HomeMy WebLinkAboutBOS 20160523000802 Return Address:
City Clerk's Office •
City of Renton 01 I III 0001 I III 10
1055 South Grady
Renton, WA 98055Way 20160523000802
CITY OF RENTON BS 76.00
PAGE-001 OF 004
05/23/2016 11:55
KING COUNTY, WA
Please print or type information WASHINGTON STATE RECORDER'S Cover Sheet (RCW 65.04)
Document Title(s)(or transactions contained therein):(all areas applicable to your document must be filled in)
1. Bill of Sale 2.
3. 4.
Reference Number(s)of Documents assigned or released:
Additional reference#'s on page of document
Grantor(s) Exactly as name(s)appear on document
1. Complete Construction, LLC
2.
Additional names on page of document.
Grantee(s) Exactly as name(s)appear on document
1. City of Renton
2._
Additional names on page of document.
Legal description(abbreviated: i.e.lot,block,plat or section,township,range)
LOT 2 OF CITY OF RENTON SHORT PLAT NO LUA 96-149SHPL REC NO 9702259003 SAID SHORT PLAT DEFINED
LOT 1 OF CITY OF RENTON PLAT NO 426-79 REC NO 7912129004, PORTION OF SW 1/4 OF 20-23-05
Additional legal is on page of document.
Assessor's Property Tax Parcel/Account Number 0 Assessor Tax#not yet
assigned 202305-9157
The Auditor/Recorder will rely on the information provided on this form. The staff will not read the document
to verify the accuracy or completeness of the indexing information provided 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
Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way
Renton,WA 98057
BILL OF SALE Proj Name: Property Tax Parcel Number:
Heritage Hills 2023059157
Project File#: Street Intersection: Address:
B120440 1250 South Puget Drive
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page
Grantor(s): Grantee(s):
1. Complete Construction,LLC 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:
Type Length Size(Inches)
Water Main Ductile Iron 112 L.F.of e"
Water Main Ductile Iron 465 L.F.of to"
Water Main L.F.of
1 — Nii 4A e 1#11-1,6 Gate Valves 7 Each of a" - -
- /1/ GATS 011.11Gate Valves 2 Each of to.
Fire Hydrant Assemblies 4 Each of 5-1/4"
SANITARY SEWER SYSTEM:
Type Length Size(Inches)
Sewer Main LF of
Sewer Main L.F.of
Sewer MainI
L.F.of
Diameter of Manholes Each of
Diameter of Manholes Each of
Lift Stations Each of
STORM DRAINAGE SYSTEM:
Type Length Size(Inches)
Storm Main Ductile Iron 30 LF of e"
Storm Main L.F.of
Storm Facility • Each of
I Storm Inlet/Outlet Each of
Storm Catch Basin Type I t Each of
Manhole Each of -
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STREET IMPROYMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk 48 L.F.
Asphalt Pavement S.Y.of or L.F.of Width
STREET LIGHTING:
#of Poles
By this conveyance,Grantor will warrant and defend the sale hereby made unto the Grantee against all and every person or persons,
whomsoever,lawfull ung or to claim the same. This conveyance shall bind the heirs,executors,administrators and assigns forever.
IN WITNES HE•: OF,said Granter has caused this instrument to be executed this V day-ofj q ,201!
INDIVIDUAL 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 and
acknowledged it to be his/her/their 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
Nota Seal must be wi 'n box STATE OF WASHINGTON )ss
COUNTY OF KING )
I certify that I know or have satisfactory evidence that
g `:' et.)• )eiPf7 ���� signed this instrument,on
Sc 2 y oath stated that Ire he/they was/were authorized to execute the instrument and
y e acknowledged it as the'l- /Fe, Selr�cr,�t—/and td5
T a x of //G, �i!�r f/JA to be the free and
c a voluntary act of such party/parties for to uses and urposes mentioned in the
Z Y z instrument.
N J
,0,7,9/Y»,.L )
0.
N tary Public in and for the State of Washington
Notary(Print)/ten, ,2 Rimy)6/—
6
My appointment expires: -1/7//b
Dated: y'Y), ,/j
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•
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CORPORATE FORM OF ACKNOWLEDGMENT
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 instnnnent,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:
Da€ed:
H:\CED\Data\Fonns-Templates\Self-Help Handouts\Public Works\BILLSALE.doc