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HomeMy WebLinkAboutBOS 20150720001117 F e Return Address: City Clerk's Office City of Renton 1055 South Grady Way Renton,WA 98057 111111111111111111111 201RENTON BS 50720001117 PAGE-001 OF 002 73.00 07/20/2015 15:24 KING COUNTY, WA • BILL OF SALE Proj Name: I�EL1ZoSE S t P. Property Tax Parcel Number: ZZ W S_ c{202. Project File#:V n©o i� .Z Street Intersection: resSBvaco�C D3 C� Reference Number(s)of Documents assigned or released:Additional reference numbers are on page Grantor(s): Grantee(s): 1.tsszf RoZENBLHT 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 L.F.of Water Main each of " Gate Valves each of " Gate Valves each of Fire Hydrant Assemblies SANITARY SEWER SYSTEM: Length Size Type L.F.of Sewer Main L.F.of Sewer Main L.F.of Sewer Main each of " Diameter Manholes each of " Diameter Manholes each of " Lift Stations STORM DRAINAGE SYSTEM: Length Size Type 31 L.F.of t2 " L.0 p E.. Storm Main L.F.of Storm Main each of " Storm Facility [ each of ! Storm Inlet/Outlet each of Storm Catch Basin each of Manhole STREET IMPROVMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement) Curb,Gutter,Sidewalk L.F. Asphalt Pavement: SY 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,lawfully claiming or to claim the same. This conveyance shall bind the heirs,executors,administrators and assigns forever. H:\CED\Data\Forms-Templates\Self-Help Handouts\Public Works\BILLSALE2.DOC • • IN WITNESS W EREOF,said Grantor has caused this instrument to be executed this today of '3vt ti1(1 20J5' 111001rhiliii'Mt la)ss; F INDIVIDUAL FORM OF ACKNOWLEDGMENT Notary Seal must, laipt¢'lx STATE OF WASHINGTON )SS R Ilt� COUNTY OF KING N. ��.���+�+++�p1.�Of.�// I certify that I know or have satisfactory evide ce that _�`��sot TA,p 0 / SS l c -Z-e-r\bkt signed this instrument and N% owledged' ; ;: his/rer/their free and voluntary act for the uses and purposes e ioned in t e ins me � 4, AOB�.�G ge, _ //f �pF wASN\� ��' Notary blic i .nd for the States ashington Iiili�`�ossS`� Notary (Print) -• z � •_ My appointment expires: 301 • Dated: Lo—I 0—� 5 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 ,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 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: H:\CED\Data\Forms-Templates\Self-Help Handouts\Public Works\BILLSALE2.DOC