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HomeMy WebLinkAboutBill of Sale & Cost Data (2)TYPE OF DOCUMENT: GRANTOR(S): GRANTEE: NAME OF PROJECT: ADDRESS OF PROJECT: PROJECT FILE NUMBERS: LEGAL DESCRIPTION: PERSONAL PROPERTY DESCRIPTION: Reference Number(s) of Documents assigned or released: Additional reference #’s on page _____ of document By By Its Its Renton School District 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. City of Renton, a Municipal Corporation ABBREVIATED LEGAL DESCRIPTION: RENTON FARM PLAT TGW LOTS 1-12 BLK 3 OF SARTORISVILLE ADD LESS CO RD (PER RENTON DECLARATION OF LOT COMBINATION #LUA17-000539-LC REC #20171117000762) LESS POR PER DEED REC #20200811002413 ASSESSOR TAX PARCEL I.D. NUMBERS: #77224000(275, 280, 580, 475) & 75646000105 Sartori ES Utility Undergrounding 315 Garden Avenue North LUA16-000215, C22006382, PLR-4235 See Attached Exhibit A of this Document Return Address: City Clerk’s Office City of Renton 1055 South Grady Way Renton, WA 98057 BILL OF SALE Please make no mark in the margin space - Reserved for County Auditor's Use Only Bill of Sale See Attached Exhibit B of this Document 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. IN WITNESS WHEREOF, said Grantor(s) has caused this instrument to be executed this ________ day of _______________________ 20 _____ . Page 1 of 4 INDIVIDUAL FORM OF ACKNOWLEDGEMENT 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 his/her/their free and volumtary act for the uses and purposes mentioned in this instrument. Notary Public in and for the State of Washington Notary (Print): ___________________________________________________ My appointment expires: __________________________________________ Dated: _________________________________________________________ REPRESENTATIVE FORM OF ACKNOWLEDGEMENT 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 acknowledge it as the ______________________________ and __________________________ of _______________________ to be free and 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: __________________________________________ Dated: _________________________________________________________ CORPORATE FORM OF ACKNOWLEDGEMENT Notary Seal must be within box STATE OF WASHINGTON ) SS COUNTY OF KING)On this ____ day of ____________ , 20 _____ , 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 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 Notary (Print): ___________________________________________________ My appointment expires: __________________________________________ Dated: _________________________________________________________ BILL OF SALE Project File Number: LUA16-000215, C22006382, PLR-4235 Page 2 of 4 RENTON FARM PLAT TGW LOTS 1-12 BLK 3 OF SARTORISVILLE ADD LESS CO RD (PER RENTON DECLARATION OF LOT COMBINATION #LUA17-000539-LC REC #20171117000762) LESS POR PER DEED REC #20200811002413 BILL OF SALE EXHIBIT A Legal Description Project File Number: LUA16-000215, C22006382, PLR-4235 Page 3 of 4 WTR - N/A WWP - N/A SWP - 4235 TRO - 4235 TED - 4235 PROJECT NAME: CONSTRUCTION PERMIT NO. PROJECT FILE NUMBER: ROADWAY, STREET LIGHTS AND SIGNALS DESCRIPTION QTY UNIT TOTAL COST Curb and Gutter 385 L.F. 5,486.25$ Sidewalk 691 S.Y. 30,058.50 $ Asphalt Concrete Pavement 668 S.Y. 21,766.00 $ Traffic Signal Modification 2 EA. 2,000.00$ Curb Ramp + Detectable Warning Surface 5 L.S. 16,250.00 $ Reinforced Concrete Bus Shelter Footing 1 EA. 5,000.00 $ Subtotal 87,560.75$ Sales Tax 9,018.76$ Grand Total Roadway, Street Lights and Signals 96,579.51$ STORMWATER SYSTEM IMPROVEMENTS QTY UNIT SIZE TYPE TOTAL COST 1 EA. 48" TYPE 1 Catch Basin 1,725.00$ Subtotal 1,725.00$ Sales Tax 177.68$ Grand Total Stormwater System Improvements 1,902.68$ 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. DESCRIPTION (City Staff Use Only) EXHIBIT "B" Contributary Assets City Project Numbers: Sartori ES Utility Undergrounding 22006382 16-000215 Return Address: City Clerk’s Office City of Renton 1055 South Grady Way Renton, WA 98057 Page 4 of 4