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HomeMy WebLinkAboutSouthport Lot 2_Bill of Sale & Cost Data (Phase 1 Utility Construction).pdfTYPE OF DOCUMENT: GRANTOR(S): GRANTEE: NAME OF PROJECT: ADDRESS OF PROJECT: PROJECT FILE NUMBERS: LEGAL DESCRIPTION: PERSONAL PROPERTY DESCRIPTION: Reference Number(s) of Documents assigned or released: Additional reference #’s on page _____ of document By By Its Its The Bristol at Southport, LLC 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 as described in Exhibit B of this document. City of Renton, a Municipal Corporation ABBREVIATED LEGAL DESCRIPTION: LOT 2 OF CITY OF RENTON LOT LINE ADJUSTMENT NO LUA 99-134-SHPL RECORDING NO 20000131900006 BEING PARCEL B OF CITY OF RENTON LOT LINE ADJUSTMENT NO LUA 98-176 LLA RECORDING NO 9902019014 BEING A PORTION OF GOV LOT 1 IN NW 1/4 OF SECTION 08-23-05 LY NLY & WLY OF BURLINGTON NORTHERN RAILROAD CO R/W AND PORTION OF LAKE WASHINGTON SHORELANDS IN SW 1/4 OF SECTION 05-23-05 ASSESSOR TAX PARCEL I.D. NUMBERS: 0823059076 Southport Phase 1 Utility Construction 1083 Lake Washington Blvd N, Renton, WA 98056 U000479, PLR-2880 See Attached Exhibit A of this Document Return Address: City Clerk’s Office City of Renton 1055 South Grady Way Renton, WA 98057 BILL OF SALE Please make no mark in the margin space - Reserved for County Auditor's Use Only Bill of Sale See Attached Exhibit B of this Document 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. IN WITNESS WHEREOF, said Grantor(s) has caused this instrument to be executed this ________ day of _______________________ 20 _____ . Page 1 of 4 INDIVIDUAL FORM OF ACKNOWLEDGEMENT 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 and acknowledged it to be his/her/their free and volumtary act for the uses and purposes mentioned in this instrument. Notary Public in and for the State of Washington Notary (Print): ___________________________________________________ My appointment expires: __________________________________________ Dated: _________________________________________________________ REPRESENTATIVE FORM OF ACKNOWLEDGEMENT 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 acknowledge it as the ______________________________ and __________________________ of _______________________ to be 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 ACKNOWLEDGEMENT 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 therin 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: _________________________________________________________ BILL OF SALE Project File Number: U000479, PLR-2880 Page 2 of 4 LOT 2 OF CITY OF RENTON LOT LINE ADJUSTMENT NO LUA 99-134-SHPL RECORDING NO 20000131900006 BEING PARCEL B OF CITY OF RENTON LOT LINE ADJUSTMENT NO LUA 98-176 LLA RECORDING NO 9902019014 BEING A PORTION OF GOV LOT 1 IN NW 1/4 OF SECTION 08-23-05 LY NLY & WLY OF BURLINGTON NORTHERN RAILROAD CO R/W AND PORTION OF LAKE WASHINGTON SHORELANDS IN SW 1/4 OF SECTION 05-23-05 BILL OF SALE EXHIBIT A Legal Description Project File Number: U000479, PLR-2880 Page 3 of 4 WTR - 2880 WWP - 2880 SWP - N/A TRO - N/A TED - N/A PROJECT NAME: CONSTRUCTION PERMIT NO. PROJECT FILE NUMBER: WATER SYSTEM IMPROVEMENTS QTY UNIT SIZE TYPE TOTAL COST 76 L.F.6"DI Water Main Pipe and Fittings 4,256.00$ 1238 EA.12"DI Water Main Pipe and Fittings 99,040.00$ 5 EA.6"Gate Valve Assembly 3,500.00$ 8 EA.12"Gate Valve Assembly 9,600.00$ 5 EA.6"Fire Hydrant Assembly 20,000.00$ 1 EA.6"Large Water Meter Assembly 10,000.00$ Subtotal 146,396.00$ Sales Tax 14,639.60$ Grand Total Water System Improvements 161,035.60$ SANITARY SEWER SYSTEM IMPROVEMENTS QTY UNIT SIZE TYPE TOTAL COST 359 L.F.10"C900/DI Sewer Main 64,620.00$ 4 EA.48"Diameter Manhole 24,000.00$ 1 EA.54"Diameter Manhole 6,500.00$ Subtotal 95,120.00$ Sales Tax 9,512.00$ Grand Total Sanitary Sewer System Improvements 104,632.00$ Per the request of the City of Renton the following information is furnished concerning final costs for improvements installed and turned over to the City for the referenced project. ITEM DESCRIPTION (City Staff Use Only) EXHIBIT "B" Contributary Assets City Project Numbers: 000479 0 Return Address: City Clerk’s Office City of Renton 1055 South Grady Way Renton, WA 98057 Southport Phase 1 Utility Construction Page 4 of 4