HomeMy WebLinkAboutBOS 20160908000508 Return Address: _, . , � �
City Clerk's Office
City of Renton
1055 South Grady Way
Renton,WA 9go5� 20�fi09m8000508
CITY OF RENTON BS 74.00
PAGE-001 OF 002
KING8COUNTYSIWA7
BILL OF SALE Proj Name: Property Taa Parcel Number:
Highland Oasis 7227801625
Project File#: StreetIntersection: Address:
LUA14-000335 1419 Jefferson Ave NE
Reference Number(s)of Documents assigned or released:Addirional reference numbers are on page
Grantor(s): Grantee(s):
1. Jennifer Zhou 1. City of Renton,a Municipal Corporation
2.
The Grantor,as named above,for,and in consideration of mutual benefits,hereby grants,bazgains,sells and delivers to the
Grantee,as named above,the following described personal property:
WATER SYSTEM:
Type Length Size(Inches)
Water Main NA NA L.F.of NA
Water Main NA NA L.F.of NA
Water Main Na NA L.F.of Na
Gate Valves NA Each of NA
Gate Valves NA Each of NA
Fire Hydrant Assemblies NA Each of NA
SANITARY SEWER SYSTEM:
Type Length Size(Inches)
Sewer Main NA NA LF of NA
Sewer Main NA NA L.F.of NA
Sewer Main �+ NA L.F.of �+
Diameter of Manholes NA Each of NA
Diameter of Manholes NA Each of NA
Lift Stations NA Each of NA
STORM DRAINAGE SYSTEM:
Type Length Size(Inches)
Storm Main NA NA LF of �
Storm Main NA HA L.F.of Na
Storm Facility NA NA Each of NA
Storm InlebOutlet NA NA Each of NA
Storm Catch Basin NA NA Each of NA
Manhole NA NA Each of �
H:\CED�Data�Forms-Templates\Self-Help Handouts�Public Works�BILLSALE.doc
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STREET IMPROViYIENTS: {Inciuding Curb,Gutter,Sidewaik,Asphalt Pavement) �
Curb,Gutter,Sidewalk as L.P.
Asphalt Pavernent 60o S.Y.of or L.F.of Width
STREET LICHTING:
� #of Foles
E3y this r<n»cvance.<iramor wili warranT and defend the snie herchv madc unto the Grantec ugainst aIl and every persun or per�uns,
wl�omsuc��er,law fulty cla�min�or to ciaim the�ame. Tiu,ronveyance shall bind tize hcirs,ex�cutar,,admini;trati�rs�nd as,ien.torev�r.
IN WITNESS�THEREC}�',said Grantor has caused this insinunent to be executed this,�,�day of��.t�,,20 t.�
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f-� ,/'� �.✓��17i�1�1� � C���
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/A'D/V/D(.�AL FORhf OF.�CKNOWZb'DGMF,NT
Notary Seal must be within box STATE pF WASHINGTON )�S
COIJI�ITY OF KING }
I certify that 1 knaw or have satisfactary evidence that
BRITT`NEY K.Q.HtlL56EF � signed this instrument and
STATE OF YYASFiINGTON a� owledged it to be his/herltheir free and voluntary act for the uses and purposes
N#'�TARY PUBI�IC �'e 'oned in the insmiment
MY CUMMI$SIt3N EXPtF2f'� �. _�
f2-11-i9 No ublic in and far t�rc�?C:a�of Washington
",��r�,(Print) /k
My appoi ent expires: yq U
Dated: �'���ll�L . . '
RF_'PRE.SF:!"T�ITI!'F_F'�R,4lOF,4CK�t"IINI.F_DG.�ftC'.'�'T �
Notary Seal must be within box STATE OF WAS�IINGTON )s�
CQUNTY OF KING )
I eertify that 1 know ar have satisfactory evidence thai
signed Wis instrument,on
oath stated that helshelthey wastwere auThorized ta execute the instrument and
acknowledged it as the ��
Qf 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:
H:iCEDiClataiForms-Templatesl5elf-Heip HandoutslPctblic Worksll3ILLSALE.doc