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Home My WebLink AboutBOS 20230426000294 Instrument Number: 20230426000294 Document:BS Rec: $207.50 Page-1 of 5 Record Date:4/26/2023 11:12 AM Electronically Recorded King County,WA Return Address: City Clerk's Office City of Renton 1055 S Grady Way Renton,WA 98057 rie�se pt��c ot��ype��rot��c�o��WASHINGTON STATE RECORDER'S Cover Sheet (xcw 6s.oa> �OCUrilerit Tltle(S� (or transactions contained therein): (all areas applicable to your document must be filled in) 1, Bill of Sale-Valley Medical Center MOB 2, 3. 4. Reference Number(s) of Documents assigned or released: Additional roference#'s on pagc of documcnt Grantor(s) Exactly as name(s)appear on document 1. HRVN Valley Narth,LLC , 2. , Additional names on page of document. Grantee(sl Exactiv as name(sl abbear on document 1 Ciry of Renton 2. , Additional names on page of document. Legal description(abbreviated: i.e.lot,block,plat or secrion,township,range) Lot 4 of 1 st Amendment to Valley Medical Center Narth Campus Binding Site Plan LUA-93-108 BSP,LND-35-007, Vol 166,pgs 89-93,according to the plat thereof recorded in Vol 279 of Plats,pgs 86 through 89,inclusive,in King County,WA(Hereinafter,the"lease land") Assessor's Pronertv Tax Parcel/Account Number ❑Assessor Tax#not yet assigned gg57670040 The Auditor/Recordcr will rely on thc information providcd on this form. Thc staff will not rcad thc documcnt to veri the accurac or com leteness of the indexin information rovided herein. "I am signing below and paying an additional$50 recording fee(as provided in RCW 36.18.010 and referred to as an emergency nonstandard document),because this document does not meet margin and formatting requirements.Furthermore,I hereby understand that the recording process may cover up or otherwise obscure some part of the text of the original document as a result of this request." Signature of Requesting Party Note to submitter:Do not sign above nor pay additional$50 fee if the document meets margin/formatting requirements Instrument Number: 20230426000294 Document:BS Rec: �207.50 Page-2 of 5 Record Date:4/26/2023 11:12 AM King County,WA Return Address: City Clerk's Office City of Renton 1055 South Grady Way Renton,WA 98057 BILL OF SALE �'��c�se rxr�r&e rac�rn�sr6c ara eir�rnar�c�irx,��arma:� -R�:s�rv�c�"f�a��cr�ra�t,�Araa�r'tc�r"�tl��Drrly TYPE OF DOCUMENT; Bill of Sale GRANTOR(5): HRVN Valle North, LLC Additional Project Owner GRANTEE: City of Renton,a Munici al Cor oration ABBREVIATED LEGAL DESCRIPTION: Reference Exhibit A ASSESSOR TAX PARCEL I.D. NUMBERS: 8857670040 NAME OF PROJECT: Valley Medical Center MOB ADDRESS OF PROJECT: 400 South 43rd Street PROJECT FILE NUMBERS: LUA16-000938,C17002806, PLR-3964 LEGAL DESCRIPTION: See Attached Exhibit A of this Document PERSONAL PROPERTY DESCRIPTION: See Attached Exhibit B of this Document Reference Number(s)of Documents assigned or released: Additional reference#'s on page of document The Grantor,as named above,for,and in consideration of mutual benefits, hereby grants,bargains,sells and delivers to the Grantee,as named above,the following described personal property as described in Exhibit B of this document. By this c�nveyance,Grantor wall w�rrarrt and defend the sale her�by rnad�unto the Grantee agair�st all and every person or persons,wh�amsoereer, Iawfu9By claimin�ar to c9airn the same.This conveyance shall bend the heirs, exee�tor•s, admirroistratars and assi�ru�forever. IN WITNESS WHEREOF,said Grantor(s)has caused this instrument to be executed this � day of .��.�.'�9vt��__._.___,.�20 "2,."�,_, By� ° ' BY Its �� °� F�"� � �,� ��^ Its Page 1 of 4 Instrument Number: 20230426000294 Document:BS Rec: �207.50 Page-3 of 5 Record Date:4/26/2023 11:12 AM King County,WA BILL OF SALE Project File Number:LUA16-00043�,C17002806,PLR-3964 a�v��vrouac Fo��o�atanrow�ec�c��ENr Notary Seal must be within box STATE OF�1/d�Flfd6�3N T�A/lJ�S S� )SS COUNTYOFifiiV6 �f1��CIr` ) ��k��e� I certify that I know or have satisfactory evidence that (y/L,';E� 2-�!�/i5 ��»"`,�� y ��"�,�"��,�� ,.�" �>��` �; ��,��"',A��i°��^�',f��c:'��°° signed this instrument anc � ��»"" "«.,"�°' �, acknowledged it to be his/her/their free and volumtary aet for the uses and purposes � �T�� * mentioned in this instrument. "" c� «» '��t�r��; � . � � �Y�'�� a� �'�� +r �9.k(r '� � ` � Notary Public and for the State of�dtl�sirt�ton TEA��SEE' �°r �� •�...� °��`�""" Notary(Print):__.,,�.OU�L��.,..�MP�LP_��....,...._,_�� '��',r ��' +��'`� M a ointment ex ires: S�� (��- `��+�r�� Y Pp p ..�„L�.,,,.�..�..W,,�.�,...�,..�...��,..,.��. Dated° ..�__.�.�._�cC. /2�.�p� .,......��..�..M�..�..�.��..._._�.. REPRES�NTATtVEFORIUI t7FACB(lVOUVLEDGEMEI�T Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that�„��µ� _,, ,,o„�,,,W„�,„„�,„,,,�,,��,,„„��signed this instrument,or oath stated that he/she/they wasJwere authorized to execute the instrument and acknowledge it as the_„ _�,„and of to be free anc voluntary act of such party/parties for the uses and purposes mentioned in the instrument. Notary Public in and for the State of Washington Notary(Print)°,,_��.�.,,��„ ,..�.„.�..,.��. „�.,.„�, My appointment expires: _,,,,_,q,_„,„ �,�„„_ ,,,�„„�,�, Dated: co��ar€FOR�vr o�,a�K�vowe�DGEnn�rvr �"` Notary Seal must be within box STATE OF WASHINGTON )55 COUNTY OF KING ) On this�day of��_,�,20 ,before me personally appeared to me knowr .�,...._...�,._.�.... ...,....�_,...�.�.�_,�.�.�.�..w.�.�., p ._,.. tobe,„�y„,� �„„�_�„ ofthecor orationthat 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 therin mentioned,and each on oath stated that he/she was authorized to execute said instrument and that the seal affixed is the corporate seal of said corporation. Notary Public in and for the State of Washington Natary(Print)w�,�„ _,._,� „,„ My appointment expiresw___--___ ,�_.e_,�..v_._.._,..,_mrcw.__.�.� Dated: Page 2 of 4 Instrument Number: 20230426000294 Document:BS Rec: �207.50 Page-4 of 5 Record Date:4/26/2023 11:12 AM King County,WA BILL OF SALE Project File Number:LUA16-000938,C17002806,PLR-3964 EXHIBIT A Legal Description Lot 4 of 1 st Amendment to Valley Medical Center North Campus Binding Site Plan LUA-93-108 BSP, LND- 35-007, Vol 166, pgs 89-93, according to the plat thereof recorded in Volume 279 of Plats, Pages 86 through 89, inclusive, in King County, Washington (hereinafter, the"lease land") �'a�e 3 af 4 Instrument Number: 20230426000294 Document:BS Rec: �207.50 Page-5 of 5 Record Date:4/26/2023 11:12 AM King County,WA ��'��4��"�D�� "� City Project Numbers: Return Address: WTR- 3964 �� City Clerk's Office � WWp- 3964 City of Renton SWP- 3964 1055 South Grady Way �� TRO- N/A Renton,WA 98057 TED- 3964 EXHIBIT "B" Contributary Assets PROJECT NAME: Valley Medical Center-MOB CONSTRUCTION PERMIT NO. 17-002806 PROJECT FILE NUMBER: 16-000938 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 referenced project. ��TEF�S�S�'E N��20'VEMEIV�°S f��°1� �f�9T' SI�� 'X�E ��"Ef1lI �`�`f��.��5�" 25 L.F. 6" DI Water Main Pipe and Fittings $ 1,400.00 2 L.F. 12" DI Water Main Pipe and Fittings $ 160.00 1 EA. 4" Gate Valve Assembly $ 500.00 4 EA. 6" Gate Valve Assembly $ 2,800.00 2 EA. 12" Gate Valve Assembly $ 2,400.00 2 EA. 6" Fire Hydrant Assembly $ 8,000.00 Subtotal $ 15,260.00 Sales Tax $ 1,526.00 Grand Total Water System Improvements $ 16,786.00 Page 4 of 4