HomeMy WebLinkAboutSWP272904 f
Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way
Renton,WA 98055 201010327000714
CITY OF RENTON BS 8.00
PAGE 001 OF 002
03/27/2001 10:13
KING COUNTY, WA
BILL OF SALE PL S_d9b Property Tax Parcel Number: 3,3 i D D
Pro'ect File#: Street In t section: Address:
uA -60- S 4a 5 u L Aj 15-
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page
Grantor(s): Grantee(s):
1. SA m.1S H - 1. City of Renton, a Municipal Corporation
2.
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:
WATER SYSTEM: Length Size Type
L.F.of Water Main
L.F.of Water Main
o L.F.of Water Main
cs each of Gate Valves
�-' each of Gate Valves
each of Fire Hydrant Assemblies
CV
c7 SANITARY SEWER SYSTEM: Length Size Type
L.F.of 63 P V t Sewer Main
L.F.of Sewer Main
o L.F.of Sewer Main
c� each of y 8" Diameter Manholes
each of Diameter Manholes
each of C O t'� " Diameter Manholes
STORM DRAINAGE SYSTEM: Length Size Type
5! L.F.of 1 Z N" 1 '2_ Storm Line
L.F.of Storm Line
L.F.of Storm Line
each of Storm Inlet/Outlet
Z each of j�" Storm Catch Basin
each of Manhole
STREET IMPROVEMENTS: (Including Curb,Gutter, Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk / S L.F. ,
Asphalt Pavement: SY or C$ L.F.ofC, Width A10A 8 r�
STREET LIGHTING: Q k F . /O ' Cu m Na aq'��
#of Poles t
By this conveyance,Grantor will warrant and defend the sale hereby made unto the Grantee against all and every person
or persons,whomsoever,lawfully claiming or to claim the same. This conveyance shall bind the heirs,executors,
administrators and assigns forever.
H:\FILE.SYS\FRM\84HNDOUT\BILLSALE.DOC\MAB Pagel
Form 84 0001/bh
IN WITNESS WHEREOF,I have hereunto set my hand and seal the day and year as written below.
INDIVIDUAL FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )SS
COUNTY OF KING )
M/�N �Z`` I certify that I know or have satisfactory evidence that
0• H t
•�yS10NF•. 4GQrt� signed this instrument and
f 14
4 acknowledged it to be his/her/their free and voluntary act for the uses and purposes
O 110TAA y�:• mentioned in ' s ent
U ►-�� to
�i P'JBUC
lots�••(9:r 9_o�,•�• Notary Public m and for the State of Washington
Notary(Print) �.
1� W My appointment expires: HZC-6
Dated: 3 r7(2�I
REPRESENTATIVE FORM OF ACKNOWLEDGMENT
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,on oath
stated that he/she/they was/were authorized to execute the instrument and
c� acknowledged it as the and
0 of to be the free and voluntary act of such
o party/parties for the uses and purposes mentioned in the instrument.
c--
CV '
Cn Notary Public in and for the State of Washington
Notary(Print)
My appointment expires:
0
c� Dated:
Ci
CORPORATE FORM OF ACKNOWLEDGMENT
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 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
Notary(Print)
My appointment expires:
Dated:
Page 2
Short Plat (SHPL# )
REQUEST FOR PROTECT# Prelim.Plat (PP# )
CAG# )
To: Technical Services Date - " 0 WO# 87OX Green#
From: Plan Review/Project Manager 10/4(v L
Project Name S'//Q/- / J/--74,,47—
(70 characters max)
Description of Project: J 5AW
Plt
Circle Size of Waterline: 8" 10" 12" Circle One: New or Extension
Circle Size of Sewerline: 8" 10" 12" Circle One: ew or Extension
Circle Size of Stormline: 12" 15" 18" 24" Circle One: New or Extension
Address or Street Name(s)
Dvlpr/Contractor/Owner/Cnslt:: �! - (J �t-no
+� (7 characters max)
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
❑ Trans-Storm ❑ sl�, IS ` ,�Z, : *
(Roadway/Drainage) (Off site improvemenuxinclude basin name) (include TESC sheets)
❑ Transportation (Signalization,Channelization,Lighting) ❑ ❑
Cl Wastewater ❑ X 7�VN'kl-S � S
Sanitary Sewer Main(include basin name)
❑ Water (Mains,Valves,Hydrants) ❑ Cl
(Include composite 6c Horizontal Ctrs Sheers)
❑ Suface Water O ❑
Impr6vements (CIP NLY)(include basin name)
TS Use Only
i �
f td _
Approved by TSM Date:
H:formslutility/92-090.DOC/CD/bh