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Home My WebLink AboutBill of Sale & Cost DataTYPE 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 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 _____ . 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 JK Monarch 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. Additional Project Owner City of Renton, a Municipal Corporation ABBREVIATED LEGAL DESCRIPTION: A PORTION OF THE S.E. 1/4 OF THE N.W. 1/4, OF SECTION 10, TOWNSHIP 23 NORTH, RANGE 5 EAST, WILLAMETTE MERIDIAN ASSESSOR TAX PARCEL I.D. NUMBERS: 102305-9106, 102305-9440 Chelan Creek Renton, WA LUALUA 08-067, UU15005174, PLR-3869 See Attached Exhibit A of this Document 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 Page 2 Project File Number: LUALUA 08-067, UU15005174, PLR-3869 BILL OF SALE EXHIBIT A Legal Description Project File Number: LUALUA 08-067, UU15005174, PLR-3869 WTR ‐3869 WWP ‐ 3869 SWP ‐ 3869 TRO ‐ N/A TED ‐ 3869 PROJECT NAME: CONSTRUCTION PERMIT NO. PROJECT FILE NUMBER: ROADWAY, STREET LIGHTS AND SIGNALS DESCRIPTION QTY UNIT TOTAL COST Curb and Gutter 1199 L.F. 17,685.25$ Sidewalk 868 S.Y. 34,286.00$ Asphalt Concrete Pavement 840 S.Y. 24,120.00$ Monument Case and Cover 1 EA. 250.00$ Traffic Signs - Complete System 0 L.S. -$ Number of Luminaires and Poles 0 EA. -$ Subtotal 76,341.25$ Sales Tax 7,252.42$ Grand Total Roadway, Street Lights and Signals 83,593.67$ STORMWATER SYSTEM IMPROVEMENTS QTY UNIT SIZE TYPE TOTAL COST 8 EA. 48" TYPE 1 Catch Basin 12,000.00$ 1 EA. 48" TYPE 2 Catch Basin 2,300.00$ Subtotal 14,300.00$ Sales Tax 1,358.50$ Grand Total Stormwater System Improvements 15,658.50$ STORMWATER FACILITIES QTY UNIT ITEM TOTAL COST 1 EA. Detention Pond 20,000.00$ 2 EA. StormFilter 22,880.00$ Subtotal 42,880.00$ Sales Tax 4,073.60$ 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. DESCRIPTION (City Staff Use Only) EXHIBIT "B" Contributary Assets City Project Numbers: Chelan Creek U15005174 LUA 08-067 Return Address: City Clerk’s Office City of Renton 1055 South Grady Way Renton, WA 98057 Page 1 of 2 PROJECT NAME: CONSTRUCTION PERMIT NO. PROJECT FILE NUMBER: EXHIBIT "B" Contributary Assets Chelan Creek U15005174 LUA 08-067 Grand Total Stormwater System Improvements 46,953.60$ WATER SYSTEM IMPROVEMENTS QTY UNIT SIZE TYPE TOTAL COST 993 L.F. 8" DI Water Main Pipe and Fittings 59,580.00$ 7 EA. 8" Gate Valve Assembly 5,600.00$ 2 EA. 6" Fire Hydrant Assembly 8,000.00$ 1 EA. Permanent Blow-Off Assembly 1,800.00$ Subtotal 74,980.00$ Sales Tax 7,123.10$ Grand Total Water System Improvements 82,103.10$ SANITARY SEWER SYSTEM IMPROVEMENTS QTY UNIT SIZE TYPE TOTAL COST 528 L.F. 8" DI Sewer Main 60,720.00$ 5 EA. 48" Diameter Manhole 30,000.00$ Subtotal 90,720.00$ Sales Tax 8,618.40$ Grand Total Sanitary Sewer System Improvements 99,338.40$ ITEM DESCRIPTION Page 2 of 2