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Laucks Testing Laboratories, Inc.
940 S.Harney Seame.WA 98108
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION READ INSTRUCTIONS ON BACK OF WLUENROO COPY
If instructions are not followed.sample will be rejected.
DATE COLLECTED TIME COLLEL IEU COUNTY NAME
MONTH DAY YFAA i (
7 AM
TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE-
0 PUBLIC
❑INDIVIOLM 1.0.NB. 7 / i CI( A GEf UP
NAME OF SYSTEM
SPEOFICLOCRTOI SAMPLE COLLEC!FD TELEPHONE NO.
DAY( AL _
EVENING I I
SAMPLE COULECI ED BY iNenei SYSjgM OWNEWMGR.:I )
SOURCE TYPE GROUND WATER UNDER SURFOCE INFLUENCE
❑SURFACE ®WELL a SPRING ❑PURCHASED or❑COABINAEK)N
WEL. -IELD INTERTIE or OTHER
SEND REPORT TO.iPml FUR N eIne Atllleme• Zip C.
wgsA .G�
TYPE OF SAMPLE Icl e k rNnIV one In I. s colu,.)
❑ROUTINE r omateE JResqual. Total Fren�
DRINKING WATER Chl
❑ -
check uwlmen, ❑Fllteieo
❑Untrimmed W Omr __..
❑REPEAT SAMPLE
Pr ms cdilOn E praeence Lab e
❑RAW SOURCE WATER Sauce il m ❑roar canon.
NEW CONSTRUcTIN/b RERMINs ❑FsoY CoWenn
J OTHER M of fy)
RE MARK]
ILAS USE ONLY)DOMINO WATER RESULTS
UNSATISFACTORY,Collteme present SATISFACTORY,
REPUT . al ollipme Mleenl
SAMPLES ❑E Coll prMeni ❑E.Cdi absent
REWIRED ❑Fecal Presets ❑Fecal moment
OTHER LABORATORY FASMT1 -- -
TOTAL COLIFORM n00 mI E.COLT r 00 ML
FECAL COLIFORM _,/100 ml PLATE COUNT /ml
ANOTHER SAMPLE RE TESTUPORABIPRlT' —__
SAMPLE NOT TESTED BECAUSE: �QEESTL�U qU;[
El
❑Sample too do
❑^WMN contains ALMemlluFnl h
'...1 IncprrplNe axm
N fl r f
tAe ND(TaaTSI wTE.TIRE AEaervEo REcelaeu By
DATE AEPCRTED LAIOAA
Ia.selemllr A'In
WATER SUPPLIER COPY
Laucks Testing Laboratones,Inc.
940 S.Harney Seattle.WA 9B10B
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY
It instructions are not followed,sample will be rejected.
DATE COLLECTED I TIME COLLECTF U COUNTY NAME
IONrN "Ay
vEAR %l i
1 �
/ - DAM ❑PM R., f ..
TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE:
Q PUBLIC
❑INDIVIDUAL j,D,s I C. f C
CIRCL ROUP
NAME OF SYSTEM
SPECIFIC LOPmm vA SAIAPLE COLLECTED TELEPHONE NO.
wr )
It EVENING
SAMPLE COLLECTED BY:(Nw* SYSTEM OWNERMOR. e)
SOLACE TYPE Lj GROUND WATER UNDER SURFACE INFLUENCE
SURFACE WELL or ❑SPRING ❑PURCHASED or❑COMBNATON
WELL FIELD IMERTIE W OTHER
REPORT T0;1Pmt FqI Name. "Zip Coa�,
TYPE OF SAMPLE(check only one In Bye eolumnl
❑ROUTINE
DRINKING WA1E1 ❑Cnlonnete4(Residual. TotalFree)
check tiwkl nt ❑Reared
❑Unheated or OMer_.
❑REPEAT SAMPLE
Wevwus colKann presence Lb Y
/ I '{ Date
❑RAW SO R Source e Elm ❑Total Coof""n
Q.NOW OBN� / U FI or REPAIRS ❑Fecal CoMonn
r❑OTHER ISPeoINI__.___
REMARKS:
---
(LAB USE ONLY)DMMROO WXM ROBUAts
❑UNSATISFACT®RY,Col orme pi Bent fgBATIBFAC1pFY,
REPEAT ❑E.Col,present ❑E,Coal abwH Y� y j
SAMPLES
REOUIRED ❑Fecal meant ❑Fecal ebvint
OTHM LABORATORY RBBMTO
TOTAL COLIFORM 1100 ml E.COLT__ItOO ML
FECAL COLIFORM-._11001w PLATE COUNT _—Aft
ANOTHER SAMPI/BOpAREp'
SAMPLE NOT TESTED BECAUSE ����ee l�V'$sBTLL.e�BECAUSE.
❑❑Wm% tea
Wmre conteaMr ob Alai WOW", '
❑❑klpeny— form CITY
n
SEE RFVENSE SIOf.Ut cBFLN COPY FJH EXPLANATION OF RESULTS
LA81,10 a Darn DATE.TALE RECENFD IOCENFD Br
DATE f*VOMD uapyr t
wRwa
[kl,t wn wRev s111
WATER SUPPLIER COPY
Laucks Testing Laboratories,Inc.
940 S.Hamey Seattle,WA 98108
WATER BACTERIOLOGICAL ANALYSIS
SMIRf COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY
R b0b l tigta ele,wt tolloWed,sample will Ge rcfeeted.
DATE COLLECTED TIME COLLECTED COUNIY NAME
AlO DATE
DAY YEM
.J / S 61 AM ❑PM
TVPE OF$VSiEM IF PUBLIC SYSTEM,COMPLETE:
PUBLIDIVIDUAL
C O .Q Its. I p 5 L ME `911 GROUP
NA OF SYSTEM `('.all —
c eA�LA TELEPHONE NO.
l.I�l. sl� "O
I It
I EVENING
9AAIF4E COLLECTED BY:(NemN SYSTEM OWNEPoMGR,:t�,)
/ I .
SOURCE TYPE OROl/ND WAFER UNDER SURF E INFLUENCE
❑SURFACE ®WELL w ❑SPRING ❑PURCHASED w❑COMBINATION
_ WELL FIELD INTERTIE POTHER
. OSN nTO jPft,,2 R /yd ZM Code)
h A,
TYPE OF SAMPLE(dI only o,w m M4 caW )ROUTI ♦\�]Fre��
❑DRINK NG WATER ❑Chlw�natotl,' 611/�g1eAa�� F,rv) l
theca tnalmenl ❑rotM ^nn
Uniroated Pr Uep.V 2 LUL�
❑REPEAT SAMPLE �1111 j
Pnvwua col&rm Peaence Lab A YOF RENTON
Date _ _�_�I 1 TY SYSTEMS
❑RAW SOURCE WATER SPU1Ce A ti ❑Taal C'ft.
NEW CONSTRUCTION w REPAIRS lJ J ❑FwW CoMwm
REAARI(Su_L_ CD 3 C.
(US USE ONLYI DNNWM WATER ROULTS —
❑UNSATISFACTORY CoNMma pews []SATISFACTORY.
REPEAT Colilomu ab=i
R
RE PEES ❑E Cull P It ❑E.Cdi amens
REGUMEU ❑fecal pedant ❑Fscel ahaent
OTNSR LAEURIATORY RESULTS
TOTAL COLIFORM_ n00 ml E.COLI 11p0 ML
FECAL COLIFORM I100 ml PLATE COUNT Iml
ANOTHER SAMPLE REQUIRED
SAMPLE NOT TESTED BECAUSE'. TEST UNSUITABLE BECAUSE
Y
]SamPb taP P1d ❑CPMl.1 gK, M
L wm.q rot— ❑TNTC
❑InoomlVNe ann ❑TWW wAlwe
❑--_____.. ❑EAoen debm
SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
NO.R 1110" GATE,TIME AEOE-- REC[IVED 6.
DATE woMTORr ...�iO
'T I('
' wN at faiylY NR
WATER SUPPLIER COPY
MAR-14-2001 WED 05 47 PM KING 00 FAX NO. 2968431 F. 03
�.. Laucks Testing Laboratories, Inc. I Laucks Testing Laboratories,Inc.
SAU S Homey Seanlo,WA 9R10S t 940 S.Harney S"Itle.WA 9B10a
WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS
SAMPLE MLECTION:READ INSTRUCTIONS ON BACK OF GOLOE41110.7 COT' SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY
N Instructions are not followed,aamp]*will be rejected. N InaWolions are not followed,sample will be reiectad.
617E COLLECTED TIME COLLECTED COUNTY NAME
MOWN Dfr Yll ^ DATE COLLECTED TIME COLLECrTV O011ffiY NAME
�:.1[� moomi DAY YM,R
�� ) ❑AM �Poor 'Li J 13 /01 ❑AM R!'^' �LI �1
TYPE OF SYSTCM IF PUBUC SYSTEkL COMPLETF: TYPE OF SYSTEM Ir PUBLIC SYSTEM,COMPLETE:
aM1BL.IC PUBUC
Clgga�7�[E�E GROUP
❑INCI nitia ,D.N0. 7 4 S o C ( A ,B ❑INDIVIDUAL LD.N0. 7 I g S O CIFYIfDe R
ewrey rrwrel . l V
NAME �/•j J IewM ear,,eWan,K
D 1 R.Q�70 AI NAME OF STEM
s"FFEEDcPp�l� �c�sy.�l000ECTED TELEPHONE v�c� �+IEREy1MvlEcpµ�i� TfLlPXONENO.
pule^ ISe/ne-L
EVENINGGAvz 7 - /83 Sj G« o� hhrl+ V wrL iLnLc[4-/$?3
nLa.J hlya� 9 f7S t{fld. SAY .�+gZ.
cVENING L
SAMPLE COLLECTED BY:Munn) SYS M OVINE A:IN nI SAMPL COLLECTED"Y.9Nrl y SY TL'M OWNE y
SOURCE TYPE GROUND WATER UNOER SURF CE INFLUENCE Y"1 I
SOVPCETYPF LJGROUNOWATFRIANOERS ACE WFLUENCE
[]SURFACE JKWELL or ❑SPRING ❑PURCHASEDa❑COMBINATION ❑SURFACE RWELLor LSPRING ❑PURCHASED of❑COMOINITION
_ WELL FIELD INTERr1E a OTHER WELL FIELD INTERTIE or OTHER
§FjfO PORT TO: FUN me,A wca and L y� $Ff,IQ gEPORf T(y{PMI,F�IA Nap Mdmf ivo LD�Cpdnl
w�.»en,N aw.,Mntroa 9 Fos "
TYPE OF SAMPLE(check only pM in INA colYmnl TYPE OF SAMPLE{:Neck poly orw In tNic coL.mn)
❑ROUTINE DRINKING WATER ❑CnIPIMaIed(Raadum.___TI W_Frey ❑ROUrINE ❑Chlorinated(Ro.elva._TocN_Freel
cnoek tm".l Faaerid DRINKING WATER
❑ Mack lMfnnenl ❑Folerod
ClUntreated or Alper ClUntm fed re,or",---
Pn
❑REPEAT SAMPLE ❑REPEAT SAMPLE ^---
vlme cosbm,pruapnce LOD M_,- Prevldd Cdlkm,pnaar,co L:E I_,,,,
Date _—_/ Dole—_._.1_I_
❑RAW SOURCE WA•ER $pVrw a $ = ❑Tola Coteoal ❑RAW SOURCE WATER Souna a a m ❑TOM Cdrtcrm
NEW CONSTRUCTION a REPAIRS ❑Guce Co dorm 914EW CONSTRUCTION Or REPAIRS ❑FpaM Cc dwm
OTHERrspecNrl ❑OTHER
REWIPKS. 0 JA p�0 j/ REMARKS' 7D I
7T O _ �.O'
(LAB USE ONLY)DRINKING WATER RESULTS —U
r1 TUB USE OMLYI DRINKING WATER RESULTS
❑UNF.ATISFACrORY,Cddamf Wsam ❑$11rISFACTORY, UNSATISFACTORY,C011lam fnl s piva ❑SATISFACTORY.
Cdillrms absem Cotfom,f abfenl
w
REPEAT ❑E.Carl aant ❑E.CON sbw%SAMPLESREPEAT ❑E.Car Prefanl ❑E.Coo aDmnt
REOUIPEO ❑F-CAdreamt ❑FACeIabfenl ❑
REOU EO ❑Eecal present FwA server
OTHER LABORATORY RESULTS OTHER LABORATORY RESULTS
TOTAL COUfORM. _11pQ m1 E.COU-6l,00 Aft, TOTAL CO1IFORN I100 mI E.COLA /100 MI
FECAL COLIFORM_/100 m1 PLATE COUNT—Imt FECALCOUFORM_1100ml PLATE COUNT_Imt
ANOTHER SAMPLE REWIRED ANOTIIEA SAMPLE REOUIRED
SAMPLE No TESTED BECAUSE. TEST UNSUITABLE BECAUSE. SAMPLE NOT TESTED OCCAUSE. TEST UNSUITABLE BECAUSE'.
❑Simple too.10 ❑COM'.wl 9n,YlN ❑Sample toe old ❑COnNvenl 9rowtN
❑"contanw ❑�'-1TNTC ❑Wall comamor ❑TNTC
Incamdalu lam 1__I TNnId c WUn ❑Inca owe roan ❑%111d t0l.no
❑EAeaae debts
❑ _.— ❑hc.w delrh
SK REVERSE SIDE OF GREEN Cop,FM"%PLANATION OF RESULTS SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RE�VIILTS
W ND PDIGIISI aAT[T..t"feeN0 PECOVEa Dv I LM NO VO4TSI OATF.T.ME REClI nF.CEMD aY
a'a�n v 0?17YkyS
wneePM WORAr RY �
RLMnt
KVYwe /u'-
pa,AP Mt Maane . "...J 3 3—.Z 311a �,«Y.roI 3U �L , It,
MAR-14-2001 WED 05:47 PM KING CO FAX NO. 2968431 F. 03
ral Latacks Testing Laboratories,Inc. e«k, I mow, L NUcks Testi g Laboratories,Inc.
sdD S.Harney Seatne,iA RB,OB 1, I Baas.;+arney Seams,WA Be10e
WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY
Ir Instructions aft not meowed,soTnPle will be relecAd. N Instructions are not tollowad,sempla will be rejected.
MiE COLLECTED TIM,COL COLLECTED CAUNN NAME NO'DATE COLLECTED TIM'COLLECTCD OWMTYP t
LIO''NPM COLLECTED
YEAR EC LpECI YEAR [�y�1/�+�.._
3 13 ) ❑AM gall kI �� 3 I3 O 1 []AM � RI'^ (GI �I
TYPEDFSYSTCM PPVBUG SYSTEM.COMPLETE: TYPEOFSYSTEM ar PUBLIC SYSTEM,COMPLETE.
PUBLIC �,A
INDMOLWL CI�GROUP W PUBLIC
❑ LD.ND. ] 1 Q $ O C ITS B ❑INDIVIDUAL LD.ND. $ S O cIg GRBo u
aaw«a4 «urw („ V
""',wall
NAME OF SYSTEM NAME OF STEM t� ,.
EPE�EPEacEF�� D ON YA E syArLE CO> TELEPHONE N S�� `�N
(yMLe /3eoe[ — /83 svfpgcL EERe IsAAw Erp LEcrEp TELEPHONE No.
n Nv�-�t�s DAY g4461.. s4c, 1 +'W--LN..Et Y 873
IND EVENING L
SAMPIE COLLECTED BY:Merrill SYS M OWNER/�1 R:(N q SAMPLE COLECTED BY:S y^ Manwl EY�FM OWN _ .:BYF aI
O~' / Oy r K ?7 aJ
SOURCE TYPE GROUND WATER UNDER SURF INFLUENCE SOURCE TYPE GROUND WATER UNOEH S ACE INFLUENCE
❑SURFACE �WELLp ❑SPPrNG ❑PURCHASED or❑COMBINATION SURFACE WELL or
WELL FIELD INTERTIE n OTHER ❑ ❑SPRING ❑PURCHASED Or❑COMBINATION
WELL FIELD INTEATE or OTHER
SFJID PORT TO:( FW ma erld TI
�!Q�E�PORTI�l IPMI ai .ddma ab.n
)I JrLd S �U
T�Q,�7..ft9.. f<tZ/< LAeILLe
wa namN po ss ..wi 9 FOs'
P'OF SAMPLE ICN.ek waY one In Dvk ealUlnn) TYPF OF SAMPLE(ek.ek evil,a"In Pill cdwnn)
UROUTNE Cnlarinaed _ reel ❑ �-T DRINKING WATER ❑ IFlee:dual: TCW F ROUTINE U CMonnmad IAaGduW:_TorAl nee
CnecA lmm,art ❑FA.ryd DRINKIln~t R
M etk treelmeni ❑F.ilHdtl
❑Untnalw or OmAr ❑Unvaaled or Ot1nr_--
_
❑RFPFA:SAMPLE REPEAT SAMPLE --
PrevlowcdibrmOraaonu LAba_, _ Plploua tdlbrm PneaKo Laba_-„-
Date - _._// Date-_-_-r_I_
❑RAW SOURCE WATER
CONSTRUCTION
SW,CSaud a❑$ m ❑Tau ColooTm ❑RAW SOURCE WATER Soolce a❑$ m ❑Total Coalgm
.NEW DDNETRUDTION p REPAIRS ❑Faaa Carfai RNFW CONSTRUCTION or REPAIRS ❑Parts,Cddo.m
❑OTHER ISoaeltyl_ _ ❑OTHER RoeaM`__ __.-_
Pf MAR"SCJ O,# 8�03/ _
_ - PEMAAkS: d 70 31
(LAB USE ONLY)DRIM UNG WATER RESUITS
(LAB USE ONLV1 DRINKING WATER RESULTS
❑UNSATISFACTORY,Colnorma protanl ❑SATISFACTORY UNSATISFACTORY.Coolorms areal [,15ATIEFACTORY.
CLOWMa absent CaLlovin.obaanl
REPEAT ❑E.Cl prasml ❑E.CdI abaett
SAMPLES
SAMPLES REPEAT CD E,Cal ormanl ❑E Cal,atsnN REOUIRf,D F.tal❑ PmAnl ❑Feel abaenl REOU ED ❑Focal P'Aa•-I ❑focal WLvn
OTHER LABORATORY RESULTS OTHER .JRATORY RESULTS
701'aU.COLIfORM Ut DD mI E.LOV$nW MiL, r —_
OTAL CJLIFOAM noomI E.COLI npD ML
FECAL GDLIFDRM�npp ml PLATE COUNT /ml c
_ fCAtCWFORM_nOo ml PLATE COUNT_UmI
ANOTHER SAMPLE REOUIRED ANOTHER SAMPLE REOUIREO
SAMPLE No r TESTED BECAUSE. TEST UNSUITABLE BECAUSE SAMPLE NOT TESTED BECAUSE. TEST UNSUITABLE BECAUSE.
❑SamP6,too ole ❑Co,it"M Drowm ❑SamON be old Cl CoMboM Dnwm
❑W"contan« TNTC ❑Wmnp tanla,ndr []TNTC
❑r coAPI@A Ionvi T.,,blo C,,i un ❑mcrmPlola,ann ❑TITtd whin,
❑ .� ❑Eacesy Mbda
M REVERSE SIDE OF GREEN COPY FOrt eXPLAH T,OON OF RESULTS SEE REYEIISE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
WND 0DIGIIS; DATC THE RECENED PtCErvED O, LAS NO.P WGR$I 1 DATE.T ME RECDVEO nECEMED eY
o�l��i�y�l al,�v o�� 7Ykys of 1,6R
DATE REPDR IAO0AAi RY v DATE RE", LAaDMT IRA
AEr«AA. T2731 S I �- F
3Ua -3 , ll,
MAY-16-2001 WED 01:55 PH KING CO FAX NO. 2968431 P. 02102
-'� Laucks Testing Laboratories,Inc. f
9405 Hamey SGARIe,WA 26I08
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION:READ INSTRUCTIONS ON AACK OF GOLDENROD COPY ' I
II InsUUC"One are not IaIIOMIetl,EamPIG W*be rejected,
� I
DATE COLLfCTEO TREIE1LLACTCO -0 COUNTY NAME
. I apNnl de, vrMt -p�� I�: OD I
S 1 S I pI AM ❑PM
TYPE OF SYSTEM IF PUDUC SYSTEM,COMPLm.
PU0uC
I
1 awr�IDUAL I.O. I $ S O L CA BAOUP
NAME OF SYSTEM /^. � 4 .
1 r
✓✓ECwC dti SAMPLETEJ'1ELEPNONE 40.
1-Too C.c 4T4a4'AS �DA,Y 06
Code. e144r131/vrJ
F e_.. , EVENING' _ I
EACOUECTED eY INvnq SYSTEM OWNEWMGR IN, a)
S
SOURCE TYPE�1 hGROUNO WATFR UNDER SURf E INPLUENC ^-
C SURFACE W WELL w $PRM1G PURCNASEO or Q GaMBIwT ON
WELL FIELD WTERTE aOTHER j
5 0 EPOATTO. n t u 4AWnsa
�1 w
R
pM J N
�L-S
NPE OF$AMPLE(cntCA omf one In 1nr<ob.�p j
. I ROUTINE
DRINKING WATER ❑CnlamataO lAaWuel:_'eta Fnal
' UeCk IMaIMnt �Fdlantl
Untroata0 a Dinar
� ❑REPEAT$AMPLE -
PmbeW be'"Pmaenca LAb A
Dale J—l__
J RAW SOURCE WATER SOIme F 15 / q Tam Colllenn 1
NEW CONSTRLCTIONVREPAIRS - � OFOCw COW&,
❑OTNEll R ISpacHyl_
REMARKS
G 3 2
Ma USE ONLYI ORINKINO WATER RESULTS 'I
I,�UNSATS kCTORY..CCINormapMant Col SATISFAC roRY,
REPEAT E.C6 C: C.100 'Ia abfont
SAMPLES Mesant C E.CoN abN^'
REOU'HED ❑Fec.FPrefOnt �FeW4bl m
OTNERLAeORATORYRESULTS —_
TOTAL COUFOAId I100 m1 E.COU Ep00 ML I
FECAL COUFORM_.,1100 ml P'ATE COUNT_IM
ANOTr ER SAMPLE REOUIRED t
SAMPLE NOT TESTED BECAUSE TEST UNSUITABLE GECAUSE
Sa we too old C4,m~l g.ewm
Wrong ConlaiMr C TNTC
O lneoq Plwo tone ❑Tureen c,Ilum
O E-F dabna
YE REVERSE SIDE Or ORfEN DOPY FOR EXPLANATION OF RESULTS
I.MI rep R D.&TI, OAR,nMf WENLD ftc nwoa
08 �75 t 97 /s,r 2;20 )
OaR PAN;A INDWT m.
j
W-2894
BEGINNING
OF FILE
IT-
i
W,-
d �
Rehr»Address: 2002 40400
City Clerk's Office nacE of IltsrTON CAS :4.of 62
City of Renton e4ie4/ sea
1055 S. Grady Way Krrc c r10ua7
Renton WA 98055
Please print or type information �duGdA/ �;r 7YES
Document Titie(s):
Water Utility Easement
Ref erence Number(s)or Documents assigned or released:
(on page_of document(s)i
Grantor(s)(Last name first,then first name and initials):
L Edward Babbitt
2.Scott Evans
3.
•" 4. ❑ Additional names on page_of document
a�+
an
o Grautee(s)(last mine first,then first name and initials):
0 1. The City of Renton
+ 2.
0 3.
_s 4. ❑ Additional names on page—of document
0
ry Legal Description(abbreviated: i.e.lot,block,plat or section,township,range):
0
'env A strip of land, 15 feet in width, over a portion of Parcel "A" as
depicted on City of Renton Boundary Line Adjustment LUA-00-093-LLA. ..
and portions of Lake liew Boulevard abutting thereto. . .
Further legal description found on Page 3 of Exhibit "A"
33 Additional legal is on page_'_of document
Assessor's Properly Tax Parcel/Account Number:
334450-0445-01
❑ Additional legal is on page___of document
The Auditor/Recorder tNill rely on the information prosided on the form The staff will not read the
document to verify the accuracy or completeness of the indeming information proNided herein.
I
Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way
Renton WA 98055
Title: UTILITIES EASEMENT Tp roperty Tax Parcel Number: 334450-M5-01
Project File Jl: LUA 00.09J ? gq 4. 1 Street Intersection or Project Famc:Coulon Estates Condominium
v
Reference Nambe s of Documents assi ed or relased: Additional reference numbers are on pay
Grantor(s): Grantee(s):
1. Coulon LL C 1. City of Renton,a Municipal Corporation
The Grantor,as named above,for or and in consideration of mutual benefits,hereby grants,barbams,sells and deli ccn to
the above named Grantee,the following described property.
LEGAL DESCRIPTION.See Attached Exhibit"A",Situate in Section 5,Township 23 N.,Range 5 E.,W.M.,
In King County,Washington.
For the purpose of constructing,reconstructing,installing,repairing,replacing,enlarging,operatuig and maintaining utilities
and utility pipelines,including,but not limited to,water,sewer and star drainage lines,together with the right of ingress
and egress thereto without prior institution of any suit or proceedings of ttw and without incurring any legal obligation or
ev liability therefor. Following the initial construction of its facilities,Gras tee may from time to time construct such additional
an facilities as it may require. This casement is granted subject to the followine terms and conditions: 1
ao
o I. The Grantee shall,upon completion of any work within the property covered by the easement,restore the surface of
o the easement,and any private im,rovemcnls disturbed or destroyed during execution of the work,as nearly as i
ov practicable to the condition they were in immediately before commencement of the work or entry 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
t� rights granted to the Grantee.
0 3. Grantor shall not,however,have the rig: to:
a. Erect or maintain any buildings or structures within the easement;or
ev b. Plant trees,shrubs or vegetation having deep root patterns which may cause damage to or interfere with the
O utilities to be placed within the easement by the Grantee;or
N C Develop,landscape,or beautify the easement area in any way which would unreasonably increase the costs to
the Grantee of restoring the casement area and any private improvements thercm.
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 suppon facilities.
o. Blast within fifteen(15)feet of the right-of-way.
This easement shall run with the land described herein,and shall be binding upon the parties,their heirs,
successors in interest and assigns. Ccanturs covenant that they are the lawful owners of the above properties and
that they have a good and lawful right to execute this agreement.
IN WITNESS WHEREOF,said Grantor has caused this instrument to be executed this�/Oday ofJyy�j 19'a�'1�.,
/ND/LTDL'AL FORM OFACRNOWLEDGMENT
Notary Seal matt be within box STATE OF WASHINGT'ON )SS
COUNTY OF KING )
1 certify that 1 know or have satisfactory evidence that _
signed this instrument and
acknowledged it to be lawberhheir free and voluntary act for the uses and purposes
mentioned in the insrurent
Notary Public in and for the State of Washington
Notary(Print? _
My appointment expires:_
Dated:
REPRESENTATIVE FORM OFACRNOwLHDGMENT
Notary Seal must be Within box STATE OF WASHINGT'ON )SS
COUNTY OF KING )
IItf/ I certify that 1 know or have satisfactory evidence that
tSV �Mp PAtTT
signed this instrument,on oath
Fin � stated That bs(shdthey U11werc authorized to execute the instrument and
acknow•led ed it as the 1AENEE R and
NOiAR� of L1rU LRN. L L t"- to be the Crt and voluntary act of such
e�
♦v /'UBUG ` party/parties for the uses and purposes mentioned in the instrument.
o Op WASH\��
o IpU� 11A-
Notary Publi 'n an the State of Washington
Notary(Print) a Cr:taR�
tl
My appointment expires: T nnt&gy (f�
o Dated: M11,9" I, 2OD2
a
r CORPORITE FORM Oi ACKNOWLEDGMENT
o Notary Sal must be within box STATE OF WASHINGT•ON )SS
0
N COUNTY OF KING )
On this__day of _.19__,before me personally appeared
be _to me known to
of the corporation that
executed the within Instrument,and acknowledge the said instrument to be the free
and voluntary act and deed of said corporation,for the uses and purposes therein
motioned,and each on oath stated that he/she was authorized to-xecute said
instrument and that the seal affixed is the corporate seal of said corporation.
Notary Public in and for the State of Washington
Notary(Print)_
My appointment expires:
Dated:
C.VOBS'A71b9V1iGALSWOStEASF.MC•NT.DOC\ Paget FOWN 03 0000t1,NCA2.21.97
1
a
1 +
1
i
INDI1,7DUAL FORM OFACKNOIFLEDGME.NT 1
Notary Seal must be within box STATE OF WASHINGTON )SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that
__signed this instrument and
acknowledged it to be hrs'her/thur free and voluntary act for the uses and purposes
mentioned in the instrument
Notary Public in and for the State of Washington
Notary(Print)
My appointment expires:
Dated:
REPRESENTATIVE FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )SS
C" NTY OF KING )
N\\\\\tttlttl/yII, 1 certify that 1 know or have satisfactory evidence that D E11RN�
signed this
.��```R•a sy'''��i stated that he/she/they .115,were authorized to execute the instrumentinstrument,on oath
and
acknowlMged itazthe MEM 6ER and
oC �'�LLLOIJ. L.L.G to be the free and voluntary act of such
•� N; PUB\te 2 party/panics for the uses and purposes mentioned inthe instrument
an
o /,O
o 'Innttp\\ Notary Pu lic in a or the State of Washington
v Notary(Print) VIH-1 .SPARKS
c My appointment expires: SAAIUAL.Y la a 2MG
o —
Dated: NIAIRCli I, 2007,
ev
O CQRPoRATE FORA(OF ACRNORZEDGAIEh'T
N 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 the corporation that
executed the within instrument,and acknowledge the said instrument to be the free
and voluntary act and deed of said corporation,for the uses and purposes therein
mentioned,and each on oath stated that he/she was authonzed to execute said
instrument and that the seal affixed Is the corporate seal of said corporation.
Notary Public iti and for the State of Washington
Notary(Pnnt) _
My appointment expires:
Dated:
(':VOUS\97169\LEOAIS\DOS\EASEMENT.DOC\ Pug,: FORM 03 0000/6NCAI-21.97
r '
EXHIBIT"A"
LEGAL DESCRIPTION
i
A strip of land, 15.00 feet in width, over a portion of Parcel "A" as depicted on City of Renton
Boundary Line Adjustment LUA-00-093-LLA recorded as a survey under King County
Recorder's No. 20001018900004, said parcel containing Tract 355 per the Plat of C. D.
i Hillman's Lake Washington Garden of Eden, Division No. 5, as recorded in Volume 11 of
Plats, page 83, records of King County,Washington, and portions of Lake View Boulevard
abutting thereto said Lake View Boulevard vacated by City of Renton Ordinance No. 4029
as recorded under Recording No. 8612031457 and Ordinance 4834 as recorded under
I Recording No. 20000321000918, records of said County, all in the southwest quarter of
Section 5, Township 23 North, Range 5 East, W.M., in the City of Renton, King County,
4 Washington, said strip having 7.50 feet on each side of the following described centerline:
COMMENCING at the northwest corner of said Parcel"A"; thence S18014'33"E along the
west line of said Parcel "A" and the easterly right-of-way margin of Lake Washington
Boulevard, 30.50 feet to the POINT OF BEGINNING of the herein described centerline;
thence N71056'35"E 9.06 feet to Point"A"; thence continuing N71056'35"E 8.01 feet to Point
"B"; thence continuing N71056'35"E 10T.95 feet to Point"C"; thence continuing N71056'35"E
23.93 feet; thence N6702811"E 30.05 feet to the northeasterly line of said Parcel "A";
TOGETHER WITH a strip of land 10.00 feet in width, said strip having 5.00 feet on each side
.c of the following described centerline;
0
`= AND BEGINNING at Point "A"; thence S18003'25"E 24.00 feet;
0
AND BEGINNING at Point"B"; thence S18003'25"E 24.00 feet;
0
AND BEGINNING at Point"C"; thence S18`03'25"E 12.00 feet to the terminus of the herein
�+ described centerline
a
N The sidelines of the above described strip of land shall be lengthened or shortened, as
wrequired, to intersect at all interior angle points, the easterly margin of said Lake Washington
Blvd. and the northeasterly line of said Parcel"A".
i"Sy. FCRTt1�
'AIL LAto .-La
C'JOeS�971e9LLi3GALS\BOS�EASEMCNT.DOC\ PaccI FORM 07 ODOWWCA2-21.97
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I
Map Exhibit \
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H'\FORMS\xCRECORD"E6I NT.DOC Pap FORM 03 OOOONWCA2-21.97