HomeMy WebLinkAboutBOS 20040729000537 I s., .
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01111111111110 011110 III
Return Address: 209T?90ø374005
City Clerk's Office CITY 20.00
City of Renton PAGE002
07/29/2004 08:54
1055 South Grady Way KING COUNTY, WA
Renton,WA 98055
3-Ptccuss 20" ST. PLR'
BILL OF SALE Property Tax Parcel Number. 3 34-3 TO `eafid
Project File#: Street Intersection; NE t'
` S . Address: 2,7_34 m e 2A. .,1-.
12s-rut/ 36'92- CPsMRS HUE NE.
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page .
Grantor(s): Grantee(s):
1. „Sty%ES H. S ikacaV E s • 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
45(9 L.F.of —`r "
� D.I. Water Main
L.F.of Water Main
L.F.of " Water Main
2- each of au " Gate Valves
each of " Gate Valves
Z each of Fire Hydrant Assemblies
SANITARY SEWER SYSTEM: Length Size Type
S3? L.F.of $" " pN C. Sewer Main
L.F.of Sewer Main
L.F.of >9 Sewer Main
1__ each of t(�'�" Diameter Manholes
2 each of 54." " Diameter Manholes
each of " Diameter Manholes
STORM DRAINAGE SYSTEM: Len Size Type
1062 L.F.of 12" " CCPEP Storm Line
L.F.of Storm Line
L.F.of " Storm Line
1 each of Z't- _ " Ilea 1 Storm Inlet/Outlet
3 each of ..411 " -rife. 1 Storm Catch Basin
2. each of 4.(6e " tjp la 2. Manhole Cot.1%31A
STREET IMPROVEMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk S(.8 L.F.
Asphalt Pavement: n 1 t l SY or L.F.of Width
STREET LIGHTING:
#of Poles 3 a.Po*-00 76 Q
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\FRTvt\84HNDOUIIBILLSALE.DOC\MAB Page 1
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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
_®�m®mmemem•°jtA COUNTY OF KING )
°B°' I certify that I know or h Ire satisfactory evidence that
••o FEFtJ. F °„
°.••°��\'oMM �92J,'.m signed this instrument and
a• O T A f.?)... r' acknowledged it to be his/her/their free and voluntary act for the uses and purposes
® mentioned in the instrument
>k : •®
41111116 4g, /,
�oo"9j' V 13,2-,'")..".6\•°° No . " blic in ar 4 jf�or the 'rte o •him_ •
oF •WAS No • ' /' •.0 -e 1 n I �V '/,II_
�0®®ae•umsemsE®o My appointment expires: 7 -1 —aW 1
Dated: C 0
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
acknowledged it as the and
of to be the 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 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:
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