HomeMy WebLinkAboutBill of Sale with Exhibit A and B pdf.pdfTYPE 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
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 _____ .
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
Tuscany Construction
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.
Additional Project Owner
City of Renton, a Municipal Corporation
ABBREVIATED LEGAL
DESCRIPTION:
A portion of the North half on the NW 1/4 of the SW 1/4 of the SE 1/4 of
Section 10, Township 23 North, Range 5 East, w.m., in the City of Renton,
King County, Washington
ASSESSOR TAX PARCEL I.D. NUMBERS: 1023059298
559 Hoquiam Sewer Extention
559 Hoquiam Avenue NE
LUA, UC17005399, PLR-3986
See Attached Exhibit A of this Document
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
Page 2
Project File Number: LUA, UC17005399, PLR-3986
WTR -N/A
WWP - 3986
SWP - N/A
TRO - N/A
TED - 3986
PROJECT NAME:
CONSTRUCTION PERMIT NO.
PROJECT FILE NUMBER:
ROADWAY, STREET LIGHTS AND SIGNALS
DESCRIPTION QTY UNIT TOTAL COST
Subtotal -$
Sales Tax -$
Grand Total Roadway, Street Lights and Signals -$
STORMWATER SYSTEM IMPROVEMENTS
QTY UNIT SIZE TYPE TOTAL COST
Subtotal -$
Sales Tax -$
Grand Total Stormwater System Improvements -$
SANITARY SEWER SYSTEM IMPROVEMENTS
QTY UNIT SIZE TYPE TOTAL COST
192 L.F.8"PVC Sewer Main 20,160.00$
1 EA.48"Diameter Manhole 6,000.00$
Subtotal 26,160.00$
Sales Tax 2,485.20$
Grand Total Sanitary Sewer System Improvements 28,645.20$
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
DESCRIPTION
(City Staff Use Only)
EXHIBIT "B"
Contributary Assets
City Project Numbers:
559 Hoquiam Sewer Extention
C17005299
##-######
Return Address:
City Clerk’s Office
City of Renton
1055 South Grady Way
Renton, WA 98057
Page 1 of 1
PR17000257
BILL OF SALE
EXHIBIT A
Legal Description
Project File Number: LUA, UC17005399, PLR-3986