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WTR2702299
W-2299 Vashor Place Short Plat I I BEGINNING OF FILE ` FILE TITLE �t 4 t x�T M r. � a � }ta A "q r Y, 9 I Return Address: i City Clerk's Office f City of Renton r 200 Mill Avenue South `r Renton,WA 98055-2189 _ , BILL OF SALE Property Tax Parcel Number: Projttt File Y, n �q S1rcet I m diom Address Rekrcn«NumbVe�r(s)of Doeumenu assigned or released.Additional reference numbers are on page_ `2 Graotor(s): Grantea(s): I I. JONN E.r6Tsm%lss TQ City of Rentou,a Municipal Corporation Ais, . V 2. The Grantor,w named above,for,and in consid..1Z of mutual benefits,hereby grants,bargain;sells and d livers to the Greater,as named above,the following described personal property: I Nit 31 1,G. OF b" DI W*TER-*1 A 10 rl ;k-)S L.F dF 8" OI p1RTeleq Ate.) a.5o L.F nF IRn OI 4t Ara ttioara7 I MI( C4T6/ALVES 1 B" GArf VAuvf � (p rr si ATi YA t.YIr f1 GftX HYO¢ABT , Si5 "F. OG 8aa PPG SO--1PP- NA10 � N q'J" HAV HOLES a a 335 ILF, Ole I;to C.OVa $Tprene uapi 3 TYV6 1 C ATY./L 64s,uS A 366 LrF Culett Gurney $,neuwax, j /f'LTO Fo A�soww-T QAVE-Me1uT a S1 LICWT- POLES i dy this conveyance,Gmmor will wamm and dcfen the s3 ale hereby madnto the Grantee against all and every person or persons,whomsoever,lawfully claiming or to claim tht soot. This conveyance shall brad the heirs,""oran, administrators and assigns forever. '�7 otv+v-•.osnnuoewn Page I a f� ,Y Y R .. 1: F INDIVIDUAL FORMOFACKNOWLEDGMENT Notary Seal must be within box STATE OF W AS14INGTON )SS COUNTY OF KING ) ` I certify chat I know or have satisfactory evidence that JOM1N F. 'S1N8. yr'apt . (ZSEfJ ,tZ signed Nis instrument and NOTApJ .> 1 acknowledged it to be hisR rywe s"Itheir free and voluntary act for the uses and puo t mentioned in the inswment " •. M1B11 x Notary Public in and for the tat of Washington ,'a�A1N Nonry(Print)/-1A/01 6R1611 Sj119 My appoint ent a pims: 0-w - Dated: S .28 9 REARESEATATIFF.FORMOFACKNOWLEDGMENT Notary Seat must be x,uh n box STATE OF WASHINGTON )SS COUNTY OF KING ) I«nl(v that I know or have satisfactory evidence that signed this instrument,on calh stated that hdshdlhcy, wadware authorized W execute the instrument and O ackna.ledgm a as the and 0 of to be the free and voluntary act of such N putylpnies for the uses and purposes mentioned in the instrument Notary Public in and for the State of Washington Val Notary(Print) [� My appointment expires: Dated: RMRATl FORM OFA KNOWLEDCNENT Notary Seal must be ahln box STATE OF WASHINGTON )SS COUNTY OF KING ) i On that day of _,19_before me personally appeared to me known to be of the corporation that I executed the within insuumenk and acknowledge the mid mswment to be the free and voluntary act and deed of said eorpontiun,for the uses and purl nsca therein mentioned.and each on oath stated that hdshe was authoriecd to execute M'd Innn•.ncm and that the seal alFixed is the corporate seal of Mid corporation. i i Notary Public in and for the State of Washington Notary(Print)_ My appointment expires: H VORMSV(CRECroRlltEASFA1ENf.D0f1 ^acted FORM e3aM%WA3-21.97 W-2217 Return Address: City Clerk's Office City of Renton 200 Mill Avenue South Renton,WA 98055-2189 BILL OF SALE Propery Tu Parttl NumUec Proj«t Fl Y a�q Slrtttlnnmrss«nun' Addrcv I F 4al -- V- 9 Ct Refers N ber(s)ofDocuments nsu ISA[f�Pt NF grrcd or rcleattd.Add tional rcfercnce numbns arc one n Gnntor(s): Glnntee(s): a 1, '30"E. At M11o.+ T f2 City of Renton,a Municipal Co N 2., f� rporation Thr Gnnfoq as named above,for,and in consideration of mutual benefits,hereby wants',bargains,SEIII and del]rers h, O the Cnnsee,as named above,the!-flowing desuibcd person.]pmpeny: t1t 33 Lt F. p¢ ID" DI wRT&R-04 A10 Val $ll5 L.F OF $tr DI WRTEse 01 a'J g:0ArfHhta) I 1 11't GRT6ggL YEb 1 8'I GRtE VALY( GATar ✓AnVir I Gg[t' Nra",)r i i 5;L5 f..F. of 8rf 'ioc Sit-1EK MArrJ • 8 H N!n nnas Nof.ES . 335 f.F OP f.'i^ GVYC STDKM LINt TYO6 1 C IYtcµ 64sw6 Z66 L.F CUZ6r Gf,rncr S,ncuaLr, I dS0 S.Y A-pvaML-T {pFVEµd:Aa� a, srlxEST LICYf-T' PocES Iiy this conrcyancc,GNmw,.vill w amot and de@n thcd sale herey�.made unto the Grantee agai=an and every person $ or Persons,svhums......lawfully cloiming or to clYim the sane. ]'his Conveyance she]]bind the heirs,e.«utots, administramrs and assigns forcvcr D\9TAMInOSOn.WClph S Pap I /NOIvE OFW RMOFACXNOWLEJGMEM Notary Seat must be within Vox STATE OF ASHMGTON ' )SS .........,,, COUNTY OF KING ) ``G, FE/I.fyy. Ianify that)know or have atiafutory evidence that JONN E sy1Na� C, Pfl7ERSEnI J a1 ps-, _signed this inswment end N01 y rr acknowledged n to be his hcrgheir free and voluntary act for the uses and u `a • O 1 mentioned in the instrument purposes M� _ {R Notary Public in and for the tat of Washer ton Notary(Print) .4Dh- ERIC/r�655� My appoint cot a pires: $1 17 Dated: 5��.8�q] REFRESEMdIVE FORMOFACXNOWLEDCMEM Notary Sul must be wimm bon STATE OF WASHINGTON COUNTY OF KING SS I certify that I know or hive atisfadory evidence Nat_ Signed his instrument,on oath 0 sumdthat hc/shelNey uaLwere auNoriudto execute Neins�rvment and O acknowlMgco it as the_ and _ of_ _ to be the free and w y/ voluntary act of such it 0 ppanics for the uses and purples mentioned in the in mamenL � Notary Public in and for the State of Washington Notary(Print) My appointment expires:_ Dated: j CORPORATE FORMOFACXNOWLEDGMEM Notary Sul must be within bos STATE OF wgSNINGTON COUNTY OF KING )SS On this___day of ,19_,before me personally appeared tome known 10 of Nc corporation that esecuted the wnhm matrvment,and acknowledge the aid instrument to be the free and volumary act and deed of said corporation,for the uses and purposes therein menioned.and each on oath stated that h u,he was authorized to execute aid inswmcns and that the seal affixed is the cotponle seal of it corporation. Notary Public in and for the State of Washington Notary(Print) My appointment expires: Dated:it V'ORMSV CRECOKDt ASEMENT.OM Page t FORM dl 00051blyCA2.2 I-9> r t }NfY J k n 1 CITY OF RENTON PLANNING,BUILDING/PUBLIC WORi3 DEPARTMENT FINAL COST DATA AND INVENTORY ,., NAME OF PROJECT WTR- W IMP. Jt �(OGe r�CUCIO�/ t -TRO- TED- 1 O Per the request of the City of Renton,the following information is furnished concerning final costs for improvenv(ts installed and turned over to the City for the above referenced project. I,A If R SYST M `NCTR 1 TIDN 'O�Ti: ype Length SiJ.+e=— T1) j� L.F.of ��_ WATERMAIN i L.F.of WATERMAIN 1 L.F.of = WATERMAIN WATERMAIN Z EACH of of I �- - GATE VALVES EACH of L ' U,F_ GATE VALVES EACH of — GATE VALVES , EACH of FIRE HYDRANT ASSEMBLIES S M.OOO ICom of Fire Hydums must be"Wlisled separately) f 1 ihrclude Enpneenna and Sales Tax if applicable S TOTAL COST FOR WATER SYSTEM SANITARY SEWER SYSTEM STORM DRATNAGP Bt'N Length Size of Typize eype SEWER saoillu Length_ STOW LINE L.F.of W SEWER MAIN L.F, S STORMGT MAIN L F,of roRM LINE L.F.of � t EA of DIAMETER MANHOLES EA of STORM INLETIOUTLE'T 1 EA of DIAMETER MANHOLES 3— EA of r ,rY . _T_ STOW CATCHBASIN �— EA of STORM CAI CHBASIN IrcIW�ry Eng,rceuna snd Ale,Tax r� ,t applxaNe) S !C'.bfL'`�� llrclWi�Engineeriry srd Ssles Tax � �� (��� p� TOTAL COST FOR SANITARY SEWER SYSTEM S dspplietbW TOTAL COST COST FOR STO"DRAINAGE S SYSTEM STREEI IMPROVEMENTS; (Including Curb.Gutter,Sidewalk,Asphalt Pavement) C'mb.Guuer,Sidewalk: 3(p5` L.F. Asphalt Pavenem 125-0_SY or L.F. of Width S 2I�0' SIGNALIZATION tlncluding Ens.Design Cons.City Permit Fees.WA St Sales Tax) STREET LIGHTING: (Including Eng.Det ail Coen,City Permit Fees.WA St Sales Tax) a of Pules —7, f .LO"AiA)E N PEWISrN .� Print Slgnwo0 tine �y pho s , (SIGN UftE) t .mu COSrDAn.D0C/M (Statutory mum be authorized agent I or owner of subject development) SAW 4, tt J 1 I W- zzyy/ Relum Address 3 City Clerk's Office City of Renton 200 Mill Avenue South Renton,WA 98055-2189 f f I Titl^: UTILITIES EASEMENT Property Tar Parcel Number: 102305-9336&•9349 i Praact Filets 1 1 � L(✓R Street Intersection or Project Nmne. N[ge&V Won PI.NE a 4 Reference Numbers)of Documents assigned or released'.Additional reference numbers me on page— N Grantor(s): Granfee(s): 11 L John&Lorraine Petesen L City of Renton,a Municipal Corporation 2. Michael&Nancy Stacey - I ^� 3. Russell Kuro&Andrea Kuro The tieab,,,, nmeaboe,form end in cmuideration of..tol benefits,herebv grans,bargains,sells and delnnrs to Grantee,the following described Personal Properly oow teemed aP Additi.1 legal is on page d ofdocumcm, (AbbrniWedkgaldmaipsioa AlUS:go Mere.) j LEGAL DESCRIPTION. Tax Lot 102 305-93 36 The north 225 feet of the E112 of the NI/2 ofthe NWl/4 of lite NWI/4r Poe SW%of Sec. 10,Twp23N,Rng 5 E.W,M.,in King County,Washington;Except the north 175 feet thereof,and Except the east 176 feel thereof; Tar Lot 102305-9349 The E 112 of the N 1/2 of the NW 1/4 of the N W l/o of the S W l/4 of Sm. 10.Twp 23N,king 5E,W.M.,in King Country,Washington;Except the north 255 feet thereof;and Except the cast 150 feet thereof;Together with easements. 8 t:9 s S g I II:OOCSAUORMSOPeteaen94891."A Yagel rortm 034000/14,V L21-97 ,l. � ' J I That w Grantor's),for and in mnsideration of mutual benefits.do by these presents,grant,bargain,sell, comey,and warrants .to the said Grantee,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 Tightof-way)in King County.Washington,more particularly described an page 1. (or if full legal is not on page 1—Exhibit A.) 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 dminage 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. This casement is granted subject to the followirg 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 execution of the work,as nearly as practicable to the condition they were in immediately before commencomeot of the work or troy 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 L easement rights granted to the Grantee Grantor shall not,houevtt,have the right to a. Erect or maintain any buildings or structures within the easement,or b Plant um,shrubs or vegetation hai mg deep root patlems which may cause damage to or interfere with the utilities to be placed within the creenunt bs the Grantee,or c. Develop,landscape,or beautify the eascmau area in any way which would unreasonably increase the costs to i C1 the Grantee of tutoring the easement area and any private improvements therein d' d. Dig,tunnel or perform other fors of construction activities on the propcny which would disturb the r compaction or unearth Grantees facilities on the rghto[-wey,or endanger the lateral support facilities - Q e. Blast within riR"n(15)feet of the nght-oGway. This easement shall run with the land described herein,and shall be binding upon the parties,their heirs, successors in interest and assigns. Grantors coceral that they arc the lawful owners of the above pro�s.,a> ! and that they have a good and lawful right to execute this agreement. j By this con.cyanee,Grame,svtil warrant and defend the sale creby made ono the Grantee against all and 11 every person or persons,whomsoeser,lawfully claiming or to claim the same. This conveyance shall bind the holes,executors,administrators and assigns forever. ' IN WITNESS WHEREOF,said G lies ca this in cot to be xe<uled this 3 (day of�_19 s1 IADla90CAG Poft1(OfACRSOWL OfisIEAT ` ` Notary Seal mom be within box STATE OF WASMNGTON )SS ��t�xgy COUN[Y OF KING ) G P J. C Ili 1 certify that I know or have satisfactory evidence that: ci,1c\ _G ,..... . 7 II i m�•"StON ; A II L rr ,.i ti.. �e�ersen -- ,,gned this irwuumrnl and r C;F NOTAgy�',y Ir acknowledged n to be hia9s Mtheir free and rolunmry act for the uses and purposes e .U �n. mentioned In tire instrument PUBUG i bttsys:r a-Oo' Nota p bl'c'n e d 'or the Swte of Washington 4 ttvyvOF W�= Notary(Print) My appointment expires. Dated'. I. P UXS IAnFOR!oSUPetenm9a991 Aar Page i k i yr, 3 s 1 � ' 1 v "r 1ND117DUAL FORNOFACKNON'LEDGVENT A Notary Seal must be within boa STATE OF WASHINGTON )SS COUNTY OF KING ) lcendy that�l�know orhave�satisfactory evidence that A�C�'Kle� (t� c•n1 G 9,9 y �Cw�c sTJ signed Otis ses and p and m14.•`gSION p�'L••, J•11 acknowledg a to be 6ragtss/ eir free and voluntary act for the uses end purposes CO'• (P/ mentioned in the insWment 1!1 s, oo I Notary Public for the State of`Vashington tt ,•.,, t9•, ' Notary(Print) �t1,Fcc.. � �D.) r lts/�q W = Aty appomtment expires: to-14-0o Dated: 1, 3 t c 4 i REPRESEATA TII E FOR.V OFACKNON'LEDGVE.xT j Notay Seal must be within boa STATE OF WASHINGTON )SS 1 COUNTY OF KING ) 1 certify that 1 Wow or have satisfactory evidence that signed this imam ment,on oath O slated that hdshethey, was/were authorized to execute the instrument and acknowledged it as the and t of to be the free and ale-._ ect of such Opuny/panics for the uses and purposes mentioned in the insuument. A Notary Public in and for the State of Washington Notary(Print) _ My appointment expires. Dated: f. CORI'OR•IT[FORL1 JFACENON f.EDGslE'1T ' Notary Seal must be withic box STATE OF WASHINGTON )SS I j COUNTY OF KING ) On this__day of ,19,before me personalyvppeared to me known to be of the corporation that executed th:within insimment,and acknowledge the said instrument to be the free and voluntnp act and dead of mid corporation,for the uses and purposes therein i mentioned.and each on wth stated that he/she scus authorized to execute and instr amna and that the seal affixed is the corporate mat of said corporation. Notary Public in and for the State of Washington Notary(Print) My appointment cxpircs:_ Dated: P:UIOCs IArPDWS13Pnmen91991.drc' Pagel FORM 03000UM,a:A2.21.97 Y L w vY fr.rinGrr.'A..1,tiC b . LF.UAL RIP7"ION 1 IMnvl Iv n DE byI'I:1 1'n«mn11 AI«n IM myNh III IN,(.«I�d Ih«1«iloxnlp d.odvvl ryn,cl )F' { I 1•nm«I I km I Ildhm t Ih«mylh)!.1 al fw10l lhr rral hell nl Ilm nollh boll PI Ihv urllhxe.l ylUuly nl IIK nnnh\qfl gIwt<,0(Ihc southwest i atlm Id\w ON,it, d 4' I onwvhip: North,Xulpc\Ina,11'hl.w Knq Counh.\Ynslunglun, j I:rl'rrlm««.Ilm IN. r,,ax,,,,l All n.m«xonwl nl l,phl ynpl.•.Io llv`worth mul snl lwle,of wld'um" em N v i ' , R �c I � wxle��r� �wl„• �• a i fL { 4.' T Map Exlubit N.E. 8TH (Must be stamjwNJ b)a P E or L S) NORTH ST• oN at 1 Uat Z I I SCARF: 1, 30' b \ I & LOT 4 LOT IIN; ADJ. /96-110—LLA o u f"NLN I 1 r a I 588'20'0!'E /23 m o \ i no a I LOT d ,A, g m r' I LOT LINE ADJ. /96-110-1LA r Z 11,1J3 sR.0. a + 1 H I 0.26 ocru it dv I I �T Ai�LAM°gpC, ma c 2 EXPIRES(1•24/1V R^ _ NB8'2P'04'W 150.11' 73,03' 7306' �C LOT 8 .7 am N ii P C : rA: oT ATA LOT 9 n ..� 761 VASHON #763 VASHON PL. N.E. } NN PE N.E. > F 2CZ P nON OF M' 51RUCTURE n TO BE RE \£ rq 17. d ytr . .. 1 �1. — 84 98• — '/ ♦ 13.01' c N. 1/2. NW. 1/4, NW. 1/4 84.98' —20.00' SAN. SEWER ESM'T �t I �n TO CITY OF RENTON L AND A a 111 #755 VASHON PL. N. 20.00' WATER LINE ESM'T p TO CITY OF RENTON ny V PARCEL YY pp!! P?DOCS)\pTOR\mPna�94s91.Am, h,5 FOMI936009W0CM-2I97 r � y�rtr• - INDIVIDUAL ACKNOWLEDGMENT 4 State of Washington County of V,;,,,t____ 1, \•Y C Lc;,�c. ,Notary public in and for the State of Washington, + do hereby certify that on this day personally appeared before me—— \\ to me kno%vWproven to be the individual S described in and whux^ecuted the within instrument and acknowledged that signed the instrument as W41�4free and voluntary act and deed for the uses and purposes herein mentioned. Given under my hand and offioal seal as of this date IA 3\ •\`i`l1 i R CZ �a�9iov9tt Notary Public pi ure AOTAAl, '•9ri C ' atsLtc f4 �r't a,��'• Notary Public name printed ..� hv•••�� Mvappointmentexpires: k--t5.cil _ This acknowledgment is attached to U1:\ Sr, F'c 5�•.c �-- I consisting of pages. ' j Notary comments. -� '� "�„rcal� w23o$-r133L. L •4i49 PA&E i i t r r H . 0. C AAA, ' W- 2Z97✓ Rmrn Address City Clerk's Once City of Renton 200 Mill Me South Renton WA 98055-2189 DEED OF DEDICATION Property Tax Parcel Number 102303.9097 Project File d: L UQ- 9& /5a1 Street Inters"tion'.Vashon Pl.NE R NE Sth St. 1 R<f-ins<Numl;j;)ofDecwiwraa wipwL n:<IeuM.:Aliuuul.sr.rnca nxnemwmpys _ 1 G.aMor(.): Ginter(.): I.John&Lorraine Peterson 1 Cat NRrntaq.AtuJ:iryl Ca.Iw.tia. 2.Michael d Nancy Stacey 1 LEGAL DESCRIPTION. (aDimmaWm/.0 baalwaao Arr..AdEnio:ul l<al on ..a< ) I O See avacb d Exhibit A Ch tN<ew,ma<rerwin.an.:arc.::,x Nx.:u.l e�wrw.<I r xCw.oKire14ea NwNnW.i.iinn IN WITNESS WIARF01'.II We aneuxo.a mr hu:d W rcJ Wr d.y txd pw..wring.M1e1aw. I Q Approved and Accepted 8y: i Gra tor(.): Gram!"(s): City of Renton l �sse To / IE Ma ease Tnnner 51 / 4 Ciry Clerk rl 1. Petersen Y Y DUAL PMOF ST OF WASHINOTON )gS KA'O £.N)' CO Y OF KING ) •..4 1 cM.i�fyJlhat 1 ktw}v or M7 satisfactory evidenve Nat.Age•r16— w NQttlyspdolmuet bglo box __N_±1f. !Y"a'r.sr Gilt✓./.Pl��•. signed this m.Wlnetlt and s as��.`.r•'cg ackwxlcdges it to be his d cnlunly act f w the uses mid - ..i i,...•w y �•:rO z Purposes mentioned iin�Ihrr Hisfrunnveent_.' 10. ': pLU110� R �A7`rA'u'1+'I f�f�d'r�l, Norm Public inandforlhe StateofWashingtun Notary' (Print) Sre rrula- IF rt5yold_ IY►1N My appointment expires g-mot g Dated. $-14-97 Page 1 E1361847 DO/e0/97 1 ..... .. .. ...... ..-...w�w.r.+r....+wren.+......w.u.........r.....___ _ _ t I INDIVIDUAL FORM OF ACKNOWI FDOFMFNT STATF OF WASFIINGTON ) )SS COuh rY OF KING ) I cerfifv that 1 know a hate aatisfagory oidrnce that do wal <• PEtE RSEN JR is the person u''o appeared before me,and said person acknowledged that(he/she)signed this instrument and acknowledged it to be(his'hcr)free and voluntary act for the uses1 and purposes me21imin the vunncnt natd ��I l/� ' C�' Nottoy`= for the State of Washington residing at :a Oi•' T Not t S 1: FU'sLIC My appointment expires'. i9s 9ER1�:•ly]R'1I111At FORM OF ACKNO PD7MFNT •••i•�F WASN�ada STATE.OF WAS'/lRRMPUN 1 )SS t COUNTY OF KING ) 1 certify that 1 know or have satisfactory evidence that LoA0,4E A. eFTE_94E4 is the person uho appeared before me,and said person acknowledgeu that(h she)signed this utsummenn and acknouledged it 'ate.• to be(hisher)free and voluntary act far the s and purposes mentimed�11�'a° rotor 7 qry p0 y �.+' N�"•,g.'c. Notes P for the Sute oC Washingt�—W-g O•o.� v`9 11/ ;u TAAY • Notary(prinQ pt' ,e:2: My appoi.nunent expires: y F nnttnl cnan.l OF ACKNONT FT)GFMFM oyQp WASHkIa STATE OF WA ON ) )SS COUNTY OF KING ) E )certify that 1 know or have tatisfac t,-n'evidence that is the person who appeared before me,and said person acknowledged that(heshe)signed this instrument and Acknowledged it to be Qnisfiei)Gce and voluntary act for the uses and purposes mentioned in the nns'uument rated_ _ Notary Public in and for the Suite of Washington maidmg a, Notary(pant)My My appointment expires: J _J F ti A• w�a°� , t.{ �}r$� i� � �JI +°)� i III ., � ` ' y �1 t �Y z9 • x f {' Y � 4 IIJDIVIDU t FORM OF A KNOwi rDCFa.rrw STATE OF WASHINGTON ) )SS COUNTY OF KING ) I certify that 1 kmow or have satisfactoly evidence that MICN AE L yJ• STACEA) is the Person who appeared before rrte,and mid pesos Wknowludged that(he/she)signed&a tostnunent and acknowledged n to be(hi&4m)free and wluntary act for the uses and purposes mentioned in th eVumnt e as �aaaaa Dated S e$ OTARY t r. ubl d the State Of Washington residing at t i 17 UC p_ Notary(print) 7�s t;�',ya i' MY aPPoinUnrnl expires: I -� � S Lei l` -'••:.EP'tb'•aa�-,,Z . •eeia�.aWASH`[�VIDLIAI FORM OFA PDGFNMNT •R STATE OF WASHINGTON ) )SS COUNTY OF KING ) ',. .��.. 1 certify that 1 know or have satisfactory evidence that NANO( L. STA C 4 is Qre person who ry appeared before me,and mid person acknowledged that(he/she)signed this inaVurnent and acknowledged it (� to be(his/her)free and wluntary act for the uses and s `., PuTose mrnlioned m instnan[ut [� Dated— Notary , pO.s��s6uiti'•:�L •.e+:•, c i f�State of Washington residing n irk NOTARY �•' .. Notapp(pnnQ My appointment expires'._ ea40�aWASHVIDLIAI FORM OF A KNOT^>:D.^r STATE OF WASHINGTON ) )SS COUNTY OF KING ) 1 certify that 1 know or have satisfactory ewdrnce that is the Appeared before me,and mid person who to be(his4w)free and voluntary act fw Ute utsg ad`at(he/she)signed this inswment and acknowledged it Purposes mentioned in the tnsVumcnt. Dated -- Notary'public m and for the State of W'eshington residing at Notary(print) My aPpoinent expires. _ mt r r r i e4• w+y'i ", i Proyee1:104 5(a-isz Exhibit A WOW ✓uSAua PL SNPL Legal Description Pm GRANTOR. Street TRACT X a BEGINNING at the northeast comer of the west 35.00 fact of the east 176.00 feet of the south 225 W feet of the nosh 255.00 feet of the eat half of the north half of the muthw<st quarter of the noMwest quarter otrhe s j southwest quarter of swum 10.Towruhip 23 Norm,Range 5 East,W.M.in Kinn Cowry,Washing r e Thence south along the east line thereof.a distance y 130.44 feel to a point of cutvanue of a non-tangent cunx conusx to the northeast having a radius c.25 00 feel,the center point of which lies norlheamity at an angle of 24 degren 50'05'from said east lint Therce easterly along the are of said curve which is to the left,through a central angle of 24 degrees SOUS' distance of 10.84 feet to A point ottangency which is right angles to the east Iine of said property; Thence tut a distance of 9.32 feet, Thence south parallel to the eat line of mid property a distance of 20 0I feel; Thence west at right angles to said east line a distance of 9,32 feel to the point of earn-ature of U centers"to the southeast having a radius of 25,00 feet; tangent curve ( Thence westerly along the are of mid tuns which is to ne left a distance of 10.34 feet to the cut line of aid f west 35.00(eel of the east 176.90 trot of mid subditision; Thence south along mid cut line a distance of 70.07 feet to the south line of the north 255.00 fat of mid subdivision, Thence west slung mid south line a distance of 35.02 feet to the wxsl line of the went 35.00 feet of the cut 176.00 feet of said subdivision, T hence north along mid west line a distance of 225.13 feel to the north line of the south 225.00 of the north (� 255.00 feet of mid subdivision, Thence earl along mid north lima distance of 35Val .02 Joel to the POINT OF BEGINNING 0 All u measured at sight angles to the north and east lines of mid subdivision hereinafter referred to u Tract IN X. OTRACT Y The north 30.00 feet of the cut half of the north half of the northwest quarts of the rrorthwest quarter of the �7 southwest quarter of Section 10.Township 23 North,Range 5 East,W.M.In King Cc'mty,Washington All u measured at right angles to the north line of mid subdivision. Y P�ON a �Cf4�pf a 9 9 O ott 1sg0°• r�4L LANaSJ MREs Page 2 i �rs EXHIBIT MAP FOR CITY OF RENTON 1 RIGHT OF WAY DEDICATION I v (PORTION OF N.E. 8TH ST. AND VASHON PL. N.E.) ro,1�a kF"3to5t• N.E. STH ST. y war a rr 70 M'E JZ6.aJ' { \ MAr �a7ii o.o.il. TRAC_T Y \ \\, a0.f M.R NK\13J[l!\\\ LOT IM3t' q 1 [w5+vNlei+.w<E ! xw• N7c• 1.•w sr. ar.tas. .alo.w N[ RACT we w+aun 5 LOT 1 p .J I S &°\\X .<Niu N(nN sr. Q . Nlb�a 4.sc A [ V, T.L.1942 x xwts5 ta[ss ■ � • a uc�`/9az i Y mm Eats$ Ti- 18 i 1 � e a Nnu»$cSlrr set:o'o+•[ ra of 11��ii G yl.t&"c.ptwn+ naw Kn. wwo.Y 1]51)' .aU ww $ LOT 6 7a Eel. r IIA ^7 VAwn ("rm.0 .. — mw - - TL#30 $ +::y" 1.2. 'a$ TL i8/6 N� P w1 .r[ 5 wIr :. sx.sn^• •.u' L .nw' � 7L 1398 s.r ^.ip°•—"t�e x'— — — gg g 9� LOT 9 5 g. a /lx v.EfMI R N.f y K[( t 1 M Or S tT 1 f m w$ s am > IN a J IA. Ia wi4uNt TL•315 >: R T.L.♦349 1 IsBp �s �a<p � I ISO'— Ms. 1b 0Y WM y m[[1/E stPl'bt 3"'.4 lolu YA w I THE ORCHARDS - DIV. #1 ! LOT 66 WA TRACT t0O j I OQ• OF S... C C COD � '� EE CITY OF RENTON LOT LINE ADJUSTMENT N96-110-LLA I „ NORTH g t6ol O SCaF t' 60 �a' �QIyTEPF'J �rONAL 1aN06 aaw..1W i P•nhelleQon Anaoclatsa Con•ultl"wnl EACIrt.•r6 lne. DATE. 05/09/97 JOB NO.: 9a891.00 ^°"^'^+•['n'^" ' "' .. t[9u K.-Ku a. *A, u v } +w•V++:.uwrarc..m was ..._ �..._.. r� • 3 i' � � 7 a ,d a ✓} 1 �,�pr,t A�- y", -•(Tibbsv wx s k 'dtPi?Xr4tA:a r f 4: ✓ h �i x' vA kSftT. •• y" "1 ' '"`ze-'�yl.• 'ur&,� i, Wa �t;�'Ey,'fI"n�'&mfiat v fAr9X?"i p 4h 1Y r 3l^_ t 1 �. 2 4LJ• Zz>>✓ � Return Address: City Clerk's Office _ City of Renton 200 Mill Avenue South Renton,WA 98055-2189 1 Title UTILITIES EASEMENT Pra rt Tag Parcel Number: 102305.9314 Project Pile g. G "4 — Street_ / Ntersection or Proka Name. NE 8 &Vashon PI.NE Reference Number(s)of Documents assigned or released.Additional reference numbers are on page Grantor(s): Grantee(s): 1. John&Lorraine Petersen 1. Cim of Renton,a Municipal Corporation Michael&Nancv Stacev The Gnnmq as named above,for or and m consideration of mutual benefits,hereby grants,barganm,sells and dclivere to tae above named Grantee,the following deanbed personal propcm now located at. Additional legal is on page 4 ofdmusacra (Abbrnimed Lgmidsoipriaa Alt'STgohere.) i LEGAL DESCRIPTION. V4 Tax Lot 102305-9314 O Lot 3,aenton Lot Line Adjustment#%.I 10-LLA,recorded under King County recording 497021%001. tY w c P. S I r fn Y � S i k "� �{ \tPACF\SYSDOCS I6PFORMSUParewn9N�l drc� 1'.g.t tVRAl of o000AaCA3.119) - 4 � r 011 k+w r A to P t 0. i +t z# i. u x:. ;n That said Grantor(s).for and in consideration of mutual benefits,do by these presents,grant.bargain,sell,.,, coma],and oAmants unto the said Grantee•its successors and assigns,an casement for public utilities (including water,wastewater,and surface water)with necessary appurtenances over,under,through,across and upon the following described property(the right-cif-way)in King County,Washington,more particular]) described on page 1. (or if full legal is not on page 1--Exhibit A.) t ^` For the purpose of constructing,reconstructing,installing,repairing,replacing,enlarging,operating and maintaining utilities and utility pipelines,including,but not limited to,water,seurr 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 therefor. Following the initial construction of as facilities,Grantee my from time to time construct such additional facilities as it may require. This easement is granted subject to the following terns and conditions 1. The Grantee shall,upon completion of any work within the pmpoy co.cmd by the easement,restore foe surface of the easement,and any private improvements disturbed or destroyed during execution of the work,as nervy as practicable to We condition they were in immediately before commencemem of the work or entry by We Grantee. r M 2. Grmmr shall retain the right to use the surface of the a.amen)as long as such use does not interfere with the easement rights granted to the Grantee. rM Grantor shall not,however,have the right to O a. Erect or maintain any buildings or structures within the raseni nt;or .1 b. Plant trees,shrubs or vegetation having deep root patterns which may cause damage to or interfere with the .�.,' unities to be placed within the easement by the Gramm,a c. Develop,landscape,or beautify the easement area in any way which would unmasonably increase the costs a to the Grant"of restoring the casement area and m v private Improvements lher= d. Mg.runnel or per, nit other forms of constitution activities on the propsny shah would disturb the compaction or unearth Grantees facilities on the nghtoFway,or endanger the lateral support facilities e. Blast within fifteen feet of the right.ot-way This easement shall run with the land described herein,and shall be binding upon the parties,their heirs, sucassors in interest and assigns. Grantors covenant that they arc the lawful owners of the above properties and that they hart a good and lawful right to execute this agreement. By this com'eyana,Granter will warrant and defend the sale hereby made unto the Grant"against all and every person Or persons,whomsoever,lawfully claiming or to claim the same. This conveyance shall bind the heirs,executors,administ rotors and assigns forever. IN 7 SS said or has caused dusinstmment to be executed this to day of l9qI a� � 2 D I7De'AL ar IOEA gN I D.arE.xT Now)Sal must be within box STATE OF WASIBNGT N ) COU Y OF x4 DEgpxasl cemfr that l kno lxw o I r have sansfaclon � , evidence that �7/� ♦' �K. Ant � �j �111(�fIICMC YSeir, signed this instrument and rr ic�owlcdgsd it to bc�jalherhheir free end volunury act for the uses and purposes t mentioned in the instrument 4frtf1'`.•r, r 5 Notary Public in and for the State' as on tt%,\\l AS\ Notary(Print) hILI- My appointment eaptrcs:. I I Dated: 'A VTACt.',SY$\ S.11.pFORMSVMrrxa91a91.drc\ Page] I f ) R Y i 1 1AZA7DL'AL FORM OFACENORZEDOMEAT Nolan Seel must be within hose STATE OF WASHINGTON )SS COL-"OF KING - '`�"�F/'p sl IuMN that l Wow w have satisfact oq'evidence that !.x 11 /UQFI IU L S/iAC u signor Nis instrument and " � II ukwwledgor' to M NsRrtrnhe' ree end voluntary act fw the uses and purposes ' � mrntioned v1 Ne instrument 'tl'i�: �. -� Notary Public in and for the 9 u of ashington Notary(Print) / M I My app smtntcnt expires: - Dated 1 i REMMATAT"MXV OFAClA'OR2 .%jEsT Notary Seal must be within box STATE OF WASEONGTON )SS s7 COUNTY OF KING ) I certify that I know or have seuafic9on evidence Nat N + O �'ry�� signed Nis instrument,on !� oath Net hdshdthey was/wae auNoriud m execute the wwmenl and ' _L acknnwkdged it as the and of m be the Gee and v instrument of such partm/parties for the uses and purposes mrnuonor in Ne � irowmcnt. Notary Public in and for the State of Washington Notary(Print) r My appointment expires: Dated: CORPORATE FORM UP ACKA'OR'LEDGA/EAT i Notary Seal must be within box STATE OF WASHNOTON )SS COUNTY OF KING ) i On this_day of ,19 ,before me I Personally appeared ! _to me krmwD 1 lobe of the corporation that executed the within inswment,and acknowledge the mid instrument W be the free and Wlunury act mid deed of said corporativa,for the uses mid purposes therein I mrntioned,and each on with stated that he/she was authoriz d to execute said Nutriment and that the seal aRxnl is the curporete seal of said corporation. Notary Public in and for the State of Washington S Notary' Print i (Print)__ My appointment expires: Dated: 1VACElSYSiDOCa_J.xf+FpaMSdPeterxci9e891.doP Pegcl FORM ma QQNIh 'CA-21-97 f !N Y 4a � r 2 x - I � � iEXHIBIT"A" LEGAL DESCRIPTION (Must be damped by a P.F.m L.S.) i Ems tmt Atee i The moth 10 00 feet of l.ot 3 of City of Renton Lot Ll"Adjustment 096-110-LLA u mcofded mda King Camn recording No.9702199001. I i ON S.RFC. w Q�04 O.' WAsN;ry.T f1 e C o. SCSI F\9wCr5TEP�O.:PJW J `G F��'AL LAN05 EXPIRES i I i 1 { i It�S JM`C)W UPeur+v 94991 Axe P.,A FORM 01000NN M-21-91 } 1 H :y+ I d�< `4. ds. i ?i I Map Exhibit T.L i3Yd U to (M9el be etom,ect LF 9 .E. « LS,)318.761 ep.It. y at 141.0 I a S88'20'04'E 4 acres 69.04' f �1 8' —^I� ORIGINAL LOT LINE NEW LOT LINE 3 " I (TYPICAL) (TYPICAL) TYPICAL 1. S8870'04'E 150.09' �, yi 24'50 Too A= 2450'05 D ; --R . 25.00 Q/ L - 10.84' i I. ��643'E It 91�p � O S99'43'17*w V4 9.32' a- 24'50'05' ORIGINAL LOT LINE m L R 25.00 (TYPICAL) \ N L = 1084' `L N88'20'04'W � f LOT 3 N ff m Mj o LLA. /96-110-LLA �n KING COUNTY REC. No. 9702199001 ( , o .402±0. } t0.77 acres ( j 50' 15D.00' 1 I 6.01' 9.01 � w NEW LOT LINE (TYPICAL) NORT m N } ZW2 yp m tiN 4 -vym�li� O �µL 1•� ]p• { C m i0 1 N N 5'SAO.SEWER ESM'T 10'4PN.SFWifE M'T i PREVIOUSLY CONVEYED ETC CITY OF REN ON i TO CITY OF RENTON } t 1 7.� .�. x` tj { --r 'S9"EI 31603 TOTAL P _ _ 3 Pep 5 FORM 03 000/oh/CA2-21-99 i 1 s /bJ- �z99 Return Address: j City Clerk's Office I City of Renton 1 200 Mill Avenue South I Renton,WA 98055-2189 Title: UTILITIES EASEMENT _ Pro erty Tax Parcel Number:102305-9314 Project File g. L dq 9 -1,Z- Su«t Inti-lfion or Roject Name. NE 8'&Vachon PI.Mi Reference Number(s)of Documents assigned or released:Additional reference numbers are on page_ Grantor(s): Grantee(s): L' John&Lorraine Petersen 1. City of Renton,a Municipal Corporation tD 2. Michael&Nancy Stacey 0 The Grantor,m owned above,for or and in consideration of mutual benefits,hereby grams,bargains,sells and delivers to e N the above named Grantee,the following descnbed personal property nou located at Additional legal non page 4 C of documonl. (RDErnimed lgaf dacripriaa 3lCSTga arreJ (V LEGAL DESCRIPTION L `7 Tax Lot 102305.9314 1 Lot 3,Renton Lot Line Adjustment M96410-LLA,recorded under King County recording M970219%01. t Si Ie s s s J HA S NORRIW Manen9i891.Ac' P.,I FOR\I al 000a M'CAI lb9l FForthc id Gramor(s),for and in eonsideahoo of mutual bencfns,do by these presents,gra7dniuge in,sell. and warrams unto the said Grannie,its successors and assigns,an casement for puutilities (including water,wastttvater,and surface$ester)with necessan appurtenances over,undeh,across j n the following desenbed property Olut right-of-scar)in King County,Washingtonmoreparticularly d on page 1. (or if full Icgal is not on page 1--Eshibil A.) purpose of constructing,reconstructing,installing,repairing,replacing,enlarging, g and 1 together lai utilitiesthr and un li i lines,includin ,bet not limited to,water,sewer and$ ina a lines,SbPPe gand unr with the right n ingress and egress thereto ssithout prior institution ofany suit ornggof lawand without incurring anylegal obligation or liability thereto, Followinghcinitialcnnstinns facilities,Granttt may from time 10 tune construct such additional facilities as it may require. This easement is granted subject to the following terms and conditions' I. The Granttt shall,upon complelion of any work within Ne proem co the easement,and anv private imprmremci disturbedI or a yno n during bJ the easement,restore the surface of practicable to the condition N<r were in ants J g ececmion of Ne wink,as nearly as rarely below commencement d 1 of the work or entry by the Grantee 1 . Gremlin,shall retain the right to use the surface of Ne asssmeat as long as s uch use oes ot er n imfrc wnh the easement rights planted(a the Grantee. Grantor shall not,hmwerer,bare the right to a Erect or maintain any buildings or structures within Ne casement.or b. Plant trees .uubs w vegetation having deep not patterns which ma cause damage to or interfere wiN Ne utilities to be placed within the easement by the Granter,or ) c. Develop,Imdacape,or 6eaulify the easement Area to any way which would tuacasonnFh mcr ase the costs to he Grant«of restoring he easement area and am priwte improvements therein d. Dig,tunnel or perform rather fames of canstmaton ach,mes on the impart,which would disturb the compaction or unearth Grantee's facilities on the u righloLwny e B .or endanger the lateral support tacilitin. last within riff f s)Rat ofthe right'r.way This casement shall run with the land described herein,and shall be binding upon the panics,their heirs, w ay successors to interest and assigns. Grantors coyenanl that the)arc the lawful corners of the above properties N and that Ihq have a good and Imsful right to esecutc this agreement a' . By this eomevancz,Glamor sill waranl and defend the sale hereby made unto the Grant"against all and Tp every person or persons,whomsttsxr,Ussfully chiming or to claim the same. This mm'cyancc shall bind the heirs,executors,administrators and assigns fare,er. j IN WITNESS WH• F.said Gamin has caused this instrument to be eyecutrit din 9 ' j 19� JA7JJ4aDUA1lUR4 OFA .'$TJM psi""AT Notary Seal must h w{Nan box STATE GF "OFGTO eS -Gfa♦♦�♦ sP J. G.�Itt COUNTYOF'KM ) �� 5\ON •'•;9Tit 1 cetify Nat 1 know ar base satisfecloq evidence that ♦ I •be �nHQ.♦ �. i 0 8 T t i¢�'NOTAgy{D':9sri AcWw♦wl� ad ` signed this insu bell and i •O �m I edg I to 6e""IN'rAhesr free and voluntary act for the uses and purposes mentioned in he instrument § f'UBLIG ''•? ' 1 PIt1 •' s.J 8.0�.'�p''' s t_�F_ff '' Notan Public for the State of Washington ssy` WnSµR Notan (Print)' > p - Ma t poiutmen[c♦ptres. 6.1 Dated B:tDOCS J$ntpRAl$UPrnier9aA91 doer Page a L J t /A'D/i TD('AL£OR.V J£AC[A'OWL£DG,1fEAT Notuy Scat must be within box STATE OF WASHINGTON )SS ( COUNTY OF KING ) 1 I certify that l know"have satisfactory evidence that L LV—'a) w seed .. • ... 011h rlc,nn.l. Sk ct � g10N '•:'� ' --- siQaNd this inswment ud �0•z �9 R. `Ir/ ackrwwledgd it to be thehtagli it Gee and voluntary act for the uses and purposes q EOF NOTARY 9/i mentioned m the instsuniem ri '• PUBLIG i � N,c 1 I'll Notary Pur6n1tc the Slate of Wasai nggeo Notan Pi ) k <c My appointment exptrva; -yq-00 _ Dated: r � R£PR£SExTA"I.111.1 UP AC£AT/N7.EDGUENT I No, rvt be vithin box STATE OF WASIgNGTON )SS COUNTY OF KING I cMifv Net I know or have setisfircim,evidence that _ �D mimedthis instrwnem,on oath I w?, stated that helshenhey wWxcre authorized to evo me the instrument and s 1 10 acknoxldged it as the and t C of to be the free and voluntary set af,uch Ct pmty/parties for the uses and purposes menti..d in the ins rra ent :L Notary Public in and for the State of NVwhington Notary(Print) My appointment expires: Dated CTE£ORV O£ACRNOMIEDQI/E.yT Notary Seal must be xilhin boa STATETATE Of WASI1QJGlON )SS COUNTY OF KING ) On this_day of ,19 ,before me personally appeared I to me known to b0 of the coryontion that executed the within imuwnent,mid aeknnwldgc IM said instrument to be the free 1 and volarmy eel mid deed of mid corporation,for the uses and purposes thma,, i mentioned,and each on with stated that hdshe was authorized to execute mid mistrument and that the seal affix d is the corporate seal of said corporation. Notary Public in and for the State of Washington — !!!I Notary(Print)_ My appointment expires' Dated: N.iDOCSlxaFORhINMe 9e89 fdw�l P.g,3 FORMOOOOOOMVLA]-91.99 f J 4 EXHIBI1 -A" LEGAL DESCRIPTION (Must be atn"Ped by a P.E,or L.S.) &xerncul Area: That Posbon of Lot 3 of Cn)of Renton Lot Line Ad)umcn I IO.LLA as recordd under Kin stt a96- g ng 9702199001 described as follows' Court secordi No. x Commencing at th e northwest corner of said Lot 3. Thence South 00 degrees 16'43"East along the nest line thercof,a disL:nee of 56.10 fet to the TRUE POINT OF .7 BEGINNINU, Thence continuing South 00 degrees 16'43"East,a d.sarce of R.30 feet to the beginning of a cane concave to the north i V ith a radius of 25.00 feet,the cmnn Point of which bean North 24 degrees 33'22'Fart, Thence along said curve through a central angle of 12 degrees 07'32"a t are length of 5,29 feet, Thence North 00 degrees 16'43"West,a distance of lo.00 fee,, Thence South 99 degrees 4 3-17"West,a disance of 5.00 feel to the TRUE POINT OF BEGINNING 94 l i w i 1 SON S.R6 O A4r a _ o 0 .9g rtwl S QtigT��.�O� Sr q+AL lANOS EXPIRES h 1e24.11 N H:UXtC6 JAF,F'ORh1aVPq,.ro49Aa91.don Pxea 4 FORM 03 0000UMM-21-97 I • d F e�. 1'p.. 4 a Map Ed,ibit 4 (A1ust U:rt:ent�d by a P.L.or L.S.1 S88'20'04'E NORTH 326.42' 158.59' NORTH LINE OF THE E. 1/2, N.E. 8TH ST• N. 1/2, N.W. i/4, N W. 1/{ S.W. 1/{ ' " N "U: ,• _ 30 N88.20'04-W m 3$.02' 72.04' ' 69.04' n 1 35.00' to SF oNWA \f0 I U 18 LOT 1 ah tr.' . S N j LOT LINE ADJ. 96-110-LLA Q m L B A �' z a t RIB 1 u _ o FC�ST.:f.PO 1000 SAN. SEWER ESM'T I S�ONALLAWOejO t TO CITY OF RENTON EXPIRES ,1 •9 /— 10' _ 7 x( `S88'20 Oa E - 7 _ 69.04' i - 6' S88'2004 E •y G 141,0 65,04' w C � w c mN LOT I w $ LOT 2 `1 C H "g #760 VASHON PL. N.E. + �+,• #758 VASHON PL. N.E. � 1 S i O 2 [77F.TOR p - 2a' 0'05' 0 u R - 25. 0'o ( ' L - 10.84' Y 4 . T, •r 22' 1 * N8B'20'Os'W 650a' •' u 8 9.32' c - 24.50.05• LOT 3 " R - 25,00' T LI14E ADJ. N96-110-LLA L - 10.04' 24'50" 20.00' SAN. SEWER ESM'T N TO CITY OF RENTON u Y LOT 4 r 17 50 LOT 3 #754 VASHON PL. N.E. 4752 VASHON pi NFm I,PACMYS`DOCS MfORMSAN Im 99014x'• ISg:S F0R]I030000:M'CAL21,97 T J I F W-22 � ? �FOnRR DISTRIBUTION TO: IJ Water UIIIiIy ® BullOing Division IP1V wastewater Utility ® Publlc Works COn51r Intpcnor Surface Water Utility ® Fire Prevemion - ls Maintenance Services I 'I'ransponetson Systems Lroject: )L�IL '1 T)AlE-tgP14CO 1 t t .. LYtatlOn: INN Si�, �S 4- 011<0PA) fL k attached pleas RnE copies or: I PERMIT BIL:SOFSALE IEd RECEIPT &' COST DATA INVENTORY LETTER OF SPECIAL BILLING EASEMENT(S) STUB SERVICE AGREEMENT COPY OFAS-BUILT PRECON NOTES — 'n, s PRECON ATTENDEES ' DRAINAGE REPORT y yvi `sew x Q hI EMO•WATER BREAKDOWN MAP WITH NEW MAINS AND VALVES OTHER s i TZ, From: D.: , 5 - 19-97 R ' rt T� Return Address. City Clerk's Office City of Renton 200 Mill Avenue South Renton,WA 98055-2189 l BILL OF SALE Property Taa Parcel Nm%i Pmjed Filer AA j Street l mrseclion'. Aden Reference Number(s)of Documents assigned"released Add,io.ml reference rs numbe arc on lugc_ Grantor(s): �j Grantee(s): 1. jb%N E. P1110 LORMtNE N. 1'GTEtISFlI`KI. City of Renton,a Municipal Corporation 2.OTCAAEL vJ. RNO NI9$`I S ACF 14 The Grantor,m named abnve,for,and in consideration of mutualnt benef Is,hereby gras,bargains,ills and delivers 1.the Grantee,as named above the following described personal property. 31 41 f. pf [qft pj WRTE2A�Ala) ;t75 L.F OF gfr OT WRTE4114410 J.50 L.F op I A" QT W AT*1[Hata7 1 12ff G4T6/4LV1!r5 a PP G4rd VAL-E �, (an G4TE ✓AIYLf I G1[X NYOPIW-r .S?5 t_F. pF 8rr PPC 56..tEK /I(4reJ ', H N!Y NaN roLFS 335 L,F or 13" C-Pvc SroaA.uf.ta: 3 TYPE 1 C ATtw C46t vS Z66 L.F Cu"e Br 6urrrtr S,pcuA r Ia$O $.Y �4,PaI4I-T {t4VEHE.V l• a $T'RE67 LlGrrr PoceS _- - By this conveyance.(]tumor will warrant and defend the sale hereby made unto the(hantm against all and every person " or persons whomsoever,lawfully claiming or to dnim the ssme This conveyance shell b,.d the heirs,exaulors, 'i admimstnmrs and ass,^es forever. 1 R; ��� •` Di9MNtBQSDn.IXltlba page I l 1 ! ` 1 a , Y v;t ''et``oir y 31 yr Alt 1 F k r INDIVIDUAL FORMOFACRNOWL£OGMENT r Notary Sew most be within boa STATE OF WASHINGTON )SS COUNTY OF KING ) rr I Bendy that I know or have saterfacmry evidence that signed Nis instrument and acknowledged it to be his/her/their free and voluntary as for the uses and purposes mentioned m the instru sma Notary Public in and for the State of Washington ) Notary(Punt) My appointment expires: ` Dated: REPRET ATIVEFORMOFACRNOWLEDCMEM Notary Sea must be within boa STATE OF WASHINGTON I SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that _ signed this instrvment,on oath stated that hdshoQhey wa/were authorized to execute the instrument and mknawledRed it _ _and of to be the free and voluntary act of such fsaty'parttcs for the uses and purposes mentioned in the insuumen•. { A. i Notary Public in and for the State of Washington Notary(Print) is My appointment expires: _ Dated: t. CORPORATE FORMOFACENOWLEDGMENT Notary Sul munMwiNin box STATE OF WASHINGTON )SS COUNTY OF KING ) Onthn ')" dayof JUL` —1932,befommetemnallyappmed )OMN E. PIETERSEn1 JR• to me known1. be VE.Ss06NT of Ne aoryoranon that executed the within instrument,and acknowledge the aid instrument to M the free and voluntary tat and deed of said corporation,for the uses ano purposes therein men,coned.and each on oath staled that IWshe was a nhonsid 10 execute mid - u stmm t that the seat a - tM"arm an' seal of smd cm,,oml lou wand f for the State of Was ngton—_—.. Notary(Print) My appointment expires: .. Dated: law I11flyRMSU:CRECOR3xEASEMEM DOCI Page) FORM 010000l IxVA221 0 i I I .e r ; I CITY OF RENTON I PLANNING,BUILDING/PUBLIC WORKS DEPARTMENT !� FINAL COST DATA AND INVENTORY NAME f F PROJECT � WTR- 1' ,�Q 19 I{QSbBn `/[If: JICUY�a�na. I wWP- — SWP- TRO- TED. -r the request of the City of Renton,the followi,lg information is furnished concerning final costs for improvements Installed and turned over to the City for the above referenced project. i WATER SYSTEM CONSTRUCTION COSTS- Length Si a Type L.F.of . P T-- WATERMAIN I , L.F.of _� WATERMAIN 5 ,1;(i f.Sys rf L F.of /� WATERMAIN /tp L.F.of - WATERMAIN I.I's= EACH of I ��-- GATE.VALVES EACH of Dr GATE VALVES 2. EACH of '',n, GATE VALVES nl EACH of FIRE HYDRANT ASSEMBLIES SS JS (Cost of Fire Hydrants must be listed separately) S 2s/�, e Unclothe Engineeeng and Sales Tax if applicable S TOTAL COST FOR WATER SYSTEM SANITARY< F' R<YSTFM STORM DRAINAdE SYSTEM- Length Size Type Length State Type L.F.of SEWER MAIN 33S L.F.of 12- STORM LINE L.F.of SEWER MAIN _ L.F.of �faa ' STORM LINE L.F.01 SEWER MAIN L.F.of STORM LINE EA of DIAMETER MANHOLES EA of STORM INLETIOUTLET EA or A_ DIAMETER MANHOLES �- EA of / ), Z STORM CATCHBASIN En[meer,ng+rd$ales Tax �.Q EA of STORM CATCNBASIN sllhlTOTAL O S ilmluduy Ettgineenna a_nd Saes Tax TOTAL COST FOR SANITARY SEWER SYSTEM f f+pplrc+Ne) S / TOTAL COST FOR STORM DRAINAGE $ SYSTEM I STREET IMPROVEMENTS: (luluding Curb,Gutter,Sidewalk,Asphalt Pavement) Curb,Gutter,Sidewalk: b5' L.F. S q,5C . a,,WIPavement /2,5-0 SY or L.F. of width 5—Luaao, SIGNALRATION: (Including Eng.Design Costs,City Permit Fees.WA Sr Saws Tax) STREET LIGHTING. (Including Eng.Design Costs,City Permit Fees,WA St Saks Tax) /of Poles A �l¢fQRYAIE N. PE7Fk5Eyt/ � EJ ?26 E/6 Punt signatory ncme day phone wrmvCOSTDAT2 pOClbit (Sii ut (mN ho um u be t ry rizedi agent or owner of subject development) h�a t I Wy� Tr4 F -y CITY OF RENTON ' Planning/Building/Public Works Department lesse'Mner,Maya Gregg Zimmerman P.E.,Administrator (tu-2299) Much 7, 1997 Mark C.Siegenthaler,P.E.,P.L.S. 5616-44th Avc SW Seattle,WA 98136 SUBJECT: WATER MAIN UPSIZING-VASHON PLACE DEVELOPMENT Dear Mark Thank)ou for your cost breakdown regarding the cost differential of 8-inch to 12-inch pipe and related fittings After review of your submittal,the City is prepared to offer your client,Mr. John Petersen,the following: ♦ reimbursement in an amount not to exceed$2,600, per the protisions in Resolution 02164, which reflects additional costs to install a 12-inch main and appurtenances in lieu of an 8-inch main. • an amount not to exceed$6,000 to install an additional 90 Lr of 12-inch main from Vashon Place to the connection of an existing 6-inch main. The City shall pay no more than$8,600 for earn on of this work. If your client is amenable to q :: our proposal,please haw r e him sign below 8rq � "to Lys Hornsby,Water Utility Supen isor,at this address: Y - If you have any questions,please contact me'st(266)277.6208. Sincerely, Rick Moreno Water Utility Division I approve tha City's reimbursement for the upsized installation of a 12-inch main from an 8-inch - main no to exceed$2,600. . - 4. • Date: 3-10-97_ ( l app^rove Ute City's reimbursement for an additional 901,.P.of 12-inch main from Vashon Place to an existing 6-i rch main not to exceed$6,000. ' Date. 3-w- 157 t u rnvn rr nvrem rem.vx wsu, r - 2f10 Mill Avenue South-Renton,Washington 98055 " _•"Ma�1 Y'r ......u,.r:.e+rpMlra+NWxaEre!'dYf"+4„ � '✓+f�p!"�t(I IY+r�fl�P,p a--��rY�s t�© CITY OF RENTON y Planning/Building/Public Works Department Jeim Tann<r.Mayrx Gregg Zimmerman P,E.,Adminis rotor March 7, 1997 �w-22") Mark C.Siegenthaler,P E.,P.L.S. 3616-44th Ave SW Seattle,WA 98136 SUBJECT: WATER MAIN UPSIZING-VASHON PLACE DEVELOPMENT Dear Mark. Thank-Nou for sour cost breakdoen regarding the cost differential of 8-meh to 12-inch pipe and related fittings. After mvte%% of%our submittal,the tit% is prepared to offer wur client. Mr. John Peterxm,the folim%ing ♦ reimbursement in an amount not to exceed $2 600, per the provisions in Resolution 42164. %%hick reflects additional costs to install a 12-inch main and appurtenances in lieu of an 8-inch main • an amount not to exceed $6.000 to install an additional 90 LF of 12-inch main from Vashon Place to the connection of an existing 6-inch main. The City shall par no more than$8,600 for completion of this%%ork. If your client is amenable to a our proposal,please have him sign lidos%and return to Los Homsby.Water Utthh Supervisor,at ' this address. If Nou have am.questions,please contact me at(206)277-6208. Smcerch. Rick Moreno Water Utilit% Di%ision F I approve the Cio's reimbursement for the upsized installation of a 12-inch main from an 8- r, main not to exceed i2,600. inch /-- -rt. •.- 4- • Date: 3'10-9rl ll..I approve the Cit%'s reimbursement for an additional 90 L.F.of 12-inch main from Vazhon Place to an existing 6-1 ch main not to exceed$6.000 1 4• Dat, $-10-qr7 i 200 Mill Avenue South-Renton,Washington 98055 t - ®Tneww�ww,.sw,.«yawmeww zee.con co�rwa: r jri,. Lawks Testing Laboratories,kq. WS Harney Seattle WA%MM � WATER BACTERIOLOGICAL ANALYSIS P SARRECOLLECTION READ INSTMTOiSON UCK OF GCDENRDDCOPy '. a en&R aft twlYwK SMe M weaned DATECOuemo TOME COLLECT® ODUaVTWE • raw ar rue / : _ f 5' p7w ❑w lAle t4 TVVE OF SYSTEM EPDBl10ay19E CDTSLETE: DnleLK: ® Cww[eRar nwE a sn.Ew C/7 Y ov 7tl�✓ IRgFICLOGMWTAE1EEMelECa1EC1® TftkvnKl m I wvl -�Z5 VNSM�y'I j "'_w 9 EVA.m sATrLE COUECMW(Wp sYsreLolRew,�eaL:pE.,t . nJ"111bn�1P3CJI� -14 Y 3Gt D l� T GFK)r W MRIWDTRIM/aACEMFLUP" DIRAVACE fAWEELI FFRI➢ D e ❑aWIMMiION ENDREVpRR Adn FrNw,.yYVrM4dY) -- (�Qy/atT&92AJC1l1 W ! Z9=2 �i �� I�V y A/ TrrE a aw.lca+e owyae W•.,e,,,,t � �wDRI�IpN�p1MVMTER- -.[]FEealrVEiRL�Toal_RVy i ❑ue.raa. it %�T teem. lAe n i DFe RAW Sp1RCE Y %R S I T F= o�lLaew e REWCONSTFMT *,REMITS LL�1JJ �FVeICOaYe fIi ❑mNEa isauM I o.A.arEaq..a..TTTsaLirM.,. � ❑I TTBFACTORL:DnaaVaafea �f/:n:rd• I REPEAT -]EOmosew EDa�n qe pnneE ❑FRy mTaTueaeravaaaue TOTAL COISDen nao .COIL naaw FEC&COLWORM IE DOIWr_m Q REOURED E ElLEROTT l q aveDREdu wvRk 99 Er�wErow wall TNTC EaaleeewR 0111. �nr auFR fop ❑urea. • BEF REVERSE cni to f.MFRtbVVFOR ENPIANATONOF Pt � WTYOeenEl WRTIf11�iRq--7 MMWDEn Q� /yr/.in 13 ..(G DbEI@pR10 1AE01WiO1r ERYW�V�tiiW�}}Mry WATER MMUFR Cptt•V I I Lawks Tasting Laboratories,Inc, ' 940S fW Y S..Ma.WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAUP.E CCn EC'CN READ INSTRLN:: ;,ON BACK OF GOLDENRODCOPY ISNrsvoase.wst Tes•wL rwtiw seL I"" fMTE COILECTEp T1IF COLLECTEp cOLM1TYNALIE � numr Wi TW U 97 oow Cm,/ TYPEDPsmeT MTNSIcararL�LmrLEnE: — •❑PUBM N Lg,tEL ® LE O LVALE OF SYSUM -- a_r___P[-�T�[�/ 4ECiCLOCOgNW1ER SDaLE Z[' COOEcnn TELEEIgLE�NO.p ocow ory Orrl I r/I /�� S9K9f b�-.O pVN.S/POI/✓ / EVMGI 1 _ aMMIECOLLECTar.Lw NWIFAW EDn1 ansTEOa.:Erssl :AN'Tl"Kp5orl W-AV 51 -O • saaLctt TrrF aaoUNDV4k ERUNansMACEL1a AMMM 'pE RFAfEWaiflELn 0 o . ❑ ,Loa 1 g EEso fLEroRrra naw..,tss...r�paal -� - 1 GlIY a�.e_�na7,✓ .�.sAe erft V w..erur r TYPEKBMMLE Ir•Rai•rlr v�nWsmunv„ Cl�srnFb larFCiYI'.__RW__F.) � n�OTLw1Eq—O� ❑❑ El REPEAT sALMLE Rwae WWwmP�• ltlP MIS MW SOURCE YMTER S r g m h Caaam NEWNST CORIICTI REiWRg uI �Fq�ppMrnl [ OINER ISGPRNI E _ DAs use OILVIa1MaM10 TVsnn m3K Ln El r LIIssTIS ITOWO. ssipserE �E.Cd,•pw_r_X - - ] aEC EC n•rsE 0FIW rWFrr muLRLLaawnTgnLauLn TOTALDDUrOnll l�_nLa PIL LCOU nssaL FFf.L CaiROnL_2w GOLMr_Ar C aED aLED sNI—YIIE LgTTE6 OT �V` tEIAn1aLEaECAVSE: P braYlmrLla �Y l �91 El�C-CmseM pwln Q TwC • wapraa. peR q4.El TPloo REVFR$EmmtoS W N(YA'YspR fkPI"Tp NNLSI'111 WNOnWLR ILETE.TralifbYfa F OM[ IMDIWORY 11 (} r y W qT p'GI�V�If R COPY L x x . kP 5 "C d v f„ w, 22aq 1 T/r /A/ j AAFW .082 3 z sarr� set& u x j Y✓EST EJ1rO /v4r $�� i— Eresnl/S V" ia++e NYAeA•�r l�4 AV f 50 o L � r< J L t i CITY OF RENTON WATER DEPARTMENT Pressure Test 6 Purification Test Form W�2La9 y _ PROJECT NO.(,d/U NAME OF PROJECT VA!5.,f,(jiJ PRESSURE TEST TEST TAKEN BY ON AT A PRESSURE OF 22C' PSI, FOR /Z-c MIN. TEST ACCEPTED ONy-IV-'17 PURIFICATION TEST TAKEN BY ON PURIFICATION TEST RESULTS, SAMPLE «1 SAMPLE 02 SAMPLE 03 REMARKS: J J i WTR 272249 CONSTRUCTION REPORT FOR PUBLIC WATER SYSTEM PROJECTS i 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 cf completion and prior to use of any project for 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 m completed as approved on date given below. 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 arc available upon request from DOH offices listed below. _ City of Renton DOH Water System No. 71650E 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 WTR 272ziq (1990 Comprehensive Water System Plana Project Title: Ugshop ' Plocc S110+Y PlAt W(SAOM PJ AIE i NE 9 " 57 ) 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 { g1�or w>sv:�1j. �'�� 'cro 1• Engineer Engineer's Seal i e� 1 gFCla �Et; �s -re .i` o� Soj t (5 � 199 7 StONALE :e Et:IFcS:tA?S Please return completed form to DOH office checked below: r NW Drinking Water SW Drinking Water Eastern Drinking Water ® Environmental i:ealth ❑ Environmental Health ❑ Environmental Health 1511 Third,Suite 719 Mail Stop 7823 1500 W Fourth,Suite 305 Seattle,WA 98101 Olympia,WA 98504 Spokane,WA 99204 HDIVISakIMUTILrr EMDOCS\9 367.DOC tI E 'I J e __tee CITY OF RENTON WATER DEPARTMENT Pressure Test 6 Purification Test Form W401 1 PROJECT NO.ZL)o G/y f NAME OF PROJECT_ PRESSURE TEST TAKEN BY �R'Nt9nC��ON AT A PRESSURE OF 2Q PSI, FOR /fin MIN. TEST ACCEPTED ONy-iy 42 i PURIFICATION TEST TAKEN BY ON � r PURIFICATION TEST RESULTS, SAMPLE •1 SAMPLE #2 i yq���� SAMPLE #3 A RUAARKS: t i }a i Y^ Y �A. �X tf�t�� � d pC 04/19,97 FRI 08:49 FAN TV $060 LACCKS TESTING ,• Z279 @001 /- Ruy�W.omwnca'ma LauckE TRSaITy LAC0TaEOT1a3,ITD. Wy940 S.Naro y 5 ame.WA 95109 ( 940 S.N•Incy SeaAI•.WA 9E108 `WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS SAMPLECOLLECTION'.PW?NSTRUCT,NSO paA KOFGOLDFNPODCDT' SAMPLE COLLECTION.READ WSTKCTK)NS ON BACK OF G01DEua00 C0PT IT wwnbn."rt mlN..a.•••w1..91 r r.IAEW. IT ln•vKilon•u.nm Twati,MI Will s r.) DAM COLLEOTED TIMECCLLEClEO COUNTY MANE DATE DOLLECTED TIME UXLEcTEO I OOUNTI NAME TYPE OF SYSTEM I IF PWLIC SYSTEM.COMPLETE TYKOf SYSTEM If WRCivETEu.GpIRETE. PUBUO Vr+•.w l.Ra.v) ® CIRCLE G ❑I.P..,l LIC Nww& D W = wIa CwLE G p B D OWI OB WME OF SYSTEM NAME OF SYSTFAI / C/7Y 0/r2 7011-/ C77Y WOFCLOCA0 "AESAu FGXLEI7ED TFLEPNONE Np a� SPfC•Y LCCAT4hl W.EK SA.rLE C0lERED T!L!%.ONE NO 'L"/lrCt• o�ra..D'S% DAYI t �•O Z� L"13iD:a/ O✓.� wrl ) 9 /�8 LaMC of g7 VA+SA'p''/ 3C+.Anfen-'O v.4twoll SL.bd.w7vs.+G,0�79 E`IENwcI I YA. Ivor '�107 EVENwG ) SAMPLf:. ECTED BY,DIMm4 SYSTEM CWMERMOR.:DI•mI SAMPLE COLLECTED By.(W.) SYSTEM OWNERAIGR INNnYI RAY st" ►N silo.vsorl w c� SW T1T'E GROUND WATER UNDE45UPFA0E falUfNOE $WRCE ME RYmV kk,,��GAWND YNTfP IwDER SWFACE NfIUENCf �SINiFAtE �y+EtI RELD `,SPRING C3ft E . OCOOMSManDN G15uNACF yfwE�iIFlELD OSPwNG ❑MERT EDtl pcoMMERnDN SEND REPORT TO.IPM FJ NN,Y.A!tl•r u,C FW 0mP1 $END PFPpgi TO IPM P„ANYmY A•f^.M AIM Zpcn ) �T+�ryy P•.7AlICJa✓ I�f�'�t/nQK Giro Of,p„r'.YDf A/ lc�Ifs�L.sJ. 7,..� /19,'// R✓ S-� ZFL' n�.Cl. a1/er .To iva,cl ....artl, MEOf SwKEltl•e vfy•nk NA m,aml TYPE Of SAMPLE I>•tllaNy Pro n9M vaM•n) ..r.aA THE -�_ 'tl�W:4YrLTW_Tp4_F.) ❑PWTINE CMfaMYOIRYidW._TUYI_faYl av I 'oW C9MEwO WATEP tlMrE E.•vlWrn FiaW 4 vOaY. lMa..K v OMr FEPfAT SAMPLE 0 q(PEAT SAMPLE RwaY VYiIvm PY. PrndYp{y,r,P,Ywe LApf D•W I ) O RAw SOURCE WATER Sa v E O m n TMM Warn q RAW SOURCE wATER Sow flil m iaa W wm NEW L0NSTRUCTR]Ntl RFP40.R 7U F•M CAM ANFWQQMSTRWTQNaREPYRS �.JJ IFplCpna,n OMER IEPN.h) OMER ISP•Gyl REMARKS AWARCS: (LIa M ONLY)DRwKWG WATER RESULTS OAR VSE ONLT)W W KwG WATEP glSULlf Mw TISFACTGRT wiA .V..vI ❑SA�a�DAY O IMSATssACTORY.G•mYM,armREMT E. S.T SAMPLES F,0IT.W I�I E.Wtlm K�S (-T�,� ❑ M if REWRED, F•W M.•rn TLKJ FFrN tlYW 8 OMERLAaMAYWYRESULTS 0MER lAapRATORr RESM" TOT&COIIFORM Am ccou naw TOT&COL1 -A— ,mM F.0OU ItSr+ gGLCOLNWM_nmN PLATE OOIjMT_Im FECKG0.N0wA_Ilmmt MT[d.KmT—._na YgtNE45wPlE RECAa1ED ANOTHER SAMM E REOURED SAMPLE MOT TESTED SEMSE' TESTL ITMLEKE USE. S4.IPLE NDi TESTED 9ECAUSE hI5�T<UKSurtAFILE DEGlSE S•mPM W W O GSAWm Qw i ❑�-T SmMY An oM U C 9a.P w tYra. n TMC 'J w. m ., O TNT; 0 9m ftf 9 Tr ew'Mr• 17 amW\Mm T,vtE uh.�Y O ❑E ImwT o — gEmM0 : SEE REVERSE SIDE OF GREEN m Y FOR E1PI.uU OF RE WLTS SEE AMRSE SIDE OF GREEN COPY FW EXA TA O�RESJLR W MO Rdtltil NL..T"MMIYE0 REQMpf. W.q(rpryyfl G.L 1RiI KCLMO RL[rYTCN OFr/y4N�7 lT .2br7l I 0yl,4u4l� �+-3A"y-16- 1 pATi fE D— WDIMTDA.: d'a MF WOFaTOn. L fi- � I q MIN Short (SHPLk 1 ) f) REQUEST FOR PROJECT k Prelim.Plat (PPk ) CAG k_ ) :I To: Technical Services Date - S -12 WON 379A 7 Greenk From 1� : Plan Review/Project Manager /`A YP EA) OF.- y C��o �� •$ f LA7 Prolat Name h - nadwwnn mul Description of Project: i-M -e 221 Circle Size of Waterline: 8" 10" Circle One: New or hzlension 12' i jCircle Size of Sewerline 10" 12" Circle One: New or Extension Circle Size of Stortnline: j8" IS" Ill- 24" Circle One: New or Extension Address or Street Name(s) \ �1 r 5 Dvlpr/Contractor/Owner/Cnsl(:: n '2.QSQ4 i b/1-A� - (10cNnnrn mul k } Check each discipline involved in Project Ltr Drwg k of sheets per discipline { @Trans-Storm ❑ ❑ — (Rwd+.rlDni ) (nn ai�c unpm.cm:nu%inc:udc bolo nurc) (,Mludc lESC rlscu) ❑ Trmisportation (snw"dONa Ctjudon.uahanv ❑ ❑ m/ Wastewater ❑ ❑ / a+niury Scvu Arun(iMluh buin nvnc) Cl� Water (Mum Vrlru.Hydnnu) Cl ❑ / nM�uxL r�mzaa.m�w an sn:u) ❑ Soface Water ❑ ❑ - Improvements TS Use Only jEn" D- •a-a ,� — K a= � '`. �w A-a,? PLY Y L �} 1 'A r■ A r +I A