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Home My WebLink AboutWTR2702798 W-27-2798 Gelvezon Auto Repair ZA�y,S 2; 3 l BEGINNING OF FILE FILE TITLE Woo q a t�y� . c s i - z r WTR 7 S tr n\\^ ShoR PIaC(SHPL 9 ✓ REQUEST FOR PROJECT R Prelim Plat (I'Pq ) To: Technical Services Date P WON „ 990� 108 R Tom: Plan Review/Project Manager Project Name ` i Description of Project: 4 r Al/d/[�� /d �l , �Nu�•'r—zG�� -.9.r..v.�, of R Circle Sim of Waterline: 10" I2" Circle One: or Extension S i Circle Sim of Sewerline: 8" 10" 12" Circle One: New or Extension I Circle Sim of Stormline0l2" 15" 18" 24" Circle One: New or xtensio Address or Street Name(s) �YT D vlpr/Contractor/Owner/Cnsle: 111 00 rlunnen muI Check each discipline involved in Project Llr Drwg W of sheets per discipline / / 6Y Trans-Storm (Ro,dWaylthairurcl (Off rice impmvemrnuKndad<bvin nurc) (i�ru&MC sheeu) , ❑ Transportation 0.h.dm uandna) ❑ ❑ /_ 6-�Waslewaler / S.'i 'S, 'Main(rcJud.:bvin f�Y Water (Mum.vai.u.HydMu) E� —.... ` llneiude wmpvim4 Nunrmulco Shcu) �r Suface Water ❑ & IY�,• N)lNP lmprovemerls ( 11' )i.dux buin mme) TS Us,Only pop- a7 -a79? W-TK-- 3-7- R7OFY— S 4, ` N Return Address: City Clerk's Office City of Renton 1055South Grady805 Way I Jill Renton,WA 98055 i �Ms KI �~CWITY, LII s ( BILL OF SALE Property Tax Parcel Number: ProJect Fi�p t 2 beet lrl�rs on Addrcsr (ol StJ Reference NumbM,)of Documents assigned or rcleased Addrtortal elennicc commit are on page Grantor's): Grantee(s): 4 1. F LY/IS GE LVE Yr1,l 1 City of Renton,a Municipa!Corporation 2. 'rhe Grantor,ss named above,for,and in consideration of mutual benelts,hereby gmnrs,bargains,sel's and delivers[o the Grantee,ss named above,[he following dmi-bed personal property; -..} o WATER SYSTEM: Length Size Tie -a � _ L.F.of — :: UeLS2 Water Main o LF.of Water Main o L.F.of Water Main or eachaf Gate Velvcs each of 4— Gate Valves each of Foe Hydrant Assemblies C SANITARY SEWER SYSTEM: Lm¢th Size o L.F.of Sewer Main o L.F.of Sewer Main ccs L.F.of Sawa Main each c` Diameter Manholes each of _ D:amcter Manholes each of Diameter Manholes STOP-NJ DRAINAGE SYSTEM: Len h Size T 'f L.F.oI _.. � Storm L„e sf - L.F.of Storm Line =) L.F.of Storm Line each of Storm lnlevOutlet each of Storm Catch Basin each of blanholc ! STREET IMPROVEMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement) '1 Curb,Goiter,Sidewalk_L.F. Asphalt Pavement _ SY or LF,of 'A,dth STREET LIGHTING: By thu conveyance.Gnnmr willwill—warrant and defend the eale hereby made uma the Grannie againn atl and every person or peraom.whomsoever.law fully claiming or to claim the same. This convennc<shall bivd Ne hno,esec.urrors. ' adminsstruors and azngns forvo' 1vo(,.0003Gt�J H.%lLESYS'F0.\fBaH DOLTBILLSALEDOI'%,itAa i cim I Ao 4-. f • s I Farm 84 0001.bh TN WITNESS WHEREOF,I have hereunto set my hand and seal the by anA year as written below. r INDMDGAL FORM OFACENOWLEDGWEAT Notary Beal must be within box STATE OF WASHSNGTON )SS NNNN COUNTY OF KING ) PEgs,tsss 1 certify that I know or have ronsfactory evidence that �CL yr S 0 _ V'�+•�y4tON E},o.rp�tsl Z!'�.it signed this instrument and i�Q, �. .qv�{sn II ackr.�edged n to be his/her/their free and voluntary act for the uses and purposes m; i mentioned in the inumarant a i Iaf •-.!2.e No Tic in and or th tatc of Washington a 1h. f7,NY S, Notary(Print) R5i-I S-&PA-) My appoin t expires: Dated: - - ^— REFREFEATA TIVE FORM OFACKNOWLEDGMEN7 Notary Seal must be within box STATE OF WASHTNGTON )SS COUNTY OF KING ) en I ccr ify that 1 knos or have s itisfactury evidence that _ 0 _s signed e the this instrument,on oath o acted thin ed a as t ey was/were authorized re,execute the irutrument and o acknowledBM n at the and e of to be the Gee and voluntary act of such panylparries for the uses and purposes mmtioneo the instrument. 0 Notary Public in and for the State of Washington c Notary(Pent) 0 N hey appointment expres', Dated CORFOR<TE FORW OF ACFVOR'LEm7VENT Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) On this_day of 19_,before me personally appeared to me known to be of me corporation that executed Cc within instrument,and acknowledge the said instrun »be the free and voluntary act and deed of said corporation,for the uses and purposes theraa mentioned,and each on oath sorted that he she was authorized to execute mid instrument and that the seal affued is the corporate seal of mid corporation. Notary Public in and for the State of Washington Notary(Print) My appointment expires: Dated Page 2 4 c. Aim 77 r' PROJECT CLOSING N BW cow pass ' ��••�nQ p(NAL COST DATA AND INVENTORY �j. "d bnvswn f nwr.. �T tO IC�j CITY PROJECT NUMBERS: WiA• 2-7q W WP- EVL E.2e 1 uro SWP. Name of projat no- TE0. TO: City of Renton FROM: ZOZI Plan Review Section, PlaMing/Building/Public Works 200 Mill Avenue South Fenton,WA 98055 DATE: Per the request of the City of Renton,the following information is furnished concerning final cons for improvements installed for the above referenced project. HATER SYSTEM CONSTROCITUN COSTS: Length Siu Type L.F.of WATERMAIN L.F.of - WATERMAIN LF.of Y WATERMAIN L.F.of WATEIWA1N I EACH of j_ GATE VALVES EACH of ' GATE VALVES EACH of GATE VALVES t EACH of (� i twit i'� ' FIRE HYDRANT ASSEMBLIES S I S S n (Cost of Fire Hydrants must be listed separately) (Include Engineering and Sales Tax If applicable S TOTAL COST FOR WATER SYSTEM S LS.Q-'1C $AH9,ARY SEWER SYSTEM, STORM DRAINAGE SYSTEM: .i L:ngth Size Type Lgth en S(ze Tyne L.F.of �_ ' SEWER MAIN 1 L.F.of _ _ H t, STORM L.F.of SEWER MAM L.F.of STORM LJNE LF.of SEWER MAIN 1..F.of _ ' _ _ STORM LINE EA of D1..METFR MANHOLES EA of _ ' T STORM INLETIOVOFr EA of DIAMETER MANHOLES I EA of _ ' y STORM GTCTOASni joelud:n6 and Saks Tao EA of STORMCATCHBASIN if ipp&able) S (L eluding Fnglrcenng and Silo T. TOTALCOSTF3RSANITARYS6WERSYSTEs! S if Whcuuc) S TOTAL COST FOR STORM DRANAGE SYSTEM s STREET IMPROVEMENTS: (Including Curb.Gutter,Sidewalk.Asphalt Pavement and Street Lighting) Iv�n SIGNALIZATTO.Y:(Including Eng.Design Costs,City Permit Fees,WA St Sales Tax) N/A STREET WGH�i1\1JJC: (Including Eng.Design Casts,City Permit Fees,WA St Sales Tsx) v ' E,LVLS C—EL- . A � ! jl ' I('' I Print signatory name day phgpe g (SIGNATURE) fmmtlCOSTDAT DOObh (Si story must be authorised agent or owner of subject development) - Laucks Testing Laboratories,Inc. - wS Harney Seattle.WA98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION.READ INGTRUCTIONS ON BACK Of GOLDENROD COPY jM bNnweom m not tollowee.maTp a WIN be relftW ~� GATE COLLECTED T(1.�E C zED CWN1Y NpT W TTTTT ►z Z CAM k1.Y� TYPE OF SYSTEM R PUBIIC SYSTEM.IX1MPlEiE: ❑RllMY1DLIAL L .Ib. � g s o � "� a NAME OF SYSTEM � (n� 11 DARoTCIOCAON Wr@E SL%FlE TEIEPHLNaF NO ItNLL F.FIe {IyarwYUzS" '235 2b yf oL% SLAJ EVEN NG ' SAMPLE COLLECTED BY INwml 3VSTEM OVINENLIGR.:PWnel SDVRCETYPE L GROGND WATER UNDER SURFACE INFLl�Nffl _ SURFACE t]WELLp ❑SPRING D PURCHASEDp lai COMBINATION WELL FIELD INTERTIE POTHER sENggEpoNr TO.(R FOIN AtlwNFanC➢OCowl v4ul U i.L 1� ,.� toss' 50 (. •a a LL,�L �. K c<i k„ 9t+or TYPE OF SAMPLEIoMCYAwnK oNy wW n Mf cdumnl A OltlFa m WATER ❑CM1bitWetlIMFOUY _TOW_ fwe c x tl W F r�FNIweO _ ...—._ f^ uUXMepw 011w sAmPu aM RAW SOURCE WATER Snm F LJ m !�-I TqY CdFpm NEW CONSTRUCTIONp PEMMK / ❑F"CwAym • ❑OTHER 4wdy1 I •AE�t l �' /c1I__.� S:f_�(APX I w U . , , R.Am M ONLYI ORRRONO WAT61 REWn - p1A13ATL9FACTORY.ca.brms MTliMmsTom�t ! REPEAT E.CWPmenl E.Cw—1 I{ SAMPLES FKY PeMnl i%M WFRII REOUNED OTHER LNORATomR n - ---_... roTAL couFORLt_. 1wml ELOLI�.noo ML FEGY COl1f0iYA r1Wm PLATE COUNT___nW —_ANOTHER SA EREQUIRED -. f SAMPE NOT TESTED BECAUSE TEST UNWPIABLE BEGUSE ❑Sfmwlw Pw- ❑c An to ❑wlp,e cpnrw ❑TNTc ❑IlKwnpete ro.m ❑rpoe c,%�W �.____ ❑EnceM woes ,l SEE PIEVERSE 910E OF GREEN COPY FOR E%Rl.f........ NDPIMYTN w?E.rRE AECOvin ... pa1tF � r, RRLM11-/ 1MGNTwY L l�aJ Rrv.W WATER SUPPLIER COPY