HomeMy WebLinkAboutWTR2702294 W-2294 84th Ave S Steel Main Replacement 1
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Short Plat (SHPL N_. ) "
REQUEST FOR PROJECT N Prelim.Plat (PPN ) "
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To: Technical Services Date 1 WON 40W _ Green#
from: Plan Review/Project Manager 'JJfj ti 1Y,1,}c, / Ice Cut, ( 5 0l eA ,a
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Project Name �)' /"'yl$ �, lAc l w,-z-%
(70 duu nrsie.p 1, ""—
Description of Project: •
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Circle Siu of Waterline: 10" 12" Circle One: -ew r Extension
Circle Sim of Sewerline: S. 10" 12" Circle One: New or Extension
Circle Sim of Stortnline: 12" 15" 18" 24" Circle One: New or Extension
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Address or Street Nune(s) �4''r�` N\re. S.
Dvlpr/Contractor/Owner/Cnslr t — dt I�c•••1� t'�e...,.rC
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Check each discipline involved in Project Ltr Drwg N of sheets per discipline
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❑ Trans-Storm _ ❑ ❑ _
(RoadvrylDni,uae) (Ott u¢iman,vnsnu)(intludc buin name) 6ndum rETC rtiuu)
❑ Transportation (Si6^+t�ucoa❑umdiuuon.Lshunx) ❑ Cl
❑ Wastewater ❑ ❑ __.
Saniury Sew Main lirclvx buin name)
Water (Maiµ vwH ,Hydmnu)
(Include rom(nux a Manunul CW alxeul
❑ Suface Water ❑ ❑
Improvements O.Wt ha n.a
I'S Use Only
Approved by TSM Date:
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iShort Plat (SHPL N____ )
,REQUEST POR PROJECT N Prelim.Plat (PEN )
To Technical Services Date a )4 WON 40W _ GreenN
Prum: Plan Review/Pmject Manager ,��t 'F•1,} t L/L (�S o/4eA,a
Project Name 3Q K' f"'I/C �, 4AC'A I\I,^z,\
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Description of Pmjcct: f�J�Sf'. Z' C�r��va.,�tZd l• R}�.Irr�A..�
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Circle Sirs of Wa(erhne: 10" 12" Circle One: ew Ir Extension
Circle Sire of Sewerline: 8" 10" 12" Circle One: New or Extension
Circle Sim of Stormline: 12" 1 S" 18" 24" Circle One: New or Extension
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Address or Street Name(s) � /+Vi. S. „yr c[.a+�. �' ��.'L^C._�' �+
Dvlpr/Contractor/OwneJCnslr: :1.4t, 4 ..__—
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Check each discipline involved in Project Ldr Drwg N of sheets per discipline
T^ ❑ TranYSloml Cl ❑
,. (Ro+a.aYmruin+F) (On ue iiryxu.<rrcnoainNuls wan wnel _—._ (iMluae rFS[�anee)
I ❑ Transportation (SipWWGOp uuYNm4lwn,t.lailU061 Cl ❑
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❑ Was{rwater ❑ ❑ _
Srnimy&+w Mw{izaiae wain name)
Water (Moro VY.ca,IlYannul
{ dkluJemmWalR a IlanranW CW SFueul
❑ Suface Water ❑ ❑
TS Use Only
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Approved by ISM Date.
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