HomeMy WebLinkAboutBOS 20160516000238 t �
, �
Return Address:
Citv Clerk's Office
Citv of Renton 201605�.600023g
1055 South Gradv Wav, #728
Renton, WA 98057 PAGE-001ROFT004BS �6.0e
05/16/2016 11:11
KING COUNTY, WA
Please print or type information WASHINGTON STATE RECORDER'S Cover Sheet (Rcw bs.o4>
DOCUrilerit Tltle(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) (Last name, first name,initials)
1. Albacore ACH. LLC .
2.
Additional names on page of document.
Grantee(s) (Last name first,then first name and initials)
1. Citv of Renton ,
2.
>
Additional names on page of document.
Legal deseription(abbreviaced: i.e. loc,block,plat or section,township,range)
LOT A OF KC LOT LN ADJ NO 681092
Additional legal is on page of document.
Assessor's Property Tax ParceUAccount Number Assessor Tax#not yet assigned
0323059021
The Auditor/Recorder will rely on the information provided on the form. The staff will not read the document to
verify the accuracy or completeness of the indexing information provided herein.
I am requesting an emergency nonstandard recording for an additional fee as provided in RCW
36.18.010. I understand that the recording processing requirements may cover up or otherwise
obscure some part of the text of the original document.
Signature of Requesting Party
Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way
Renton, WA 98057
BILL OF SALE I Proj Name: Property Tax Parcel�+iumber:
Concord Place AKA Maertins Ranch p323059021
Project File#: Street Intersection: Address:
U15-001308 NE 16th St. &Jericho PI. NE 1508 Ilwaco Ave NE
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page
Grantor(s): Grantee(s):
1. ALBACORE ACH, 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 L.F.of
Water Main L.F.of
Water Main L.F.of
Gate Valves Each of
Gate Valves Each of
Fire Hydrant Assemblies Each of
SANITARY SEWER SYSTEM:
Type Length Size(Inches)
Sewer Main P�/C 661 LF of $"
Sewer Main L.F.of
Sewer Main L.F.of
Diameter of Manholes rj Each of 48"
Diameter of Manholes Each of
Lift Stations Each of
STORM DRAINAGE SYSTEM:
Type Length Size(Inches)
Storm 1�1ain LCPE 794 LF oF 12"
Storm Main LCPE 189 L.F.of 18"
Stonn Facility DETENTION VAULT 1 Each of 30'x196'
Stonn[nlet/Outlet STORMFILTER 1 Each of 72"
Storm Catch Basin TYPE I/IL 13 Each of 24"
Manhole TYPE �� $ Eachof 4$"
H:\CED�Data�Forms-Templates\Self-Help Handouts�Public Works�BILLSALE.doc
STREET IMPRO�'bIE1�TTS: (Including Curb,Gutter,Sidewalk,Asphalt Pa�-ement}
Curb,Gutter,Sidewalk 1.835 L.F.
Asphalt Pavement 2,498 S.Y.of or L.F.of H��d�
STREET LIGHTING:
15 #of Poles
By this conveyance,Grantor will warrant and defend the sale hereby made unto the Grantee ageinst all and every perstru or p�,ysons,
whomsoever,lawfulty clam�ing or to claim the same. This conve}ance shali bind the heirs,executors,adminishators and assigns forever.
IN WTTNES' said Grantor has caused this instrument to be executed this$THday of M,4RCH,2016.
l�J
J, _
INDIVID(AL FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )SS
COUNTY OF KiNG )
1 certify that I kraw or hace satisfactory evidence that
si�ed this instrument and
ackraw•]edgcd it to be his-her;their free and�roluntary act for the uses and purposes
mentionac!in the instiument
Notary Public in and for the State of Washington
Notary(Print)
My appointment expires:
Dated:
REPRESENTATIVE FORM OF ACXNOWLEDGMENT
Notary Seal must be w•ithin box ST.�TE OF WASHINGTON )SS
COI3NTY OF KING )
I ccrtify that I know or have satisfactory evidence that
signed this instrument,on
oath stated that he/shelihey waswere authorized to execute the instrument and
acknowledged it as the and
of to be the frce and
voluntary act of such paztylpaities for the uses and purposes mentioned in the
iastrument.
Notary Public in and for the State of Washingtan
Notary(Print)
My appointrnent expires:
Dated:
H:1C'ED1Data�Forms-Tanpletes\Self-HelpHandou��Public WorkslBILLSALE.doc
, ' .
CORPORATE FORM OFACKNONZEDGMFNT
Notary Seal must be within box STATE OF V4"ASHINGTON )SS
COUNTY OF KING
_```������P�1���,1, On this 8TH �� of March .�0�6 ,before me personally appeared
Michael Gladstein
`5��, ah��tip�y y ��/ to be a M8n8,ef -- _to me known
/
�� �qy��i /j q nf the corporation that
� _6Y� ����y'� � executed the within instrument,and acknowledge the said instrument to be the free
i� i�" �' p; /, and voluntary act and dced of said corporation,for the uses and puiposes therein
• ' " � � m�tioned,and each on oath stated that heJshe w as authorized to execute said
� � �����+ =O � instrument and that the seal a�xed is the corporate seal of said corporation.
�[� �
�� 8 08-'�6J '� Q���—
,, I��OF wAg����' + N otary P u blic in and far the State of Washington
y�h1�\a\����*�`' NoY�y(P�t) �Y���.�� �o� l�Lln c��C
My appointment expires: �/�j//(o
oatea: �/.R//(.� '
H:10EDiDatalForms-TemplauslSelf-Help HendoutslPublic R'oilcslBILLSALE.doc