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HomeMy WebLinkAboutWTR2702295 1 1 ti t �i tl 1 C BEGINNING OF FILE K FILE TITLE n /� { a 1 f Return Address: City Clerk's Office City of Renton 200 Mill Avenue South Renton,WA 98055-2189 AUsrN y,�,» p�pr W- BILL OF SALE Properly Ta:Rrcel Number: i Pmlect ile a. C 9 I lnterxaa � i Doc 1h..'" - rf` E NVl NF Reference Numberyq of umets n avigned or rclrased.Additional rekrcnte numbers arc on page G n tor(s): tee(s): 1 Y8'0 '�G t'1'y'E MEN9�S Gran1. City of Renton,a Munici I Co O pa rpotion 2. ra Th<Gnnteq as named above,for,and in consideration ufmutual benefits,hcmby Grantee, gmms,bmgsins,ttlls and delivers to t O the as named alsose,the following described personal pmpeny: O� �D IF $ r' PvC SRJEx 1W,91AJ y yet/ M@As H'UGtL.S s,�': 7 1 Pt F p 8 ey this cony yaner,Gr:mtor will wmrnnt dde don,sole AercbY made umo the Gruntec agninn all and every person or persons,whomsoever,lawfully claiming or to claim the same. Thu conveyance shall bind the heirs,IxMnlors, administntora and usigns tomrer. 4 0:19MN\BOSDa.nO(\pp Pase I R .Wwxx�xa ��.. 71 f INDIVIDUAL FORM OFACXNOWLED MEAT Sk. Notary Sol must be within box STATE OF WASHMGTON )SS COUNTY OF KING I comfy that I know or have satisfactory evidence that y Tv1QY\N�S- J signed this imlrun."t and acknowledged it to b is rMeir free and volunury act for the usas W ys�io-ri e, n'anwhad in the inisoWy�,.,a�/� f�;F`�.tf1vr.e••%qv,'.. Notary Public in a d for the Sta f P ashen ton-, M1 +' j Notary(Print)_ I My appointment expires: -'2• 'yu ' ( Dated ) I I ESENTATIVE r��M E OF WASHMGTON )SS NT\'OF KINGfy that I know orhavesatisfactory evidence that signed Nis instrument,on oath i O that he'dhNlhey wu/were aullum.,d to execute the instrument andNwledged it u the and H m be the free and vaunt.act drench Olp,,tru the uses and purpoxs mentioned in the instrument t r Val Now) Public in and for the State of Washington Notary(Print) My appointment expires: Dated-. N91,0R.x IE FORM OFACANOR'LEDUMENT Notary Seal must be wiihin box S1 ATE OF W I,SHMGTON )SS COUNTY Of KING ) On this_day of ,19_,before me personally appeared to me known to be of the mrponsuon that oecutcd the within is snument,and acknowledge the said instrument be the free and voluntary act and deed ofsaid cotiwntion,for the uses and purposes therein mentioned.and each oa odt stated that hdshe was authorized to execute said instrument and that the real afpxed is the corporate seal of raid corporation. Notary Public in and for the State of Washington Notary(Print)_ My appointment expires:_ Doled: 1 1 4 : 'a Y t CITY OF RENTON PLANNING,BUILDING/PUBLIC WORKS DEPARTMENT FINAL COST DATA AND INVENTORY NAME OF PROJECT WTR- WWP PPSTIO C.SfatCS _Sh" / / SWP- TRO Per the request of the City of Renton,the following information is furnished concerning final costs for improvements installed and turned over to the City for the above referenced project. M CONSTR ICr10N C = Length tee TYD< WATERMAIN �� WATERMAIN De/CT/a e_ 21% L.F of ••••"''--����—'��" fl.�— WATERMAIN L.F.of WATERMAIN L.F.of _ __ T EACH of GATE VALVES EACH of GATE VALVES EACH of GATE VALVES FIRE HYDRANT ASSEMBLIES f l of, ' EACH of S ,Cute of Rrc Hydrants must be loud se"N"i �--- tlnalude Engmetnng and Sales Tax if applicable TOTAL COST FOR WATER SYSTEM •RY RWFR fycTFM STORM DRAINAOF SYSTEM Lc�gd, Size Type Lenath Site Type STORM � LINE 679.9S LP al SEWER MAIN F.of STORM LINE L.F.of SEWER MAIN L.F.of _ STORM LINE L.F.of SE"I.,MAIN L.F.of �_ STORM INLETIOUTLET —[� EA of �— DIAMETER MANhu,PS EA of -- -- AVNM CATCHBASIN ---i— LA U1 DV.METER MANHOLES EA of EA of -- STORM CATCHBASIN (IrwlWn,a Ery{auem,sM Saks T.aTu S (IrcIW�.s E,inenry andSdes Tax ,I TOTAL Cal , fr.ppuuae) —Sv--��— TOTAL COST FT)0.SANITARY SEWER SYSTEM f 2`! ram`{',_ TOTAL COST FOR STORM DRAINAGE > SYSTEM STREET IMPROVEMENTS: (In ing Curb,Gutter,Sidewalk,Asphalt PavemenO Curb,Gutter,SuleWNk: L.F. S Asphalt Pavnnenc sY or L.F. of O':dth S SIGNALIZATION'. timiudina Eng.Oman Costs.City Permu Fees.WA St Sales Tax) STREET LIGHTING: (Including Ena Design Costs,City Petmit Fees,WA St Sales Tax) a of Poles $ 1T4 IL1e Nc1 e S _ 9 Prim signalory Nmt ( 1 A URE) fmmsrCOSSDATi.DOCRh (Slgnamry must M awhonted agem p or owner of subjal developmen0 k y W- 2295 Rerum Address: City Clerk's Office City of Renton 200 Mill Avenue South Renton,WA 98055.2189 a Title: UTILITIES EASEMENT Pro a Tao Pared Number: 334J90-0202 Project File# LUA 95-171 SIIPL Sheet lnteraechon or cmjM Name' NE 19th A Edmonds Ave NF: Grantor(s): Grantee(s): ` I. Kcith M.Menges 1. City-of Renton,a Municipal Corporation Q: 2. Michelle Men es �O The Gnntar,a routed ebore,for w and N consideration of mutual benefit,,hereby grants,bvgaira,sells aed delivers to the above named Grantee,the following described personal property now located at Additional legal is on pogo 3 C ofdocumem (Abbrnimedfagddacriprim A/USTgokcm) [Y LEGAL DESCRIPTION: a"t 15 R emit centered on In beg sap on S line 127,02 A W of SE cor,th N'ly pll E In 330.36 A to N In AND N 20 A of E 134.52 it in 71 Tract 208 CD Hillmans Lk Wa Gdn of Eden Div d,V 11.p 82 R KC W EXCEPT S IN that,and EXCEPT a pill beg NE cor th SO-3249 W 263 0,th S 99.20.7 W 252,39 1,th N all;W In 265 0 to NW cor.th E all N In to POO. Thal said Grantor(s),for and in consideration of mutual benJts,do by these presents,grant,bargain,sell, 8 convey,and wwrraats unto the said Grantee,its successors and assigns,an easement for public utilities (including miter,wastewater,and surface water)with necemsar)appurtenances over,under,through,across and upon We following dcscrit ed property(the right-of-way)in King Ccunty,Washington. 1 more Particularly described on attached EsM1ibi',W. B r For the purpose of conslnlcting,reconstructing.installing,repairing,replacing,enlarging,operating and aintaining utilities and utility pipelines,including,but not limited to,water,sower and storm drainage lines, tmogether with the right of ingress and egress Lleroto without prior institution of any suit or proceedings of law and without incurring any legal obligation or liability therefor. Following the initial construction ofits facilities,Grantee may from time to time conaimet 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 am work within the property covered by the easement,restore the Were of the casement,and any private improvement,dismrbcJ ur destroyed during execution of the work,as nearly as Practicable to die condition they were in inunediateh before commencement of the work or entry by the Grantee IE 8 FJ II & C:\WINWOk1HFOkM9w1ENGEm t10C1 Paget tow 03 00 3ltivcC Il 9] A wi ' vg . $ x t Y , ew.•s-fir.-.3.`.� iV C t 1 p r Grantor shall tain the right to use the surface of the easement as long as such use does not interfere with the easement rights granted to the Grmtce. Grantor shall not,however.have the right to'. a. Erect or maintain any buildings or structures within the easement;or It Plant trees,shrubs or vegetation having deep mat patterns which may cause damage to or interfere with the utilities to be placed within the easement by the Grantee,or t c Develop,landscape,or bututify'the easement area in any way which would umcasonably increase the costs to i the Grant=of restoring the easement area and any private improvements therein. d. Dig,tunnel or perform other fors of construction activities on the property which would disturb the compoction or unearth Grantees facilities on the rightof-way,or endanger the lateral support facilities. e. Blast within fifteen Cl 5)feet of the right-ofwar. This easement shall run with the land described hercin,and shall be binding upon the panics,their heirs, c successors in intemst and assigns. Grantors covenant that they arc the lawful owners of the shots properties and that they have a good and lawful right to execute this agreement. By this conveyance,Grantor will warrant and defend the sale hereby made unto the Gmntm against all and every person or persons,whomsoever,lawfully claiming or to claim the same. This compance shall bind the heirs,execut S,adnunistmtom and assigns forever. v� IN\ S W F. id Grantor hs caused this instrument to be ex=uted this zday o[ /19-,�/ � ieho GCo �1-�'W� O W4 N Q Notary Seal most be v'thin box STATE OF WASHING TON )SS N COUNTY OF KING ) ay 1 certify that I Inow or have satisfactory evidence that KeithM Manses and Michelle Menges signed this instrument and acknowledged it to be hislber/thdr T �s`L U. frs+and voluntary act for thee uses sspaannddd pyurr%po�ses/m/ep/'oned in the instrument .a.al as /// ✓/shy V" .; n OgA�1~A Naa�blic in and fo th tare° f shington/ ota •������'O'��e My appointment xpiDated rr55�� aasnt4' � i _ I C:wKIKWORDSORMMIENGES. O PW2 r ,ti , ... .....�..mewMwM1�MwMY}MNr1�+S{'r,Nn'-e♦ , a r ._, -..+"ie ._. { 4 A t EXHIBTT"R• LEGAL DESCRXIMON - Odust bw manped by a PS.erL.S.) TRACT 203, C.D. HILLMAN'S LAKE W'ASHIrGTON GARDEN OF EDE\ DBIS10N NUMBER 4, ACCORDING TO THE PLAT THEREOF, RECORDED IN VOLUME I I OF PLATS.PAGE 82,IN KING COUNTY.W ASHINGTON; EXCEPT THE SOUTH QUARTER THEREOF;AND EXCEPT THAT PORTION OF SAID TRACT 208 DESCRIBED AS FOLLOWS. 4' BEGINNING AT THE NORTHEAST CORNER OF SAID TRACT 208; THENCE SOUTH 0°32'V9"WEST ALONG THE WEST LINE OF 1167"A\ENUE SE,265 FEET; THENCE SOUTH 89°20'07"WEST 252.39 FEET TO WEST LIVE OF SAID TRACT 208, THENCE NORTH ALONG THE NEST LINE OF SAID TRACT, 265 FEET TO THE NORTHWEST CORNER OF SAID TRACT 208, ". THENCE EAST ALONG THE NORTH LINE OF SAID TRACT TO THE POINT OF S BEGINNING. 1 1 THE CENTERLINE OF SAID UTILITY EASEMENT BEING 13.00 FEET 1\ WIDTH DESCRIBED AS FOLLOWS BEGINNING AT A POINT ON THE SOUTH LINE 127.02 FEET NEST OF THE SOUTHEAST CORNER OF THE AFORESAID PARCEL; THENCE NORTHERLY PARALLEL TO THE EAST LINE OF SAID LOT 208 A DISTANCE OF 330.36 FEET TO THE NORTH LINE OF THE AFORESAID PARCLL. AND OVER THE NORTH 20 FEET OF THE EAST 134,52 FEET OF THE AFORESAID PARCEL. AND Beginning at the Northeast comer of We aforesaid parcel, Thence S00"32'49'W along the West - margin of Edmonds Axe. N.E, a distance of 8944 fat to the True Point of Beginning thence cr S 89-34'08"W.a distance of 92 14 feel to a point of curvature,tltance Northutsterh'along mad curse jO to the right basing a radius of 20 fat an a1c distance of 31.76 fat thence N.0003227"E a disunce of 00 22 67 foci thence N.89'2773"W a distance of 30.00 fat,thence 5.00-321rw.a disorce of 90,01) O fur,thence S.89'2793"E,a distance of 30.00 feet,thence N.00°3Y27"H a distance of 2.23 far to a _ N point of curvature,thence Norlheasted)along said case to the right has2ng a radns of 15 fat an arc '9 distance of 23.31 fat,thence N89'34'O8"E. a distance of 97 73 feet to the West margin of said - 11 Edmonds Ate.N.E.;thence N 00-3249"E a distance of 30,01 fat to the True Point of Beginning Pr B.Go O 'o 814 y i; C:\wINWOR1WoaMN.A9Ls4N7.00Lr FW4 AL LAND M03Q %WCA2d147 araraaa 614•%9 i i a�,�t•� r �s�Y+N L 71 as. ; W_ 2zys Return Address: AFTER RECORDING RETURN TO. CITY OF RENTON CITY CLERK'S OFFICE ' 200 MILL AVENUE SOUTH RENTON,WA 98055-2189 Please Printm type udomution WASHINGTON STATE RECORDER'S Cover Sheet RCW,o5.04 Document Title(s)(or transactions c.vuared therein) (all aces applicable to your document must be fillcd in). 1. Utilities Easement `- Grantor(s) (Last time fu,t,then rust nanse and initials) '•`' s C) t. Gregory M.Watts to H Cr Grantee(s) (Istneme fvs, then first name and initials) ++ CY � N 1. CITY OF RENTON f• Legal description(abbreviated i.e.lot,block,plat or section,township,Tanfe) The S 10 R R E 5 It of th<W 61.5 R of the E 10 I It of the S quarter Tract 208 C.D,Hillman's Lk S Wa Craden of Eden k4. m ® Additional legal on pMe 1 ofdocument. Assessor's Property Tax Parcel/Account Number: 334390-0206 gyy ❑ Assessor lax a not yal assigned Prop.Mg•tlt 'toils ]L 8 ll UrlUTIES EASEMENT-I OF 5 C:\WINWORDsFORMS%EASEMEN`E1W F _ J WHEN RECORDED RETURN TO'. Office of the City Clerk Utilities Projedfilcs LUAAS-17111thL Renton Municipal Bulldtng EASEMENT Parcel Tsv Account I's 334-3900206 200 Mill Avenue South Gramor(s)Name WATTS Renton,WA 98055 RTSQ 5-23-5SE,i ? c THIS INSTRUMENT,made this_ _-day of_ )"I a`( 101 b) and bet-veen Gregory M. Warts hereinafter called"Gamor(s)," and the CITY OF RENTON, a Municipal Corporation of fang Count-,Washington,hereinafter L,allcd"Grants" That said Grantor(s),for and in consideration of mutual benefit,and other Valuable consideration,receipt of which is hereby acknowledged,do by these presents, grant,bargain, sell, convey,and warrants unto the said Grants,its successors and assigns,an easement for public utilities(including water,aamewater,sanitary sewer, and surface water)with necessan appurtenances over, under,through,across and upon the following described property(the fightof-way)in King County.Washington,more particularly described as follows The South ten fat(10')and the East five feel(5')of the following parcel. West 6L5 feet of the East 191 feet of the South quarter of tract 208, C. D. IULLl LkN'S LAKE W ASHINGTON GARDEN OF EDEN DIVISION NO.4,accordmg to plat thereof recorded in volume I of plats,page 82,records of King County,Washington. TOGETHER with an easement for road and utility purposes over the South 30 feet of the 1 129.5 fat of said Iraq 208. Situate in the City of Renton,Count of King,Sate of Washngton. SUBJECT TO. Easements,restrictions and msenattons of record if any. For the se of constructs reconstructs insult repairing. replacing, enlarging operation and J purpose constructing. din of ete 8. rep g. gng Sr maintaining utilities and utility pipelines, including,but not limited to rater, uswer and storm drainage likes, 14 together with the tight of ingress cad egress thereto without prior institution of any suit or proceeding.of Imv and C' without incurring any legal obligation or liability therefore. Following the initial construction of its facilities, fl 51 Grantee may from time to time construct such additional facilities as t1 may rtquire. Thus easement is granted subject to the following terms and conditions 1. The Grants shall,upon completion of am work within the property cowered Fy the easement, restore the surface of the easement,and any private improvements disturbed or destroyed during eseeuttor,of the work as nearly as practicable to the condition they were in Immediately before commencement of the work or entry by the Gnnis. DOCL%1 i\T FORM APPROVED BY Mutt.Fa..mmt L\T11AL CT'ATMURI.EY SE".24.1992 Shad 1 or 2 PROPERTY ataarr. aa�� I a 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 Gramm Grantor shall not howc\er,haxc the right to. a. Erect or maintain anv buildings or stmotures within the easement,or b. Plant trees,shnibs or segetation having deep root patterns wh.:h may cause damage to or interfere with the utilities to be placed within the easement b the Grantee,or 1 c Develop,landscape,or beautify the easement area it..any way which would unreasonably increase the costs to the Grantee of restoring the easement area and any pmate impm)ements therein 1 d Dig.tannel or perform other forms of construction activities on the property which would disturb the compaction or unean;, Grantee's facilities on the rightof-was, or endanger the lateral support facilities e. Blot within fifteen(I5)tee:of the tightof way. This easement shall run with the land described herein, and shall be binding upon the parties, their heirs, successors in interest and assigns Grar,ors cmenant that they arc the lawf.il owners of the abocn Properties and that the)ha)e a good and lawful right to execute this agreement. $fllAarures of Grantors: t( gory / gorvM Walls INDINTDUAL FORM OF ACK`O'A1FDG1,fl: I' STATE OF WASHINGTON ) ) SS COUNTY OF KING ) SJ V4 1 certih that l know or have s.tisfactory midence that Gregory M. Watts is the person who appeared before me. C and mid person acknowledged that he signed this instrument and acknow pe cdg gn Icdged it to be his free and voluntary an 71 for the uses and purposes mentioned in the instrument. N / / Dated ;L31 — ,�aayf�J„ Notary Public in and for 451.r. x-pr) r, of Washington residing at L+R Notary(print) Lc s L^• l..I wc,,,� ---r-- 'v V & My appointment expires. 3 - MIA.F: .t MawMurl Fwn, t w,- ..,.. .m.�... 5 Return Address: AFTER RECORDING RETURN TO. CITY OF RENTON CITY CLERK'S OFFICE 200 MILL AVENUE SOUTH RENTON,WA 98055-2189 j{ Please Print or ttw mtomntion WASRINGTON STATE RECORDER'S Coser SAeet(RCW 6'.04 Document Title(s)(ot transactions cwtained therein) (all areas applicable to your document must be filled in). I I. Utilities Easement s'4 Gramor(s) (IAn , m:fins,then fast mime and mitials) � a a1 9 C 1. William HaWitins IN 2. Marcia Hawkins r ti 1� N i T Grantoe(s) (Wt time fiat,then tint name and inieais) ' L CITY OF RENTON Legal description(abbreviated i.e.lot,clock,plat w section,township,ranee) 8 S 10 ft and W 10 R of W 61.5 ft of E 1295 It of S quarter Tmet 209 CD Hillmans Lk Wa Crdrt Edn 94 In Section 5,Twwship 23 North,Range 5 East,W.M. 13 Additional detail ofdescri Lion on wee 1 of document. Assessor's Property Tax Parcel;Account Number: 334390-0205 - ' ❑ Anemor Tu s not yet assigned FWp Mut initials F 8 yy UFULMES EASEMENT-I OF C\WINWORDJ'OaAIPEAAYE&FD a3 Y 1 y i r i 1 . 8 : art v . 2 WHEN RECORDED RETURN To. OJEW of the Cm Clerk Utilities project File It 4"N 4S'In I, t"Pa. Renton Municipal Building EASEMENT Parcel Tax Account a'so.oS 334,sli, 200 Mill Avenue South Grantoe(s)Name .1,r,��,:n•. _cal Renton,WA 98055 RTSQ THIS INSTRUMENT,made this_�rr1_day of �11,U1 __19 by and bewreen WILLIAM HAW KINS and MARCIA HAWKINS hereinafter celled"Grantor(s)."and the CITY OF REMON,a Municipal Corporation of Bing County,Washin,ton,hereinafter rolled"Grannie." That said Gmntor(s),for and in consideration of the sum of$ _ paid by Grantee,and other vahwble consideration,receipt of which is hereby ack�lowledged do be these presents. - grant,bargain,sell,convey,and warrants unto the said Grantee,its successors and assigns,an usement for public utilities(including water,wastewater,sanitar,sewer,and surface water)with necessary appurtenances trier,under, through,across and upon the following described property(the right-of-war)in King County,Washington,more particularly described as follows: m The South ten feel(to')and the West ten feet(10)of the West 61.5 fe-t of the East 129.5 fen of the South quarter of Vast 208,C.D.HILLMAN'S LAKE WASHINGTON GARDEN OF EDEN DIVISION fff NO.4,according to plat recorded in volume 1 I of Plats,page 82,records of King Comm. TOGETHER WITH an easemem for road and utility purposes cove the South 30 feet of the East 68 feet of said It=208. For the purpose of constructing, reconstructu g, installing, repairing, replacing. enlarging, operation and maintaining utilities and utility pipchna, including, but not limited to water, saver and storm drainage Imes, i zo ether with the right of 8ingress and egress thereto without priar institution of Saw suit or proceedings of law and without incurring am Iegn1 obligation or liability therefore Following the initial construction of its facilities, .� Gram:c map erom time to time construct Stich additional facilities as it may require This easement is granted Q; subject to the following terms and conditions- M 1. The Granto,shall, upon completion of any work within the property covered to the eas^men6 restore the "s rl surface of the easement,and any private impro,cmcros disturbed or destmovd during execution of the work as dearly us practicable to the condition thcq were in Immediately before commencement of the work or imm 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 Grants: Grantor shall not.however,hale the right to a Erns or maintain any buildings or structures within the easement.or b. Plant trees,shrubs or vegetation liming deep root patters which ma% cause damage to or interfere d with the utilities to be plat within the casement by the Granlec,or _. c. Davlop,landscape,or beautif%y e ar the easement area in am war'which would urueasonablr increase the costs to the Grantee of restoring the easement area and am'private improvements Ihercin. it Dig,tunnel or perform other forms of construction activities on the proper which would disturb the r comp ction or unearth Grantee's facilities on the righlbf-way, or endanger the lateral support i facilities. e. HIRR within fiftan 05)feet of the right-o6wa) WNaEAT FORM APPROtED By Wisia F.,svnat I6T11A1. CITY ATIUURNEI'bk:IT.eta.ISY] Sam 1«: PROPERTY aIOM. f 1 This easement shall run sdlh the Im,d described herein, and sMtll be binding upon the panics, their heirs. suxeasors in interest and assigns. Grantors cmenam that they are the lawful miners of the slims properties and ` that they have a good and lawful eight to execaste this agreement )! SIgnaW6ti9f aa_n`tS k WILLIAM R and �/ W O LIAM WKINS MAR IA HAWKINS MM6L FORM OF ACKNOVA EDGMENT STATE OF WASIHNGTON ) ) SS COUNTY OF KING ) .mrtify that I know or hmc sausfacton evidence that WILLIAM ItAWKINGS and MARCIA HAWTONS arc the persons who appeared before me, and said persons acknowledged that then signed this instrument and acknowled�gedd�rt tt be their free end soluman a_.t far the uses and purposes mem red in the instrument. Dated CD Nan rblw ins at eStl of Washington mind,"at n/��11b✓ ; p Notan(print) %�iln gk2,_'Z(lSne`_�� _ "T intmcnl My: PTa exprcs: jb,21- s.a � r s 3 lvM 2of2 awa mmda•a row '� J ra ) 1 W - 2275 Return Address: . AFTER RECORDING RETURN TO: CITY OF RENTON CITY C't 1 RIC'S OFFICE 200 rtp�,L AVENUE SOUTH RENTON,WA 98055.2189 PlMc Print or tv a lnknostion INGTON STATE RECORDER'S Caer Sheet CN'65.Oi Document Title(s)(or nanaeions contained Nercor): (all uses applicable to)oW docume t to be filled to). I. Utilities Easement a. a•1 Gres:itur(s) (Last nuns first,their fuss name and initials) C 1. James Gasper 2. Mary A.Gasper wil i` Grant eels) (tsar name first,Nrn foal name and initials) 1. CITY OF RENTON Legal description(abbreviated. i.e.lot,blo k,plat or aedion,to suship,range) R The S 10 ft of the E 68 ft of the S quarter Tract 208 C.D.Hillman's Lk Wa Graden of Eden 04. b k, _® Additional/ al on c afdocutnent Assessor's Property Tax Parcel/Account Number: 33r3900204 13 Assessor Tits,a not),ungnni Prop.Mgnst Initi,da ✓E 8 UnUT1ES P ISEMENT l or 3 C 1WIUWORD"RfSTF-MWENT.DOC s '� I i WHEN RECORDED RETURN TO. 7 Olfim of the City Clerk Utilities Project File a LUA-95-1'..,$}Je(, Renton Municipal Building EASEMENT parcel Tax Account I 6a04 334-390 200 Mill Avenue South Grantors)Neme GASPER Renton,WA 98055 ,I RTSQ S 23-5-SE HI TS INSTRUMENT,made t qhis_(ten q day of 19 by and between]AMES GASPER and MARY A. GASPER hereinafter called"Grantor(s)." and the CITY OF j RENTON,a Municipal Corpomtiow of King County,Washington,hemifnaflercalled"Grantee.' (` / That said Grantor(s),for and in consideration of the sum of$ Rut t k Q� 9c t j paid by Grantee,and cilia valuable consideration receipt of which is hereby acknouledged.do by these presents, grant,bargain,sell,comet and warrants unto the said Grantee,its successors and assigns,an casement for public utilities(including water,waiteumer,sanitary Sewer,and surface water)with necessary appurtenances Oyer.under, through,across and upon the following described property(the nght-of-war)in King Cnurf Washington, more particularly described as follows: The South ten fat(10')of the East 68 fat of the South quarter of tract 208,C.D.HR.LMAN'S LAKE If WASHINGTON GARDEN OF EDEN DIVISION NO. a, according to plat recorded in volume Ili of Plats,page 82,records of King County,Washington. i. For the purpose of.constructing, reconstructing, installing, repairing. replacing, enlarging, operation 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 procadmgs of law and -r without incurring any legal obligation or liability therefore Following the initial construction of its facilities, Grants may from time to time construct such additional facilities as it may require. This casement is granted I „ subject to the following terms and cond bons 5H 1. The Grants shall, upon completion of any work within the property OnI b) the easement, restore the i C surface of the casement,and any pirate impmvements disturbed or dcstm)W during execution of the vwrk,as eq eq nearly as practicable to the condition they were in immediately before commencement of the work or entry by ey the Granice 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 Grans. Grantor shall not,honevxr,have the right to I a Erect or maintain arf buildings or struchucs within the easement,or b. Plant tiers,shrubs or vegetation having deep root patterns which may cauu damage to o, interfere with the utilities to be placed within the easement by the Grantee,or c. Develop,landscape,or beautify the casement area in any way which would unreasonably increase the costs to the Grant=of restoring the easement area and any private improvements therein d. Dig,tuanrl or perform other forms of commotion activities on the property which would disturb the compaction or unearth Grantee's facilities on the rfght-af-way, or endanger the lateral support facilities. e. Blast within fifteen(15)Joel of the right-of-way. DOCl1hSK7 FORM APPROVED BY i4leia Fiwmeu I'Tr'A' CT'ATIOURNEY SEPT.]I,199] Shea 1 er 2 PRO M. Ii I r ! Y br M er ITT lei b This easement shall run with the land described herein, and shall be binding upon the parties, their heirs, sueoessors in interest and assigns. Grantors omenant that they are the lawful owners of the above properties and that they have a good and lawful right to execute this agreement. and J�ANES GASPER M A GASPER INDrVMUAL FORM OF ACKNOWLEDGMENT ...,.., STATE OF WASWNGTON ) SS COUNTY OF KING ) r I mrtif'that 1 know or hair satisfactory milcrice that JANES GASPER and MARY A.GASPER are the persons who appeared before me,and said persons acknowledged that they signM this instna icni and acknowledged it to { be their tree a d eoluntaryy act for the uses and purpose-mentioned in the mstrumenF i Dated � PI to Ic a the to r ~ of'h' tungton res"r ng al 1 — 14 N _ Nolarw(print): H ey My appointment expires:_ _ T ( F ! Y L, 1 LWA.E� Shed]oF2 Indi.iduJ Fam Y M A x r F Ti M a i Return Address: •� � 2295 AFTER RECORDING RETURN TO: CITY OF RENTON CITY CLERK'S OFFICE 200 MILL AVENUE SOUTH RENTON,WA 98055-2189 Please print or type infrmation W'ASHINGTON STATE RECORDER'S Cover Shat CW 65.D4 Document Title(s)(or transactions contained lhemin) (ell areas applicable to your document must be filled in). 1. Utilities Easement C7 Grantor(s) (Last time first,then first name and initials) t H ID 1. John R.Bavtcr ~ 2. Sarah Barter C �1 M — Granlee(s, uumtc lust,than first rwne and imb,ils) T 1. CITY OF RENTON Leal description(abbreviated i.e.lot,block,plat or section,township,range) 8 The south 10.00 feel of the following pared: South quarter of tract 208,C.D.Hillman's Lakc Washington Garden of Eden Division No.4,according to the plat recorded in Volume 11 of plats, page 82,records of King County,Washington; EXCEPT the east 191 feet thereof; TOGETHER WITH an easement for road and utility purposes over dic south 30 feet of the east 191 feet of said tract 208. Assessor's Property Tax Parcel/Account Number: 33,4390-0200 ❑ A wswr Tea a not)el assigned Prop—mg- lniti ils t 8 !B tr[t=M EASEMENT-I OF CAWINWORDFORMIABAXILLDOC Lowe IN J t UTILITIES EASEMENT ti THIS INSTRUMENT,made this ri 7day of e 19 517 by of hn R.Baxter and Sarah Baxter owner of the following described real property,hereinafter called "Grantor(s)•'and the City of Renton,a Municipal Corporation of King County,Washington,hereinafter called•`Grantee." That said Gramor(s),for and in consideration of mutual benefits,dory by these presents,grant,bargain, sell,convey,and warrants unto the said Gramm,its successors mid assigns,an easement for public utilities(including water,wastewater,and surface water)with necessary appr.renances over,under, through,across and upon the following described property(the rightro6way)in King County, Washington,more particularly described as follows: The south 10.00 feet of the following parcel: South quarter of tract 208,C.D.Hillman's Lake Washington Garden of Eden Division No.4, according to the plat recorded in Volume 11 of plats,page 82,records of King County, Washington; EXCEPT the east 191 feet thereof; TOGETHER WITH an easement for road and utility purposes over the south 30 feel of the east 191 feet of said tract 208. v 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 wide 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 'r construction of its facilities.Grantee may from time to time constmet such additional facilities as it ma_v require. This easement is granted subject to the following terms and conditions. H 1. The Grantee shall,upon completion of any work within the property covered by the easement,restore Cthe surface of the easement,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 rl of the work or entry by the Grantee. 2. Grantor shall retain the right to use the surface of the easement ae 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 M interfere with the utilities to be placed within the easement by the Gramm,or z c Develop,landscape,or beautify One casement area in any aa)which would unrowson:nhly increase the costs to the Grantee of restoring the casement 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. c. Blast within fifteen(I5)fat of the right-of-way. ' This easement shall nin 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. I ntXr1ES EASEMENT-2 OF a CIWINW'ORDFORN1S11VCrER.DOC i i, F i r f TM Y r t{i Signatures of Grantors: ]o R.Baxter INDIVIDUAL FORK OF ACKNOWLEDGMENT STATE OF WASHINGTON ) ) SS Z)� COUNTY OF KING ) m�B, I certify that I know or have satisfactory evidence thatch�R.Baxter and Baxter signed this instrumenCand acknowledged it to he his/her/their free a d voluntary act for the uses and purposes mentioned in the"tmment. Dated• 9-s 9-7 NoiWy PAlie in for the State of W s rington N (Print)�i S2A/ My appointment expires: -O r LV rl M C LV T� i tll LMUEASEMENT-70FJ Ckw• WORDJ'ORAfsahxTER.DOC L Y Return Address: AFTER RECORDING RETURN TO: CITY OF RENTON t CITY CLERK'S OFFICE E - 200 MILL AVENUE SOUTH ' RENTON,%A 98055-2189 please 'mat m information WASENGTON STATE RECORDER'S Cover Sheet CW 65.06 Document Title(s)(or uanaaztioas contained thcref,&): (all area applicable to your document must be filled in). 1. Utilities Easement sy Grantor(s) (Last name first,then fin:time and initials) p 1. Stanley T.Ruppert r 2. Janice Ruppert e, N all Grantee(s) (Last name first,Then first time and initials) 1. CITY OF RENTON Legal description(abbreviated: i.e.lot,block,plat or section,township,range) $ W 15 ft;nd N 5 R of N 85 ft Tract 209 CD Hillmans Lk Wa Gdn Edn 04 i In Section 5,Townslup 23 North,Range 5 East,W.M. 0 Additional detail of descri tion on e 1 of document. M Assessor's Property Tax Parcel/Account Number: 334390-0243 . I Prop.Mg Initials sse❑ Amster Tar s not yet assrgn<d k li 9 tlrtLMES EASEMENT-1 OF 3 C MIN wORD3'ORMSBA KDOC i t� J 1 WHEN RECORDED RETURN TO. Office of the City Clerk Utilities Project File a 1 UA-95-1TI SIIPI, Renton Municipal Building EASEMENT Parcel Tax Account a's 4243114 3LO 200 Mill Avenue South Grantor(s)Name RUPPERT Renton,WA 98055 RTSQ S-2y-5-SE'/ THIS INSTRUMENT,made this Pll day of. n1 QA<41 19 : by and between STANIEY T.RUPPERT and)ANICE RUPPERT hereinafter called"Grantor(s);'and the CITY OF RENTON,a Municipal Corporation of King County,Washington,hereinafter called"Grants" That said Grantor(s),for and in consideration of mutual benefit,and other valuable consideration,receipt of which is hereby acknowledged,do by these presents, grant,bargain,sal, convey,and warrants unto the said Grantee,its successors and assigns,an easement for public utilities(including water,wastewater,sanitary sewer, a and surface water)with necessan appurtenances over,under,through, across and upon the following described property(die right-of-way)in King County,Washington,more particularly described as follows a The West fifteen feel (15') and the North five fat (5') of the North 85 feet of Tract 209, C. D. i JULLMAN'S LAKE WASHINGTON GARDEN OF EDEN DIVISION NO.4,according to plat recorded w in velurne 11 of Plats,page 82,records of King County,Washington. For the purpose of comanicting. wonstmcling, installing, repairing. replacing, enlarging. operation and maintaining utilities and utility pipelines, including. but not limited to water, sewer and storm drailage lines, together with the right of ingress and egress thereto without prior institution of am'suit or proceedings of law and m without incung any legal obligation or liability therefore. Following the initial construction of its facilities, Grantee shay from time to time constrict such additional facilities as it may require This easement is granted subject to the following terms and conditions I. 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 exec 0 of the xmk,as C nearly aspracticablendi practicable to the condition thew were in immediately Mfore commencement of the work or entry N the Grantee. rl H 2. Grantor shall retain the right to use the mda easement as long as such use does not interfere with the A easement rights granted to the Grantee. Granw... Al not,however,have the right to. a. Erect or maintain any buildings or structures within the moment;or b. Plant lives,shrubs or vegetation having deep root patterns which may cause damage to or interfere with the utilities to be placed within the moment by the Grantee;or c. Develop,landscape,or beautih the easement arca in any may which would unreasonably increase the s costs to the Grantee of restoring the moment area and any private improvements therein. d. Dig,runnel or perform other forms of construction activities on the property Which would disturb the compaction or unearth Gramm's facilities on the rightof-way, or endanger the lateral support facilities. e. Blast within fifteen(15)feel of the right-of-way. i DOCt,'MEhT FORM APPROVED By lailaia F].ama a'aT1Ai, I CITY ATrOl1RNEY SEPT.24,1992 SM1en 1 a a PROPERTY MOW. i i This casement shall run with the land described herein, and shall be binding upon the panics, their heirs, successors in interest and assigns. Grantors covenant that they arc the lawful owners of the above properties and that they have a good and lawful right to execute this agrce racm Signatures off Grantors. and ,,�,p-J�✓ -- SST Y T.RUPPERT JANICE RUPPERT t. INDIVIDUAL FORM OF ACKNOWLEDGMENI' STATE.OF WASHINGTON ) ) SS COUNTY OF KING ) I ttnify that 1 knm, ur have satisfactory evidence that STANLEY T.RUPPERT and JANTCE RUPPERT are the y persons who appeared before me, and said persons acknowledged that they signed this instrument and acknowledged it to b:then free and voluntary=1 for the uses and purposes mentioned in the instrument. Dated i��¢ -ti No(arc Public in and for the Sum of Washington residing at 11633 / + Notary(print) My appointment expires: ' n/le a. t I i 1 i V4 1� Pt 0 tTA V4 V4 P r l T tkim.Firmunt ahaa3af: bkiidud Farm r �A rr f F z WTR 2'72245 e . CONSTRUCTION REPORT FOR PUBLIC WATER SYSTEM PROJECTS Effective September 9, 1983 the following Regulation applies: WAC 246-290-040(3)-A construction report shall be submitted to and accepted by the department within sixty days of completion and prior to use of any project far which plans and specifications have been approved by the department for projects designed by a professional engineer. The construction report must be signed by a professional engineer. The report shall state in the opinion of the signee whether the project has been constructed in accordance with approved plans and specifications and the installation,testing and disinfection of the system were carried out in accordance with department regulations. a) If a project is being completed in staged construction,attach a map and description of portion of project being certified as completed as approved on date given below, i b) As future portions of staged construction projects are completed,each must be certified as required by WAC 246-290.040(3). c) Additional certification forms are available upon request from DOH offices listed below. City of Renton DOH Water System No. 11854E 200 Mill Avenue South Renton,WA 98055 Referendum No.(if any) PROJECT NAME AND DESCRIPTIVE TITLE: Date Specifications Approved City of Renton Water System by Department of Health "^ King County August 18,1993 Renton Project Number WTP 2-7 ZZR5 (1990 Cpmprehensiyc)Mater$ystem Plant Project Title: Ausfia Slnovt Plat 0,25 60(»t,D 6 h✓ P)t ) The undersigned engineer or his authorized agent has inspected the above-described project,which as to layout,size and type of pipe,valves and materials,reservoir and other designed physical facilities has been constructed in accordance with specifications approved by the Secretary.Department of Health,and in the opinion of the engineer,the installation,testing and disinfection of the system was carried out in accordance with the specifications approved by the ary. . cv1�oR'rsl"A7.� NLI.0 W� .Z 1he hero:l• Engineer Engineer's Sea °J - 2ssionnec f` lh4 5 15 1 19R 7 x� Date ' Please return completed forED t,—s qchked b iel ow: NW Drinking Water SW Drinking Water Eastern Drinking Water © Environmental Health ❑ Environmental Health ❑ Environmental Health IS I Third,Suite 719 Mail Stop 7823 1500 W Fourth,Suite 305 Seattle,WA 98101 Olympia,WA 98504 Spokane,WA 99204 rt:DrvlsiDr+svmunes\DDCs96-a6t.Doc J �. J.7�.. Y C•T L. X1 � b.l.n YwwyY�Y� 'w CITY OF RENTON WATER DEPARTMENT - \\ Pressure Test g Purification Test Form I�(J � " �y�. i PROJECT NO •— NAME OF PROJECT yW PRESSURE TEST TAKEN By ON AT A PRESSURE OF �p P C—�-- PSI, FOR / � TEST ACCEPTED ON PURIFICATION TEST TAKEN By PURIFICATION TEST RESULTS, SAMPLE NI ti SAMPLE N2 SAMPLE ►3 RdQRKS y r I 1� fi=, k F OT/11/97 FRI 03:14 FAA 76T 5063 ":CKS TESTING m002 940 S.Wrty `vlw� OC. Y SNNR.WA WIDE WATEq BACTERIOLOGICAL ANALYSIS w+r mUcna:, osmucro+sae�d OFG= MDcu,Y !INERuwlsn�RA 11e1 fyN�Rl ROPY WSI m w1�M. f /On+lerFs nEccou muNrvN.uE M*OFSYSTlM PPL&x ❑~ tiw¢ ^' CONRETE A B NAME Of 3YSTEM MY '— � SAMFIE COLLECTED or fNFRI57 EVENMO SYSIESI '' ECVROE TYP[ OROUNO WIER UIOER SUR ! UENCE ❑° RF`E F" ❑�99 �MRnuua. ❑vmu9w.na RE D"T Tp1EE' F_C i1FZp0}�y.l 4 TT'PE OF LWRE NN+-w..MFMeWwp ❑ROUYME I�m M tlN[L -- RMM ❑REYlAT SANEEFUnlFFREO()liFr MT.vu an�m�yNWp lAOF OSr [ yryryy�� NflN MW SOURO[YUTU 9R.o!® m p[ CONSTRVC00Nn Row" ❑TWICowrn, IPPPPPUUUUJSSSSS OMER fSwaM ❑Fwl Gbn 9A!YE[OMYI oftwo MOm WATER Arun ❑V�TSFACTWY.OawnRRrS ❑GMam L E.Cw ry r'ECtlIM.Mi i oTNu�AEOR.mR.RrsuEn TOTAL OOUFOIW �FE E.COU 0] FIOKOOUFdW_�ROCT PATE COUNf� 1 AIgT1ERSwhE RlOUREO �� S41YLl NOT TFS1Ep 9ECk1Sl: TESTUMURA9LE REUUSE. SEAmW mm ❑ cwaA 9ew11i E ftrwc O Ym�IN.lann (}��{j T~M,� . ❑ lJ E.O�M� SEE REMEREE SiOE O!GREEN OORYFOq EDtAr4TICN OF REEULT9 W MD RNMR 0811y6--ly T- " 9.,= LY1Yly.. ,� J c OTi11/07 FRI 06:14 F.a I 767 3063 LACCRS TESTIRG 'r�0o2 I 940$.w....._.__...,..«..�m. I \ ^AY S\anN.WA N,06 suf WATER BACTERIOLOGIC AI ANALYSIS 22 7 rN OFDR00 Copy ~P0~a•\PAP►wlllrwry. oA1E Odt[CTEp nw IXEy �i OOVMnµLyE TPE OF STSTd Vry,.LC AM �tii + �.; �y RKLC fdMPLETE' MMAEQP.w3Tim " $.c.''A.AE7AiUO]UFCEp T,MWENO----- atiG.�lone) aLL F, �Ln S. SAERE COLLECTICJY:IA�M) EvU wa - 60UPOETYPE OPQ!\D WTEP OSUnEAU ;Rzj,`. %R4MSLwP E WE4CE OPTTO n AYAY\ a0 e TYPE OE&MA LElw1.!'AM\fainK .EE\A.1\) • OOrAaO WAIs" OM`\b wltYEyElyry�—� lild �-�1r1^iMl D IIEPGiyyPLE LftFMw.O A-- _` PAwTA\AAw EAAnnA WE FwsoAm PMT _ AEMCCMSiPLCTCMs q SOm ❑FYC �Y OnFP�sq\M o�CMwn -tt OL"UNO"WMIq"WATU Me n WunSPACTOAV. AEP&AT [j 6An5EA=y ❑ a E u.A,n G..n.,ern a /AWE PEE.YnNE Onfn LA"OIIATO"T M1ULT1 TOTAL Cq mw AWN auLtaxawrm. c -_ nm,A A'bn1EP 6AAPLF.(pVPEp AN 3 W MLE MT YEStFO.ECAAE. n�+S-oA.W TlST~ARENWISE: a u NmIEA\Mn TMTC O TMIq NM1n dWA EAYa SEE PEVEPq SqE oP OA2E4 NPv W Mp(i brtq \ATE TCM EIP'�AIYTIOHa.ESL\YS OS/y6�19 -7 "gf`97 "wry NOT uSSAnT.n. CITY OF RENTON WATER DEPARTMENT Pressure Test & Purification Test Form PR( 'CT NO. NAME OF PROJECT_Ti[t�J L! PRESSURE TEST TAKEN By' ON / •s AT A PRESSURE OF Q/'��J S I PSI, FOR z /7Cl MIN. I TEST ACCEPTED ON i _ ._fI PURIFICATION TEST TAKEN BY i ON PURIFICATION TFST RESULTS, SAMPLE 01 l Y SAMPLE #2 SAMPLE •1 REMARKS: Lamks Testing Labomtories.in. 900S Hamp Saatlb WAN108 ' WATER BACTERIOLOGICAL ANALY M SAMRE COUECTION READ MIS..RUfTG.,'ON PACK OF GMD M10DCOPY F kes+elrle w sw ftsmooe,ramps,ew M ftoP GATE CpuE ED IYIE COl1ECTF.(� �gylTv•yiyE ram. ew na C.J %7 1_- ❑Pm k`s✓ . TYPE pFSVElF1M FPIlIIpeYEIBA ptMlIETC FUEIIC —f 'V{���eI�y�� IrreaNTl•Illaae t�.NG. / { U (A...N IIMIE OF SYSM �L lyEf i�r ari�r ^���! _>_� ✓� rG�G19fJP1E11TreIEE11/EEOOLIECf® 1gEPIgtf IQ G fVErM110I 1 sAenEmAEc�EosYoeen Brs161perFgEpP.:Fyy1 I A IF 1 k5iiM TYPE (Yt01MYiINE11UMEN EgUdOE ' - ❑EUFACE wieln Ow" ❑n�. peaw�ATa� I 9Etp aEfonTTo:C+a+t�r.aAww� �E� TYIE OPE/AFEE UIra ra,aeEeaAwel �OMewpwpEn pTelseraibrM!_TWI_ned eraA� =--a geEE eEW spur KPFAT SAYISE InwswYwFrrb WP Me ES] IIAM/eplln(:C YMIFR So 0 S l m 0 TIe1CaYam UC MMNMISTPTi .AEMAS `I �frelfil�fla pR6119Pa1/� 94 nAs use asnosMeaM wTu ewuEn ~TV Cionv.CWbarp+rrM -._.— MEMT I��E.CaYOwA ❑E.OIIOrrE �� eF�O �rglFayr ❑weer pTNO1uSowwmwjLv%_ 1pTAL WlFp1EM—t—nWw E.=— nssr PEiMCMAUN_o Mm PM2 ptIWr__.r BAFFLE Mpf Ttiel[pe M�EKE� 1ESTUMlKXM MCAI ❑EnFtrlrW ��•V JUL 17 ❑mm ❑TwistEMn ❑tk_�. SiT of rid 44�F ltt f%�tnw1M10.(M MSut rS W CItBiMrEI -7 -1 11-7 le� Tp•IOF eF.gwMEe walemxA 1 I.A �4 ' f J AS Pima CIPY I (Short Plat (SHPLrJ v/Q 9S-/7)/ REQUEST FOR PROJECr q [Prelim.Plat (PP�V _ �l CAG 11 ) To: Technical Services Date [-/_Y�/ �p Z-- G=n# From: Plan Review/Project Manager //A /� e 9 ((:/ US Project Name _ /l 7[ G r 9 �j���p s '7 Description of Project �C✓ .,v— S J � Circle Sim of Waterline: 10" 12" Circle One: New or Extension if/ 4 E Circle Sim of Sewerline:/ x-J 10" 12" Cnele one! New or Extension h�� t� Circle Sim of Stortnline: 12" Q15" 18" 24" Circle One: New or Extension Address or Sheet Name(s) Dvlpr/Contractor/Owner/Cnslc: � �'l0 chuaocrs nua) _r /^ dt,� lJ Check each discipline involved in Project Ltr Drwg it of sheets per discipline ✓ J Cl Trans-storm ❑ ❑ (0.�ad.ay/Dninare) (Orrin-uryaovemenn7(alu ---nvnc) - �rc�udc lE$C mttu) Cl Tfensportation tsgw;.tio ow I......t.�nuns; ❑ Cl li /J z— _ San�ury$cw Mun 0.l b..n �, Water (Mun:.vow.Hydrsnot 8�[� G_ ❑ Soface Water (IMma mmpnmc a eud.nnw cut sh:o) Improvements TS Use Only Approved by TSM Date.