE OF WASHINGTON )SS
COUNTY OF KING )
t c - Nu I tnow d aaY3 vtisfacto7 evidence that _signed this
� � utfo.me
Instrument and sctrmwledaed ato 'yhcdNeir fret and vulunmry
uss and purposes mentioned in the irwgtment--
`rsa(q pe�Errtl i
-y 4 `'• Notary Public ill or�the rate of Washington
1i Notary(Print)
LFr-
My appointment C illres:
Dated:
I
Rerarn Address:
CITY CLERK'S OFFICE
CITY OF RENTON
I200 MILL AVENUE SOUTH J
RENTON,WA 98055-2189
Please print or type information
DOCUMENTTITLE: F.XHIBJ A
PROJECT NAME: St Andrem P sbytrr an Church
WATERSYSTEM: IcueW Sitc bu
_193_ L,F.of ._$:_._' DI Water Main
L.F.of Water Main
L.F.of Water Minn ,.
L.F.of Water Main
_} each of 6" Gate Valves
each of Gate Valves _
each of Gate Valves
1_ 6' Fire Hydrant Assemblies
SANITARY SEWER SYSTEM: I,em,,h Size I= {
L.F.of Sewer Main
--- LF.of " Sewer Main
L.F.of Sewer Main
Cacho( Diameter Manholes
each of Diameter Manholes 1�"
each of Diameter Manholes
STORM DRAINAGE SYSTEM: 6et18th sin I=
L.F.of '- Stomt Line
L.F.of _ Storm Line
LF.of Storm Line
each of Stomr lnleVOutlet
each of Storm Catch Basin
each of Manhole
STREET IMPROVEMENTS: (Including Curb,Gutter.Sidewalk,Asphalt Pavement)
Curb,Guner,Sidewalk L.F.
Asphalt Pavement: ___SY or __L.F.of Width
SIGNALIZATION:
WA
STREET LIGHTING:
a of Poles_ N'A
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tP t.
nY411 },I_ :. y •S 1 '� tl MI � T ° ` } � "yW�� Lam.
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Return Address
CITY CLERK'S OFFICE
CITY OF RENTON
200 MILL AVENUE SOUTH
RENTON,WA 98055 2189
Please print or type information
DOCUMENTTITLE: EXHIRITA
PROJECT NAME: St Andrew Presbyterian Church
WATERSYSTEM: L=W Sim I=
243 L.F.of 8" DI Water Main
L.F.of _ Water Main
L.F.of Water Main
L.F.of Water Main
3 each of 6" Gate Valves
each of Gate Valves
each of Gate Valves
6" Fire Hydrant Assemblies
SANITARY SEWER SYSTEM: Lwgth sin Ipls
L.F.of Sewer Main
-- L.F.of Sewer Main
L.F.of Sewer Main
etch of _ Diameter Manholes
each of - Diameter Manholes
each of Diameter Manholes
STORM DRAINAGE SYSTEM: Loa Sim I=
L.F.of Sturm Line _
L.F.of Storm Line r
L.F.of Storm Line
each of Storm Inlet outlet
each of Storm Catch Basin
each of Manhole
STREET IMPROVEMENTS: (Including Curb,Gutter,Sidewalk.Asphalt Pavement)
Curb,Guner,Sidewalk: __ L.F.
Asphalt Pavement: SY or L.F.of _,__ Width
SIGNALIZATION:
N/A
STREET LIGHTING:
a of Poles N/A
i
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4�
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Ip �3 i
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PROD C•CT CLOSINGr
FINAL COST DATA AND INVENTORY and Invc
SUBJECT'. Cm pilo)CCTNUMnrus. WI .1 1
WWry
ST. RaDR Ew PR ESgY jp R?)AAI SWP.
Name of pr)Iect C MV R CIO 17IC1 _ .i
'ITO
To Cu)ofRcmon I'ROM PRESBYlERito C14URC-H
plan Review Section
Plannmp/Buliding/Puble work.
200 MITI Avenue South
Renton,WA 98055 DATE. _� — 7 —
Per the request of the City of Renton,the following information is furnished conccming final costs for '
Improvements installed for the above referenced project.
WATER SYMM CONSTRUCTION COST
Icngth SUe Iylx
243 Lr of ' _j1a_7L_ WATCRMAIN
_ Lr of WATERA A1N
LC of -- WATCRMAIN
L.F.of WATHRMAIN
�•� I'ACI I of GATE VALVES
EACH of GATE VALVES A,P
EACH of -- GATT:VALVES 140, S O o !
_L EACH of rlltC IIYDRANT ASGIiMOi.11is §T-!?9- !Q
III of her ilydnats must be listed sclumucly) S ,fir r S ra o •"
(Include Cogmeersng and Sales Tax If applicahic 3
TOTAL COST FOR WAI Fit SYSTEM 3
SANITARY SEWER SYSTEM: STO M DRAINAGE SYSTEM
Length Size Type LI Size 1'yoc
LP of SFWL9 MAIN I..F.of SfOMI ONE
LP ul allolx MAIN I.I' of —_— S1 ORM;JNI:
' Lf of +[WLR MAIN LAM srOW1 uNL
LA of DIAa1RF.R.ANIII LA of -- sTOMI 1NLCb0U1'11"1
CA of DIAMEIl1R M.mirmrS CA of STORM CA'rClI11AMN
nndxdmg rn3m¢m,3 am!Saks TIA /� 1fA of SrORM CAI'CIIIIASIN
If a,Pllohk) 1 -0 nnKl,.I lnR.nccn.I WI
10'1'At CO51 I uA 1ANIIARY 3FWUK SY11141 $ a"i,i Lk) I
1'0IAl COI I TOR STORM ORMNALL SYS T GI 3
S71tEBf IMINtUVIiMIiN73' llndudinR Cmis.Guucr,SrJcwaik,AsphMl 1avnlKm and Strcct LlRhunµ)
SI fG1N�ALI/UTION (Indadurµ EIIR.DeMµn furs.C.xy Iknnn Fcua,u'A A saka'I'a A)
S7 NC�f7f LIGpI Il'ING. (1nrludmR Enµ.fksµn Gnu,City Ihnnn I'res,WA 4 bhs lbx)
WDRU J. PRIMIAroI [Zo61 Z -11 - 90OZ
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(sIGNAITIIIr)
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81l31/1997 15:39 206286W7 PAND'S WOODCRAFT PAGE 02
FROM : NDRTHJ L PHDE ND 1811. 31 1997 [9:49AM P3
PAaFlc wArcR woNa tUMlr oo.P iwC. ;
' ll ! �
oVAUJf'wML NE. wrMMIP.KAwN
BACKFLDW PRIVEnVk DEVICE TEST AND MAMRMAMOE IMPORT z:
ru NO._
FIRM NM6 ArS t,B.yr Me 2±7v cld PicH
ADDRESS 7G04 N� yA c •T CITY-- 4TATE4 ZIP____
PARTY CONTACTED _ REDJOED PRESSURE SACKF:..OW DEVICE J
DOUBLE DETECTOR CHECK
PHONE_ - — DOUBLE CHECK VALVE ASSEMBLY C
PMSSURE VACUUM BREAKER C
MAKE OF DEVICE _L4rA--�muoE�d -1 _SFAIAL NO. B¢f —
BY-PASS �t i
DATE INETALLSD —METER NO.___ M[TER R[ADlNG
LINE PRESSURE PSI PRESSU
RE DROP ACROSS FIRST CHECK VALVE —..PSI
LOCATION of mmot
CHM VALVE NO.I OM[OS VALVE NO.2 01112
PREASURE Ra8 VALVE'
TEST
raw
MPAN LEAKED ❑ LEAKED C OPENED AT �_PBR
ROSlD TIGHT Sr CLOSED TIGHT 9 REDUCED PRESSURE
MIIT CLAM REPLACE PANT - CLEAN REPLACE AAAT ... CLFAk PWLACI
iIB. ❑ n n ❑
IPARn c 1
❑ ❑
❑ ❑ ❑ ❑ ❑ ❑
AND
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TEST OPENED AT —PS
A"11I Bfa CLO TOWU CLOSED TIOHT — :� R[Dum PR[[[UAB
IMPAIRS
'NEOUIINEG ONLY ON RE9UCEp PRESSURE BACKFLOW DEVICE
RETURN ANPORT 70 I.
TESTED SV
REPAIRED BY DATE
FINAL TEST BY DATE
A.w FAw Aw MIA...a.er Ir• TESTERS WASHINGTON STATE CERT-IMATION NO. it
�..nau>•alrn NNONK:! AMIN�ASIOII.IU
J
I
10.07'86 MON 09:31 FAX 767 5063 LACKS TESTING Z002
WON."Amps"WASSTOB } I •�-�M •a�••••y Lrw. ,NM.
S.aTB..WA WA961 9S10B
WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS
WALE wu.ESIl01L•READ 8u7M10mis ON eP1?cOC GoIDFHRDO CORr S0bfLECOLIWnON RWlNSTRIVKASONeAol OFooLOE'MIoDCOER'R INbYCYp1E En M MMBAtl.YIIOM.BI rI{:,'.Ol. ■III.buNbm a.M T.IN.b✓I,yR19l.wplM lypG
DATECOUP ED OOLIfCTEO =O NAW ATE COLIlLTN COLIf 0 OOUHM1 NWE��I n
Ra
t W ❑,N Kluy to /4 /4l� AN ' a, KIwG
EOF SrSTEN yFTaL [vSTFAtWrIiTE. E0Iap6t ETSTEa iEFaLK S•ISTBL,COLiLFl:
PU&G
INOMDULL ORIXIP
D No PIISUC ® V
. -I 18 5 0 \J a Ralvrouu �D W. p C, Drouv
NN.�wTl+tr.., V A e
NAwE of srsTEN GI TL( �F W-F—w",-OQ NAME v sreTEN C ETY C* E.QTO E.1
c6kkjw,1J S?, Awlo¢�� CtilU2GN aEOEC tOCAnMwrtRE bAMtE COUFCTED TELEFII to 6/EGfTOIOGTIOT NNERE SNnE�UERED�T}ylvNDNE Np.
Pid�JOFPAS5 T rLLt41 (p¢ F DArQa(d2�5-?/A(�!n
WOE COLLECTED [v[wNcl I YlQ� J3-1$$4 - (ealNNc�_
ywvLE INVIRI Sv91b ONMEMW0.'.Mnrl BANPLE ODUECTEO sv.l—__wB+,_Tj .SYSTEM ONNEWSPGR.:FIEnIEI
119it�1 �-Al2GY I �A`f r�l.tp_ Ma¢�LL� E�otY 1�-Y St.�D
SOORCE TTE ORWND RR tMCER SUREMO[WRUdCE SWRfx TYPE OR7IND WATER NDER SUI1FAf11NRUEACE
❑SURFAD! ❑WElliblElD ❑6PPac ❑MYp1ASED.*9�LS�TRM ❑SURFACE �WAta -]VWN0 ❑fURC1Y5E06 OpEwIMAi1P
apt n�Ey Yh1LRElD ppMEIRK �b olltA
[C'_pTY /'+G 1— 1 fTt1.1 , wg,�� OEOT_ [•GnK�\TC1 1 N(OTC �TN( Cam_
'7r^
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INW DINK "TER _TW �F.) rrn OE 5U4T W
yTI � A.M1 E k1IY YJ.fI b�.N IE❑PW t(wy.MnM'n�)
Yptl IM.
OAINIDNG V TER
WCI
{Y.YYE bCIW LIRYYO v ate•
L' mNnn MwMo WF NE "'SWALE ❑
nrAwa vAbin laNBr. LAe.
RAWRDUND1W.TER SNf l l TpWOWN RAwSOURCEWEA abM.®m
NlW LDNSTRULTgN.REEMR9 uJ �Ea1DoMA NEw fdl$TRUGIpNbRIPAIRS BftlIG./sb
DT1FR 19PwM OnER lSwaM
REAR B' 2 of 2 LJ
RFM.RRS:
(LAS USE WELT)Moon wAT[R AnmTS AM UK dou)m aPLD WAM FAW&J,
❑tWSATTBfACi011r CaB.Tn R.LEN �WCa IeBIN rrin' ❑VNSAnsfACTOM,CE.EINPNYm WTE",LbREPEAS ❑E C Pn m ❑E G Ferx REVEALnE Otllpwn (,i=T"
REOUalD ❑fw101.E.^I ❑MaI P1am REWIIRED s2 w.11 TE
OTM[R LASDRAlO1R RgULTE OTMR LAIOlIR10111•ackuS
TOTµ COUPONL_Am TI ECa)_AmRI TOTµ COUFOIW_nm W EDOLL—Am
F[Oµ co-woR4_nm W PLATE OOUw_AN PEGL COLwolw nm W PLALATE WONT AN
ANOTTER SA UREOIIRED MQnER SAILPU RlWRE-0
SANFtENOTTESTEDRECAUSE MTUNSUITABLESECAUSE. LhN NOT TESTED BECAUSE. TEST tMUITAILE BECAUSE
�•I MRiPR Ta be CanbW Omw� ❑sF lmw ,,4.MIn wwP
PL8�j N1NV ml.Mr nITG ❑".n ❑TWC
EialFyb.bin TlfEtl bAw nIllm.lNN Ann ❑Tb NRMF
has ONn. �- Ear.I.IN
SEE REV EASE SIDE OF GREEN mPr FOR FfPtANAnON JE RESULTS SEE RMRSE SpE OFG EEN COPr fOR FYRAIUTTW Of REStcTs �f
wro.n DfrRR wR.TN..tn1Vf Aell[ n u«o P.D7TPi Ire
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CITY OF RENTON WATER DEPARTMENT
Pressure Test S Purification Test Form
PROJECT NO.
NAME OF PROJECT I\1.1QZ.r-\ l C{-1C1C2,C.L1
PRESSURE TEST TAKEN BY M�� � ON
AT A PRESSURE OF z�PSI, FOR --I ? )
TEST ACCEPTED ON MIN,
PURIFICATION TEST TAKEN BYIL p„n;_ ON
I'
PURIFICATION TEST RESULTS, SAMPLE M1 c
SAMPLE 02_P(�[
SAMPLE #3
REMARKS:
I- -1
NOTICE OF NEW FIRE HYDRANT IN-SERVICE
NAME OF DEVELOPMENT A1AbIPga�S C... LJ/�'
ADDRESS _3L Q 4 / /Vf�
n 1
INSTALLATION CONTRACTOR _AkR.`d 09ktT t+;
WATER PROJECT NO.
NUMBER OF HYDRANTS
HYDRANT LOCATIONS (FOR FIRE DEPT. USE ONLY)
1. -2j,Q_ PIA✓S HYDRANT NO,
2.
3.
4.
5.
6.
INSPECTOR
i
J
I
WATER PROJECT CLOSURE CHECKLIST
Project No. W-2269 jProjectNaine. St.Andrew Presbytarian Church
W A.No. 18784A I Address: I JIM NE IOth Court
Permit No. Date Issued.
Issued to:
Preconstruction Meeting
De\eloper s Name
Address
Prime Contractors Name.
i Utility Conlracter's Name.
City Pro cc t Manager Paul Lambert
Ciq Pro ecI Inspector Dan Thompson
Special Billin Yes I INo I NiA From
Pressure Teat Report Date lily 1G Taken by rVl.l P,w
Water Purity Samples I Date I 10.1!96 Taken by Mary Burly
W'.1 er Purity Result I OK I Yea % No Lab No. 08140ia0&08NOi�1
Retake of sample Date _ By -
Purity Results OK _ Lab No.
Tie-in to City water system
Welk-thru by maintenance Date
Punchlist Items Completed Date
Final Inspection by Inspector Date
As-Built Plan Checkprint Received Date
As-budh Plan checked by inspector Date
As-Bwll Plans Mylars Received Date
Easement Yes No N/A I Recordin No.
Bill of Sale Yes RecoMin No.
n Cost-Data I Yes
FDome
Test Reports Yes No N/A Date Recel\ed
pe irri ation
{ kler DDCYA
ic Water Meter = A
vice Agreement Yes No N/A Date
eters Size(inch) S.O No.
ic Meter
pe Meter
>( tection Meter
Maintenance Bond Yes No N/A Expiration Date
Project taken into plant I Date I LBY
Res.No. By Date Remarks _
I 10/12!96 Initiatechecklist
A oil
1
CC: Paul Lumben/l0/l2!% 'QAUt-r
IIMAItiaa )ui,jk\Ipw,M.2:6VAO l�Av-% I(OU Yk, • lit �.^.J�
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P
96 i
sloes PaTJ O
I
I
36o4
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�7'
Oil* 411
c'
N8
I
(• 6 Tee Mix FL 4►e« ��bS4
6" &,V. FLY MJ w.11C1
1 6,r Te 8" INLREAW STAB 1N x MJ
1-8" 12 5 keve mi x M J %604 . „6
{ 6" Sleeve mix Mj
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Dos wRMT SYTw.WA6Etoe ( .� ) 9105.IIAr,My Seams,WA OlIOB 1 )
WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS
SPEIFtECU 8CrO4:REIDINSINXTONSONL%CKOFGOIDEWADDCDY SAIPUCO(1ECTION READ INSTRX1VNS04 RAD(OF GDLDOMDCOPT
P IYfRMIIM11e ePe M MMIPI.AIE,eYley WM Y PEIFtfE. P IMEYIMA en POI bI1eWY,YRAp1e FNII Y lellnrMt
DATE CIYIFCIED LOLL22nn COIRITY MAME JAR WLLECTEO LIME COME CIIPITr NAME
w µ :me K �G l� to
OOf AOTEM I/PUSL STROL COAPUTE: '`OF 6YSTELM IF Puftc SYSTEM.COMPLETE: l
LD.ND. 1 1 85� pUA 5 OFS lo.ND. a5 a`jBRow
NAME OF SYSTEM C Mf OF If.__ .Tali-,•' N.ME Of aTsrtM L tTY CIF �.h{TD
LoaCNUr&-q 5T l.lo¢Evl CNU¢� t1
XFOfIC�OTAIIWwI[PEEMMLE Td1ECIED TElEh .O _--- tlldrlc T,De WNCRE lAVLF UFMO TELEPNCNE ND.
f.jcw Dr'F A�iSPA Y -t.�a�uOA {�•1(T&FI�fD�.G.E..1T. Mr Qdd ��i' /eU[
SAMPLE GDIueTED En(LwY) YTTdoPPERMGR:INAnN) 6AMnFOOLLCEDIY.IFMIY) snTllla/INER+ICMt:mn.)
1ZaY St�D
SOURCE TYPE WlDGND WA UIIDER SLMFACFN u@Nm SOJRCf TTPE GROJND WATER PDER SLMFAC!INFLUENCE _
❑SIIPFAC! ❑WRLci ❑SPWNG ❑MILNIASEDw�RMRRWTm ❑SUWA E ❑wt". '�SPW.G FJ PJP0IMSEDa�ObMYMM - .':Ii°.
WELL FIELD IIREPIIF. PJi EP WFll f1E1D wTERiIE oODEP
E�I REPONT TC I.�«NAmFAPEwM MW IRWMID 1P�fJ P1.m.. ATE CaC!
L ITY n�Y P.s�LL�►1 -L.= D!`PC. •� K-- LT[ �� DE_M.
?rnLMt'l�. bLE . SQ • 1m
�E-�1T�1.1 WITP WWMP. S..ala
TYPE Of EArPLE1M.a aIN w neM Yuml TYPE OF SAM�L!W+M vfFw WM Pannl
❑IIDIITePE �ywMY�MyW__Tyl_!� ❑M ❑UMvrtIMMEUM._TWI FYI
DRMPMM NYTEP MWRMINING wehP
I.tl1YMNMA—+ fr.! Mcl ervan—�L fiM
WFAr,v pM C LWIYYC v 00.•_—�
❑PEPELTSAIPLE ❑REPEAT SANP'LE
gP.PA.e WNJA IPMAAn(♦ WE NF+tAI.efATP PMAau WL
OPIP I I DIP, I I
Mw SOUROI wAT!R lku tam ❑TtlM016E111 1PAW SOURCEY %R S .t jm (1 TFYIOMIVM
MEWCONSTRUCTIONl REPAIM FArOLWwe MEW COIISTWUCigNaREPNRs Fti�n"
OTHER(9PMM j PC
DTIEP fSOePR _
FLU IIEE DMER MIDDM6 WAIN INSULT _ 6A1UKOIEn MMM011GWATEPRFJMLTE
❑~TWACTORr.CeMMm N �(IYVTf MNa,ISAnsrP ow, ElUMSATwACTMY.Ceaaee P•lEaA �I$ATL9FICfiR1
rMa..eDMn'
RFPlAT r,ECdlpnMn ❑ECS MYx PFPMT rlEbMpwl! nEDeF MMMN
WARPREDPL.(J f.u1 M.M^I ❑fol Mn PE SAMPLES yL•(1 frY wFlll IPJ•{hm swA
OTHER LADMPTOR POMLT I OTTER LA60MlDPf I wAl
DR OP TLCDLPM__AmM ECOII_RONQ TOTALCOLWOM_AM" ELLU_Aaw
RULCOlf01W_1100M PIATDOLPf_01 FlC+1(bIIFORM_RmM PLATE COUNT__All
101071ER SAMPLE f1mm ANTLER SMAFLL RlOIPEO
SAMPLE NOT RSRD 6ECAuu TSTUNSLPTAIIESCCAUSE, SAMPLl MDi TESWD6ECAUSE- RSTUNSWTQL!KE SE
Sms"wvo CWWPNw ❑. . W. [1 fnWIwnwD
EIID19 FR1Y.r TMTC c wmm..m o rwe
Y�A�P 41n �`WMMW II.MW.IP �TTwPw Men.
WE WA7EE SIDE OF GAEDP OOPI FOR EID'A Ar*N OF RESULTS SE!RlK11SE SIDE OF GREEN ODPY FOR EKPIANATI 0,RESULTS
Wb.OMITS, YR.TYE RIfIMQ RQ w WYRPFR6, r TIL e--�IIEQIn
OARPPPDPRD WDMiWIr. DAR IPPMRP UMKPAT
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J(t Short Plat (SFL aP
REQUEST FOR PROJECT# Prelim.Plat (PP#
CAC
To: Technical Services Date 8-30—'7G WO# 876S5' Green#
From: Plan Review/Projmt Manager _ P lr (_ L V/41 Rga��(T
Yrojecr Name $ZAy pa cnvecuR mu)
Des-,nption of Project 1'Nf'l/114 /}TIV l O/G !VATr'<[
Circle Sim of Waterline: 0 10" 12"
Circle One: New or x(ension
Circle Sim of Sewerline: T. 10" 12"
Circle One: New or Extension
I
Circle Sim of Stnrmline: 12" IS" 18" 24" Circle One: New or Extension
Address or Street Name(s) 36 0
Dvlpr/Contractor/Owner/Cnsh:: r
_�iltrb!/LAff �lu7iEt�
tra CllpRgCR rIW f
S7 Ayo/IEws /�r13✓TL,[/q/v CNoaC tf ZZ s-
Check each discipline involved in Project
ltr Urwg #o(sheels per discipline
O Trans-Stone
(Roa4war/Drimay fORrir imrrvvemcnRxintlude E,vin w )
j on<wx rFscrr«a)
Cl Transponation ls;awiauon.Cnwur>,6m U,hlinr) p
!� 0 Wastewater O O
Smiwy&wv Mun(ialud<Lain mme7
Water 3
lMum,vdvu.Ilydnnu) Cl
Suface Water °awmwr"«H"mm�nl cm Snore)
Imprdvements 1, in<i"d<bu;n wn<) 0
TS Use Only
Approved by TSM
H:0� 1114roxagmucomn Date:
r
4Je
i
Laucks Testing LabOtatw: S.Im.
S.0S Harney SeaRle WA WlN
WATER BACTERIOLOGICAL ANALYSIS
SAM7LE COLLECTION READ LISTRXTONS ON BAG OF GOLDENROD COPY
t akYYwawl.. "RMw�aawar MlMKMwba•
MIECOLIECIED TI COUE�TFD COUNTY NAME
rtlMM o/e' TW ;�
OF MTEM IF SYSTET4OMWLM:
♦ It�UAI IA.Eb. 1 1 A
1•H•wM C.
T wdywll r'•
weiE OF SYSTEM C—TT( U(✓ tA--c t(rw' J
SKCwCLI11ATdRIERE EMIL[I:OIIECTN THBIOERO. ./�4�
F'�4 t.J C:FE l�S�a'M Wr Z
cvflrq
yrtEcouECTEom:RT.RR MTfl10NlMT(N.:asNu
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•EIa—ounDs TYPE GROUND IRNfl1NNFALTEERLl91� .
L ❑vvLLiw ~ ❑Nf Q /�q�wO 110M
Tca}��.-""�.r 4.�.I'�'tclt'I
r'k t U.. NMt--
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OMFROUTINE
WATER
aonw
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A RA M O YT DRNRNO WATER R"MTE
El UNSATISFACTORY COMM O�X E�`>iAnSF/LTORY.
7`hwlKws
REDS �E.Cissess. ❑ECa.NM.
KOIIEEe ❑falP ❑ �
CRI MaadstmR+TSTNRTa
IOTK WIIfOItl_—RIM N E.Oeu
IFEM'MIOe—ROOM MTE COUNT—AM
ANDTER SAMPLE REOUKO
aMAPLE NOT TESTED KMSE. TEST LPOWAKE OECNME:
[]S.",eaw OCwR.w.waaM
yNTC
� �Yrbn�Ol.R loan �TURRRII..
• � �EW.r.yM.
SEE REVERSE SIDE a<GTEEN OJPY fOR FXPUNAircN Cs RMUS
W wPROIYIIEI fMR.1.ilI1LFhF➢ 7C[IYED REN
a 9U1 r
MT[KMTEO IMORATO
MrMw
WATER SUPVtIER CCnY
Laucks Testing Latwatwiee.1m.
900S HafneV SeBun WA9910a
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION READ'NSTRUI I ONS ON BACK OF M DENROD COPS
I NhubuvllWNMM1 kNbWtl,AARpM WNM WtsW.
i GAIE COUEC�tA TR6 co"
NWE
0 4 9(r - pm
IE/OEUCEYEI9ACOYAIETE:
eRa R
j�- � 1
RrrEaRe+s C ITr ci t 1,JI
LIIUW14
ERCi1CR swtEwurnn 1E1R1A1ENO.
I F;:'Ex
ttsysmm_�SAa EYSTENOEaEWtNA'.P�+1
EdNwATER UWACE WOUN34CE
> lw�o T F It-11F, —
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pd
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E= ❑a+Nrrrawr+:�xn�fNu
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pREPEATEAINLE .
Pwder aolls� v l�eE
W 9'Vw.. $oNo•®� (�'+t TOIeUNONT
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OTER EAaonAxom IlMLA
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