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Home My WebLink AboutBOS20221019000127 Instrument Number: 20221019000127 Document:BS Rec: $207.50 Page-1 of 5 Record Date:10/19/2022 7:56 AM Electronically Recorded King County,WA z Return Address: City Clerk's Office City of Renton 1055 South Grady Way Renton,WA 98057 � �II.L K5�SA�� F"}�a.s��r��aczk�c�o rx-rc�rlc in��he ra�lcrr€�Pn s�aace �ieserw��.for CnursC,y�9t.re�iCc+r's�dJse CJn1y TYPE OF DOCUMENT: Bill of Sale GRANTOR(S): Teresa Mitchell � GRANTEEa City of Renton,a Municipal Corporation Lot 98,C.D.Hillmans Lake Washington Garden of Eden Addition to Seattle No.2,Less West 250 Feet,Thereof,According to the Plat Thereof Recorded ABBREVIATED LEGAL in Volume 11 of Plats,Page 64,Records of King Couniy,Washington. DESCRIPTION: Situated in the County of King,State of Washington. ASSESSCIR TAX PARCEL I.D. NUMBERS: 3342700480 NAME OF PROJECT: Mitchell Short Plat ADDRESS OF PROJECT: 3625 S Meadow Avenue N PROJECT FILE NUMBERS: LUA20-000044,C417101, PLR-4171 LEGAL DESCRIPTION: See Attached Exhibit A of this Document PERSONAL PROPERTY DESCRIPTION: See Attached Exhibit B of this Document Reference Number(s)of Documents assigned or released: Additional reference#'s on page of document 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. 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. � x said�ar�rotc�r s}has caused this instrument to be executed this day of IN'a'�MT�E551J4�HEREOF, �� " " "� W--M—'�� f3yr t �� '�� BY Its +""�. �� „ �� Its Fage 1 of 5 Instrument Number: 20221019000127 Document:BS Rec: �207.50 Page-2 of 5 Record Date:10/19/2022 7:56 AM King County,WA BILL OF SALE Project File Numher:LUA20-000044,C417101,PLR-4171 � ; INDIVIDUAL FORM OFACKNOWLEDGEMENT Notary Seal must be within box STATE OFaA�,45�BM N Gv a�o�ct )SS COUNTYOF#i�8 CIAY{� ) 9 c�riCi"�thak I 6�naraw ar h�rr�:sakisf�c��ry evidence that � �. �� signed this instrument and acknowledged it to be his/her/their free and volumtary att for the uses and purposes �fiPra�t�d in this instrument. �x �4. �' �,.�usric�z�.�oHr� � . �,,,.�- ��. ��' pPPornpmetnt Noar��2Gda-f�� +Pt��s9�c in and#cac State of Wfeshirrsperr N"'�°��,, t� "`�.�s�� Pd'Y APPt.Expira�s Nvar 98,�S� PY�Pflnt�:__..��a�� _..�.::�� ppc��u�rr��rrt expNwr�s,r_ , V ..�..�. �. � . .��...�_ Dated: 0 " ,� ��.,M....w,..m.�.m.._�.�.___�. REPRESENTATIVE FORM OF ACKNOWLEDGEMENT Notary Seal must be within box STATE OF WASHINGTON )55 COUNTY OF KING ) ,� I certify that I know ar have satisfactory evidence that�, �.w_,.,.��,��W�,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 OFACKNOWLEDGEMENT Notary Seal must be within box STATE OF WASHINGTON �55 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:.__�..__.__.__....___..�.....,�._,_ m..�__..._�.�y..,. Dated: ��gyt's Instrument Number: 20221019000127 Document:BS Rec: �207.50 Page-3 of 5 Record Date:10/19/2022 7:56 AM King County,WA BILL OF SALE Project File Number:LUA20-000044,C417101,PLR-4171 EXHBBIT A Legal Description Lot 98,C.D.Hillmans Lake Washington Garden of Eden Addition to Seattle No.2,Less West 250 Feet,Thereof, According to the Pfat Thereof Recorded in Volume 11 of Plats,Page 64,Records of King County,Washington.Situated in the County of King,State of Washington. Page 3 of 5 Instrument Number: 20221019000127 Document:BS Rec: �207.50 Page-4 of 5 Record Date:10/19/2022 7:56 AM King County,WA ��3��Staff Us��nIY) City Project Numbers: ' Return Address: � WTR-4171 �� ; ��, �� ' City Clerk's Office � wwP- 4171 ��.�..w �� 'j City of Renton SwP- 4171 1055 South Grady Way � TRO- N/A � Renton,WA 98057 TED- qi71�� EXHIBIT"B" Contributary Assets PROJECT NAME: Mitchell Short Plat ..�.. .��.. _ ,.� CONSTRUCTION PERMIT NO. 417101 � _ �_.�..__.�„�.. PROJECT FILE NUMBER: 20-000044 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. 93�AD\A4AY,S�ftEET LB�IiT�S�NC�Si�a4VALS �E5C�IF�T'iOR! QTY UNIT 7°�T"A,L��ST Asphalt Concrete Pavement 64 S.Y. $ 2,064.00 �. � �..�.�.�,��..�. �..�... �_�.� ._�.�._�.. Subtotal $ 2,064.00 Sales Tax $ 208.46 Grand Total Roadway,Street Lights and Signals $ 2,272.46 ST�@��+IiPVATE�SYSTE0�1 91+JI�ROVENIEIVT� QT°Y UNIT SIZE `fYPE �ESC�IPTICI� T�T�L CC)57' Subtotal $ Sales Tax $ - Grand Total Stormwater System Improvements $ - �TOR�ld1VU�iTE�FA��LI71ES Q7`Y UNIT ITEM TOTAL COST Subtotal $ Sales Tax $ - Grand Total Stormwater Facilities $ � Pa�e 4 of 5 Instrument Number: 20221019000127 Document:BS Rec: �207.50 Page-5 of 5 Record Date:10/19/2022 7:56 AM King County,WA EXHIBIT"B" Contributary Assets PROJECT NAME: Mitchell Short Plat ; ._._....._. .�,..�..��..�.�.�. ._.�.� CONSTRUCTION PERMIT NO. 417101 i PROJECT FILE NUMBER: 20-000044 �� i � W�#1'E�SYS�`�iVl IIl�BPR�VElVBENTS '; �TY tJIUIT' SiZE TY�E ITERA 7'OT�L Cf?�ST i 21 L.F. 6"° DI Water Main Pipe and Fittings $ 1,365.00 1 EA. 6"" Gate Valve Assembly $ 1,350.00 ' 1 EA. 6" Fire Hydrant Assembly $ 5,000.00 _. ��.�„� i �� Subtotal $ 7,715.00 Sales Tax $ 779.22 Grand Total Water System Improvements $ 8,494.22 S�6�ITA�V'SEUI/EFt SY5TE�1/I lii/OPR�tlEhdiEN7S Q`T1' UIVIT SIZE T�lPE �E�CRIPT'IC?�I 7'�TAL��ST � LS Lift Station $ ��.� �� .. Subtotal $ -� Sales Tax $ - Grand Total Sanitary Sewer System Improvements $ - !'ag�S of 5