HomeMy WebLinkAboutBOS 20170519000760 Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way
Renton, WA 98057
201705190007fi0
CITY OF RENTON B5 75.00
PAGE-001 OF 003
KING9COUNTY12WA7
B�LL OF SALE Proj l�Tame: Properly Tax PEreet Number:
C�d�2 tv�� 5;�a r�� 2323U5'92la
Project File#:YL{L-3 $ Street Intersection: Address: '�o�jN 4+�ps-�
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Reference Number(s)of Documents assigned or released:Additional reference numbers are on page
Grantor(s): Grantee(s):
1. C�DA2 21✓�R- sr��`a"� �'�' 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
Grautee,as named above,the following described personai 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 LF of
SeWel'T/I�tn l,.P.�1
Sewer Main L.F.of
Diameter of Manholes Each of
Diameter of Manholes Each of
Lift Stations Each of
STQRM DRAINAGE SYSTEM:
Type Length Size(Inches)
Storm Main �Q.�� 5j3�. 3S' ($3" LF of ' �� _
Storm Main �y�i' $�Q.,�S ?!� L.F.of `'
Storm Facility —� Each of
Storm Inlet/Outiet Each of
Storm Catch Basin '�Q� S 3 Each of 31�'
Manhole Each of
H:\CED�Data�Forms-TemplateslSelf-Help Handouts�Public Works\BILLSALE.doc
STREET IMPROVMENTS: (Including Curb,Gutter, Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk lr�jt' L.F.
Asphalt Pavement S.Y.of or 3 y L.F.of ,rj"� W idth
STREET LIGHTING:
'� #of Poles
By this conveyance,Grantor will warrant and defend the sale hereby made unto lhe Grantee against all and every person or persons,
whomsoever,lawfully claiming or to claim the same. 7 his conveyance shall bind the heirs,executors,administrators and assigns forever.
IN WITNESS WHEREOF,said Crrantor has caused this instrument to be executed this_day of ,20_
,.�.-�--�•...:..�"—,--..
/.NDIV/DUAL FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )SS
`\`�����\\\\11����i COIJNTY OF KING ) / / fj�
_`��`P�.(;/��j�l��/ I certify�h�t I kno have satisfactory evidence that L l//�_
�� `���..������pq �1/� �// �/��Z-� � {� ,��
��`SS��N F,+.A���� �� si tRis instrument and
w aoi,'1�?pTA��, �.�; � acknowledg o be his/her fr?free and volunta ct for the uses and purposes
� �v rn� � mentioned in the instru �....
.. . ..
: : Z % � �
% N��,// Avs�\` _ Q + . �.._,_. ,, �_�..--)
���9j��''a���29��Re;�C�: Notary Public in and for th -St of W h'ngton �.
���I���F WAS������� Notary(Print) l' � �I�
�►����������� My appoint t e pires: �i ;��' ,��-�/'
Dated: �� c�Ll�l�
REPRESENTAT/VE 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:
H:\CED�Data�F'orms-Templates\Self-Help Handouts�Public Works\BILLSALE.doc
, « �
CORPORATE FORM OFACKNOWLEDGMENT
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
inshument 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�F'orms-Templates\Self-Help Handouts\Public Works\BILLSALE.doc