HomeMy WebLinkAboutWTR2702340 W-2340 St. M,-lttliew' s Addition
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BEGINNING
OF FILE
FILE TITLE ;3z 0
W - 23 ¢u
Return Address
City Clerk's O(ficc
City of Renton
200 Mill Avenue South
Renton,WA 98055-2189 iy
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11.1-2�'r
� BILL Of S:1LG 14operty Tna Prral Nmnber. SO- W
Pro'"i File 11 W— Street Interscchnm tjE T Address.l 7MCas�
Reference Number(s)of Daeumen!s assigned or relcwIld AJJiiional mfacntt numbers arc on page_- i
Gmnlor(s : Grnnleg!s):
1, 4ef. �Or1(U '1 Utn1E�44J a1VWA I. City of Renton,a Municipal Corporation r
2. 8
the Grantor,as morsel above.for,and m consideration of iru!vd benef is hereby grants,bargains,sells and dchvers to
the Grantee,as named above,the following described persnml proper,
O IFo LAWC-AA VS4FT a 6" v vane 12a,1 G- SY WRt�4MM�11 �
votwc- k*42 MPwa�t up lc�s. 1
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CConts( rat"a tit
� By this eonvcyantt,lilanor svJl warrent end defend the sole herehy made unto the Grant"against all and every person
m persona,whtmssoevtt,lawfult}eloiming or b clmm the sine 1'bls conveyance sl\all binJ!be heirs,cvccutors,
adminlstnmrs and assigns forever
�1\9hiM\IIU\IIII IN M\bh Ps,I 4
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N IVIDOAL FORM OFACXNOIa%E1yGAfENrsty.
Notary Seal must be within tax S1'ATC OF WASHMGI'ON )SS
COUNTY OF KING )
I I comfy that 1 know or have sallsfaelory evidence that M.
_ signed this imi.,rem and
acknowledged it to be hWherdhen free and voluntary act Im the uses and purpose
memtoncd in the instrument
Notary Public in and for the State of Washington
Notary(Print)__
My appointment expires.
Dated:
REFRaEATAT(VEFORMOFACENOWLED AIENT
1 Notary Seal tars!be within box STATE OF WASHINGTON )SS
COUNTY OF KING ) a
iI star)that I know or have satisfactory evidence that_
Mf3 H. Zs�TlasC�OV signed this instrument,on oath s'
9
stated that Wshdthey a&Nwere au0mrsd to evecwe the instrument and `a
iacknowledged it W the CAVaig 441,f ane_
off. Ma1FLetia , v gw^._,y_ the`rce and voluntary ael of such
0 wrest rpanma for the uses and purposes mentioned in the instrument.
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Notary 1 ublic in and for the State of Washington
Notary(Print)_V, I Fl [!I F'r4inF -
Myappointmentexpires:_'>c,'T 17 .'yet
Dated: l"- ti%
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I (YIFFOFaTF.FORAr OF/CXN Ir'l.. M.M
Notary Sul must be within boa STATE OF WASHINOTON )SS
COUNTY OF KING )
On this day of_ ,19,before me personally appeared
to me known to
be of the ccipontion that
eamuted the within instrument,and acknowledge the said insuumenr to be the free
and volumarr act and deed of said<oryomtion,for the uses and purposes thcmn
mentioned,and tech on oath crated that he/she was authorized m uectse said
mnrumem and that the sul afG>ed is the corporate seal of snd eoryora.on. f
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Notary Public in and for the State of Washington f
Notary(Print) ;
My appointment expires: ((
Dated.
Itu0RAIMKCRItOROd.ASFMI:NT IXx\ ILge1 fUe.M UI MgabNCAD7I V]
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CITY OF RENTON
PLANNING, BUILDING/PUBLIC WORKS DEPARTMENT
I FINAL COST DATA AND INVENTORY
NAME OF PROJECT VTR,
5T MA11U 'WS tl�e"r.( Ck1 sWp:
TRO
TED.
Per the request of the City of Renton,the following information is furnished concerning final costs for Improvements R
installed and turned over to the City for the above referenced Project.
WAr RSYST M CnNSTRUCTRIN COSTS
tb sue type
L.F.of 6„ 1 T WATERMAIN 8�
L.F.of WATERMAIN I
L.F.of WATERMAIN
L.F.of WATERMAIN
EACH of YI— GATE VALVES
EACH of GATE VALVES
EACH of GATE VALVES
EACH of FIRE HYDRANT ASSEMBLIES f Ste✓$
(Cou of Fire Hydrants must be listed sepanlely) f
(Include Engineering and Solo Tax if applicable
'TOTAL COST FOR WATER SYSTEM
SANITARY cF WFR eyttF STORM DRAINAGE SYSTEM
Length Size
L.F of - tYw Length Size Type f
SEWER MAIN L.F.Of f L.F.of -- STORM LINE
SEWER MAIN —_ L.F.of -- STORM LINE
L.F.01 SEWER MAIN L F.of ;'OMI LINE
EA of DIAMETER MANHOLES EA of STORM INLETpVTLET
EA of DIAMETER MANHOLES EA of STORM CATCIInASIN
(IrcIWiry Ena,aent4 aM Sale,TxTa ---_ EA of --- STORM CATCHRASIN
TOOTALTAL O 3 (bv WJu,g Gyu,c<ni,a aiN SNn Taw--
COST FOR SANITARY SEWER SYSTEM f d appiicaNe) $
TOTAL COST FOR STORM DRAINAGE $
SYSTEM
STREET IMPROVEMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavenent)
Curb.Guuer.S,dew:lk L.F. S
Asplul,Psvement. _Sy or LF of Width $
SIGNALIZATION. (Imiud.ng Eng,Design Cons,City Permit Fees,WA St Sates Tax)
STREET LIGHTING. (Imiuding Eng.Design Costs,City Permit Fees,WA St Sales Tax)
e Of Poles f ' f
Pitm! ug�Q tame fY �i h OY 1' — —�7o Co�aca 1�end.�f da
Y intone
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I.VCOSTOATI DOCrytt (SIG LIRE)
(Signatory mu authorize agent
..Y or owner of subject development)
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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 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 as completed as approved on date given below.
b) As future portions of staged construction projects arc 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. 71 RSOL
200 Mill Avenue South Renton,WA 99055 Referendum No.(if any)
„
PROJECT NAME AND DESCRIPTIVE TITLE: Dart
Specifications Approved
b
City of Renton Water System Y Department of
ealth
King County August 18, 1993
Renton Project Number W T K Z7__ (149�_pmhe s 'e Water Sysem Plan? l
Project Title: 117. A It 14UVe ( 11;E/f'tIrST � ftluru�,rlJdvAE�
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 tMeSecs rY•
R
-ry •c V riw,a�) o CLr a
Engineer
Eoglneer•a Seal p.
a• l"
rval4 ,�u Date
Please return completed to to DOH o• Ice eheckedbelow:
NW Drinking Water SW Drinking Water Eastern Drinking Water
M Environmental Health ❑ Environmental Health ❑ Environmental Health
IS I I Third,Suite 719 Mail Stop 7923 1500 W Fourth,Suite 305
Seattle,WA 98101 Olympia,WA 98504 Spokane,WA 99204
H.DI V ISIDNSHfrILITIEA00CA96J61.DOC
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DOCUMENTS FOR RECORDING
TONG COUNTY RECORDS&ELECTIONS DIVISION
TO: CITY CLERK'S OFFICE DATE:
FROM: l�l ".�.', fi/A.v 4Z&,eL 21,31
BILLING ACCOUNT NUMBER:— �( �/pig szyn v,,o0 yy yczk2z✓
(�ocx/xnaoa.x(.c.�000c.maaa.�awooc):
i IS REAL ESTATE EXCISE TAX FORM REQUIRED? No W��-yR
Yes ❑ (Anwh from)
(rmr.R br�y{m 0wrl
INDEXINGNO'fES:
OSPECIAL RECORDING INSTRUCTIONS: N4�2t�
M
0
DATE ACQUIRED: 1/-19-97 GRANTOR-
PURPOSE:
COMMON DESCRIPTION:
ADDRESS: am bd. " 11,, n>:
P.I.D. S-T•R: ciq erg
CROSS STREETS: IMF I[-tl 4 9 p0" 16, o /U t
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CURRENTUSE:
A MANAGING DEPARTMENT:
DEPT.FILE M. RECORDING M
( Re Due 7M7 TR/REC DOC.DOT.
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Return Address:
City Clerk's OfHcc
City of Renton i
200 Mill Avenue Soulll
Renton,WA 98055 2189
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BILL OF SALE
L)�7;rr Properly Tu Address
Pmjen File a:WilO _Q titrntlmcrzeclmn�E �
Q L41 S,T Address. �
GMGrinneefinabern(Or(S)): (a)oflMcuments assigned nr rcicased.Addhmnal reference numbers time oa are
Pga
I. 4tC. f�(A7[kOE+.J'1 Wnp?r<pa C�(tfRt(�2. <'rent City
L of of Renton,a Municipal Corywration
Ilia Grantor,as named above,for.and in 9 dc!,cnbcd olmutual bcneOrs,hereby grants,bargmns.sells and delivers to
the Gnntn,u nanrtd aWva,the following described peraowl pmpcny.
40 L"c-w VEil OF V' DW-T\I a NZaJ G- S2, W�T'�aMRu-lt
611 (x fr(�" VAyvE I4f.� hPP(IR'CE✓•2kV,IC�S,
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This conveyance,Grantor rvdl mm and defend the sole hcrcby made
or pe unto the Gratnce against all and every person
or rsons,who msecva,Imvfully elo claiming or to claim the same lLn conveyance shall bin th d e liars,es"lumn.I administntors end ssslgns forever. +{
DW)UM\nllSnll lnplhli i..
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INDIVIDUAL FORMOFACANOR'IPIIGMENT y
Not Sol must b<within box )SS "e
+rY STATC OF WASHINGTON
COUNTY OF KING )
I ccnify,that I know or have satisfactory evidence that
signed Nis instrument and
acknowledged it to be hisRrornheir free and voluntary an for the uses and purposes a.
mentioned in Nc instrument
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i
Notary Public in and for the State of Washington
Notary(Print) _
1 My appointment expires:
Dated.
' REFRESENTAI/VE FORMOFACRNONiEDGMENT
Notary Sul..It fie within We STATE OF WASHINGTON )SS
COUNTY OF KING )
certify that I know or have satisfactory evidence that
-3 Aaa 0wt3 Zff IMdOs'T&F signed this instrument,on oath
stated that agysve. authorized to execute the imtrvment and
acknowledged it as the Ca v ;1 �a�R+' aw and
of,% MaiFLesia 1.ifkr.r 6Te.o Gee and voluntary act of such
�Y/pan' s?w the uses and Wtposes mentioned in the instrvmenl.
I Notary Pat a in and for the Sate of Washinagton
Notary(Print) V,RF.W M IA FAx3R'<
My appointment expires: Sb(�T'. 1.'y .?nit 1
I Dated: hwli', 19 1447
K,
Coll FORM OFACKNOWLE00MENT
Notary Sol mum he within box STATE OF WASIL'NGTON )SS
COUNTY OF KING )
On this_-day of ,19___ Leforc me personally appaarcd
_ to me known to `ry
be offer corporauon that
executed the within usemimenk and acknowledge the said u alrument to be the free
and voluntary act and deed of said corporation,for the uses and purposes therein
mentioned.mul each on oath stated that he/she was authorized to execute .,it
instrument and that the seal affixed is the corporate scat of mid corporation.
Notary Public in and for the State of Washingte i r F
Notary(Print)
My appointment expires:
Dated:
11 WORMSWCRECGIULIASEMCNT.DOC, Pagel 1OgrA o)0IW1l,✓CA2-2l-97
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CITY OF RENTON
PLANNING,BUILDINGIPUBLIC WORKS DEPARTMENT
FINAL COST DATA.AND INVENTORY
NAM WTR-
E OF PROTECT WWP
ST. MAlfUE11IS Lll MEQh s CHv WP
TRO
TRO-
TED _
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.
NA rFR SISTFMiCTIONN CQ
e m See_ r T
Q GL52YyATERMAIN
L.F.of ^ WATERMAIN
L.F.of WATERMAIN
L.F.of L.F ul WATERMAIN
. 4�(ai
EACH of Z GATE VALVES
EACH of GATE VALVES
_ EACH of GATE VALVES
EACH of FIRE HYDRANT ASSEMBLIES $ 36� -
iCat of Fire Hydrants must be listed separately) $ et 0 a�
(Include Engmeenng and Sales Tax if applicable
TOTAL COST FORwATER SYSTEM S AMC-"0-11r-
STORM INA � SYSTEM'
SANITARY SEWER 1-soph Size TYR LLengthI_F.of 5i_a TYP< STORM LINE
SEWER MAIN
L.F of ___ SEWER MAIN L.F.of STORM LINE
L.F.of __ L.F.of STORM LINE
L.F.of SEWER MAIN _ STORM INLETIOUTLET i
' EA of IA DMETER MANHOLES EA of ___
EA of STOWCATCIInASIN
i ---- EA ut -- DIAMETER MANHOLES EA of STORM CA rCHUA$IN
it'noing Engnuer.ns and Sales Tax S lhrluJ�y 4ig Kxm�g a W Sales Tax
n TOTAL
CO TOTAL
S
TOTAL COST FOR SANITARY SEWER SYSTEM S TOTAL COST FOR STORM DRAINAGE S
SYSTEM ---
STREET IMPROVEMENTS: (Including Curb.Gutter,Sidewalk,Asphalt Pavement)
Curb.Ginter,Sidewalk L.F.
S
Asplult Pavemnss Sy or L.F. of
Width S
SIGNALIZATION' (including Eng.Design Costs,City Perrin Fees.WAS(Sates Tax)
STREET UGHTING'. (Including Eng.Design Costs.City Pe,mit Fees.WA St Sales Tax)
a of Poles H .
^r�S�f_r��— /— f
T i V r TC PIcfC re �2CrC) ML•2� 77( + k t ttirS
day phone I
Print ignatory name 'fOv,ocA _Rw-'e'✓(e.+�' t
d —
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iSIG TORE)
rurmvCOSTDAT3.DOC/NI (Signatory mu a authorize agcet
or owner of subject dev<lopmenq
a.,..u......u�•xwnrrl
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CITY OF RENTON, WATER DEPARTMENT 1"' ' Q90
Pressure Test & Purification Test Form
PROJECT NO. d.
NAME OF PROJECT
PRESSURE TEST TAKEN By I
AT A PRESSURE OF_,� i�-� PSI, FOR L2 6
NIN.
TEST ACCEPTED ON
PURIFICATION TEST TAKEN BY
PURIFICATION TEST RESULTS, SAMPLE •I /i�s`,� A 7---
SAMPLE 0.1
SAMPLE e3
REMARKS:
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WATER BACTERIOLOGICAL ANALYSIS
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WATER BACTEMOL0GICAL ANALYSIS
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CITY OF RENTON WATER DEPARTMENT
Pressure Test B Purification Test Form
! PR0.IECT NO.
NAM-- JF PROJECT
PRESSURE TEST TAKEN BY // JI ON zs_ _
AT A PRESSURE OF PSI, FOR 6 MIN.
TEST ACCEPTED ON
PURIFICATION TEST TAKEN BY Al
PURIFICATION TEST RESULTS, SAMPLE 1'1 IASSCA
SAMPLE e2
SAMPLE e3
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REMARKS:
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Short Plat (SHPL# )
2C )A"`•• REQUEST Prelim.Plat (PPp )
REQUEST FOR PROTECT N
CAG N )
To: Technical Services Date M-17- 97
_ _. WOp
From: Plan Review/l'mject Manager QQUL L — --- —
Project Name bT MjLTtAjAhj2a AQ011`14J sn.r.m.n
00
1 :
Description of"OCI: JIjernu.
Circle Gne. New or
xlens'o
II Circle Sim o[Waterlirc: i R" 10" l2'
Circle One: New or Extension
Cinte Siuof Sewerline: S. IO" I2' ,1
Circle Sim of Stomdine: 12" IS" is" 24' Circle Doc: New or Extension .I
Address or Stmet Name(s) 1700 PnatoaJO �✓ 1✓� — 4(
DvIprlContnrAorlOwnerlCltslc: gr (90 emu.m�1
Ltr Dmg n of sheets per discipline
Che-k each discipline involved in Project V
❑ Trans-Storm, ❑ ❑ 6n<t.x TEscC
(Rn.d..rmr ) tort tll<tmpo..rmnux��vdr aur,wml
❑ Traosporution ❑ ❑
❑ O
❑ Wastewater
swury Sr+u Mun(iMWe au�n nuxl ��x
Water (Mux.VJw.lyd.nul ❑ (In[IWe wmeo.,u a 11onwnW CNs
❑ So(ace Water Iwi"x num namol
improvements
j TS Use Only
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