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Home My WebLink AboutBOS 20001017000403—� t ..:.,�.:..-,,.�. , � ', , , ' � . �� ., • _ ( ' • Return Address: ' City Clerk's Office - 1 i City of Renton 1055 South Grady Way Renton,WA 98055 20001017000403 CITY OF RENTON BS 10.00 PAGE 001 OF 003 � KINC COUNTY, WA BILL OF SALE Property Tax Parcel Number: �4,�� ' � Pro�ect File#: treet I rs c'on: Address: � � O t b GJ Z7 � �� D � f�I SV� Z��` �T- , Reference Number(s)of Documents assigned or released:Additional reference numbers are on page Grantor(s): Grantee(s): , L �lL�JlS ��i–`�C 7�D� 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: �,.y_ WATER SYSTEM: Len h Size Type r� �� t L.F.of �_" ��l ��Z WaterMain �° ' L.F.of " Water Main �' L.F.of " Water Main I o. �- each of r�" Gate Valves �"` � each of �_ Gate Valves � each of Fire Hydrant Assemblies � � SANITARY SEWER SYSTEM: Len h Size Type ' L.F.of " Sewer Main � L.F.of " Sewer Main � ca L.F.of " Sewer Main � each of " Diameter Manholes each of " Diameter Manholes each of " Diameter Manholes STORM DRAINAGE SYSTEM: Len h Size Type � L.F.of �� , j�� Storm Line L.F.of Storm Line L.F.of " Storm Line each of " Storm Inlet/Outlet _�_ each of " � Storm Catch Basin each of " Manhole � STREET IMPROVEMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement) Curb,Gutter,Sidewalk�_L.F. Asphalt Pavement: SY or L.F.of Width STREET LIGHTING: #of Poles 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 daiming or to daim the same. This conveyance shall bind the heirs,executors, ' administrators and assigns forever. ,�(�j—�Qg3A�'� H:�FILE.SYS�FRIv1\84I-I�iDOUT�BILLSALE.DOCVviAB Page 1 . ,;. � ,, ' , , . , - . .. . • 1 � • Form 84 0001/bh - IN WITNESS WHEREOF,I have hereunto set my hand and seal the day and year as written below. I INDIVIDUAL FORM OFACKNOWLEDGMENT I Notary Seal must be within box STATE OF WASHINGTON )SS I q��o,e� COUNTY OF KING ) p_y (�. P E1��' I certify that I know or have satisfactory evidence that ,��.�il S � � '�' 'SS�G�'Ca-,,�•,p�� C�1��,(7.`�L�vl signed this instrument and � V:�� r •,� l �� .,�1_��, ��,. �� ackr�dged it to be his/her/their free and voluntary act for the uses and purposes / ;O �`` �, tn. / men tione d in t e ins t r umen t % ;U �._.... � � i /� , � :C� _' � ' F�.'..' 2 0 �� `� � � p�e'�'1�„�'•'2e�;°;�C�� Nota lic in and or the�State of Wa ington �;��,��,F;�,��'��` Notary(Print) - �� SfJ� � L"' � My appointrr�e t expires: - /r� --?� '� ' Dated: � f - REPRESENTATIVE FORM OFACKNOWLEDCMENT Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) c+x_ 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 e�. 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. � ' c� `� Notary Public in and for the State of Washington � � Notary(Print) � My appointment expires: `~` Dated: CORPORATE FORM OF ACKNOWLEDCMENT 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 I 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: Page 2 �. . . •� ' �� . Y . w . • � - l ' . . � �� • � , . ' PROJECT'CL:OSING ' N4 Finai Cost Data FINAL COST DATA AND INVENTORY and Inventory ' SiJBJECT: �-1 I O I(op CITY PROJECI'NUMBERS: W'iR- Z�I R o � WWP- G�v�-Zat�l /�.cLtta ��'�►(� swr- Name of project . . TRO- � � TED- TO: City of Renton , 'FfcOM: �LV�S 6�L�E 7.�'� • Plan Review Section Planning/Building/Public Works I 200 Mill Avenue South I Renton,WA 98055 DATE: Ty��s-t- /1. �,C�J Per the request of the City of Renton,the following information is furnished concerning final costs for improvements ' instailed for the above referenced project. . •� WA'fER SYSTEM CONSTRUCI'fUN COSTS: Length Sizc Type `�� L.F.of �_ "�l GL Z WATERMAIN L.F.of " WATERMAIN L.F.of " WA'fERMAIN L.F.of " WAT'ERMAIN �_ EACH of � " GATE VALVES _�_ EACH of __�___ " GATE VALVFS EACH of GATE VALVES �y - � EACHof � " .t� FIREHYDRANTASSEMBLIES a l,�S� � (Cost of�re Hydrants must be listed separately) S .C�ZC'� .�: (Include Engineering and Salu Tax if applicable S C�J d�> �.7' TOTAL COST FOR WATERSYSTEM S 'L$�-'�D � SANiTARY SEWER SYSTEM: STORM DRAINAGE SYSTEM: a � L.ength Size Type n th �ze Type L.F.of " SEwER MAIN L.F.of � " I'��?E STORM LINE � L.F.of " SEwER MAIN L.F.of " STORM LINE � L.F.of " SEWER MAIN . L.F.of " STORM LINE � EA of " DIAMECER MANHOLFs � EA of " STORM INI.EI70Vt[.El' p EA of " DIAMETTER MANHOLES _�_ EA of M �_ STORM CATCEIDASIN O (Induding Enginccring and Salu Tax EA of STORM CATCFIDASIN �' if applicablc) S (Including Engineering and Salu Tax �``+ TOl'AI.COST FOR SANITARY SEIYER SYSTEM S if applicable) S �� TOTALCOSTFORSTORM DRAINAGESYSTEM $ ,� STREET IMPRO MENTS: (Induding Curb,Gutter,Sidewalk,Asphalt Pavement and Street Lighting) N� . SIGNALIZATTON: (Including Eng.Design Costs,City Pecmit Fees,WA St Sales Tax) N/� STREET'LIGHTING: (Including Eng.Design Costs,City Permit Fees,WA St Sales Tax) N/� � - CLv�.S ��JEz�o�1 C2p� 37 -o7�D Print signatory name day ph, e k � (SIGNATURE) [ornu/COSTDAT2.DOCJbh (Si arory must be authorized agent , or owncr of subjcct dcvclopmcnt) .