HomeMy WebLinkAboutBOS 20170519000783 •
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Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way
Renton, WA 98057
20170519000783
CITY OF RENTON BS 75.00
PAGE-001 OF 003
05/19/2017 12:58
KING COUNTY, WA
BILL OF SALE Proj Name: Property Tax Parcel Number:
Dutch Bros Coffee ►q 23o5`i 10�{
Project File#: Street Intersection: Address:
�6003440 Hardie/Rainier Ave. S 735 Hardie Way
Reference Number(s)of Documents assigned or released:Additional reference numbers are on page
Grantor(s): Grantee(s):
1. BB Holdings Wa, 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 LF of
Sewer Main L.F.of
Sewer Main L.F.of
Diameter of Manholes Each of
Diameter of Manholes Each of
Lift Stations Each of
STORM DRAINAGE SYSTEM:
Type Length Size(Inches)
Storm Main LF of
Storm Main L.F.of
Storm Facility Each of
Storm In1eU0utlet Each of
Storm Catch Basin Each of
Manhole Each of
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STREET IMPROVMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk L.F.
Asphalt Pavement S.Y.of or L.F.of Width
STREET LIGHTING:
L #of Poles
By this comeyance,Grantor will warrant and defend die sale hereby inade unto the Grantee against all and every person or persons.
whomsoever,lawfully clafming or to claim the same- This conveyance shall bind the heirs,executors,administrators and assigns forever.
IN WITNESS WHEREOF,said Grantor has caused this instrument to be executed this 3 day of APn� ,20��.
. � ',�„'�_�� -
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/NDN/DUAL FORMOFACKNOWLEDGMENT
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/hedtheir free and voluntary act for the uses and purposes
mentioned in the instrument
Notary Public in and for the State of Washington
Notary(Print)
My appointment expires:
Dated:
REPRESENTATNE FORM OFACKNOWLEDGMENT
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/pazties for the uses and purposes mentioned in the
instrument.
Notary Public in and for the State of Washington
Notary(Print)
My appointment expires:
Dated:
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CORPORATE FORM OFACKNOWLEDGMENT1�
Notary al i in box STATE OF Vlt'A�H�`dPY'(�TQ )ss�o� `��� +�E
COUNTY O�I�i�� )_ �
� On this 3� day of a���� ,20�� ,before me personally appeared
��:c.1\ y�� c���r' P �� to me known
� to be C��`��� aecc,.�:��� C� f i�P(` ofthe corporation that
��� executed the within instr ment,an 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
� �� instrument and that the seal affixed is the corporate seal of said corporation.
�� '11--1 � ���� ��'l. � ,'\,�l'1�-�1
�j� Notary Public in and for the State of Washingto�
���� Notary(Print) �c����� ��� �-�e � � '; �'1 C
My appointment expires: �, �5•�c ��
� Dated: �/- �-/
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