HomeMy WebLinkAboutBill of Sale & Cost Data.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 documentBy ByIts ItsSee Attached Exhibit B of this DocumentBy 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 OfficeCity of Renton1055 South Grady Way
Renton, WA 98057BILL OF SALEPlease make no mark in the margin space - Reserved for County Auditor's Use OnlyBill of SaleSukhjinder MangatThe 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 OwnerCity of Renton, a Municipal CorporationABBREVIATED LEGALDESCRIPTION:HILLMANS LK WN GARDEN OF EDEN # 5 W 139 FT OF E 493 FTASSESSOR TAX PARCEL I.D. NUMBERS: 334450-0234Mangat Short Plat1415 N 24th Street
LUA20-000265, C21001474, PLR-4181See Attached Exhibit A of this DocumentPage 1 of 5
INDIVIDUAL FORM OF ACKNOWLEDGEMENTNotary Seal must be within boxSTATE OF WASHINGTON ) SSCOUNTY OF KING)I certify that I know or have satisfactory evidence that _____________________________________________________________ signed this instrument andacknowledged it to be his/her/their free and volumtary act for the uses and purposesmentioned in this instrument.Notary Public in and for the State of WashingtonNotary (Print): ___________________________________________________My appointment expires: __________________________________________Dated: _________________________________________________________REPRESENTATIVE FORM OF ACKNOWLEDGEMENTNotary Seal must be within boxSTATE OF WASHINGTON ) SSCOUNTY OF KING)I certify that I know or have satisfactory evidence that _____________________________________________________________ signed this instrument, onoath stated that he/she/they was/were authorized to execute the instrumentand acknowledge it as the ______________________________ and __________________________ of _______________________ to be free andvoluntary act of such party/parties for the uses and purposes mentioned in theinstrument.Notary Public in and for the State of WashingtonNotary (Print): ___________________________________________________My appointment expires: __________________________________________Dated: _________________________________________________________CORPORATE FORM OF ACKNOWLEDGEMENTNotary Seal must be within boxSTATE OF WASHINGTON ) SSCOUNTY OF KING)On this ____ day of ____________ , 20 _____ , before me personally appeared _______________________________________________ to me knownto be _____________________________________ of the corporation thatexecuted the within instrument, and acknowledge the said instrument to be the freeand 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 saidinstrument and that the seal affixed is the corporate seal of said corporation. Notary Public in and for the State of WashingtonNotary (Print): ___________________________________________________My appointment expires: __________________________________________Dated: _________________________________________________________BILL OF SALEProject File Number: LUA20-000265, C21001474, PLR-4181Page 2 of 5
HILLMANS LK WN GARDEN OF EDEN # 5 W 139 FT OF E 493 FTBILL OF SALEEXHIBIT ALegal DescriptionProject File Number: LUA20-000265, C21001474, PLR-4181Page 3 of 5
WTR - 4181WWP - 4181SWP - 4181TRO - N/ATED - 4181PROJECT NAME:CONSTRUCTION PERMIT NO.PROJECT FILE NUMBER:ROADWAY, STREET LIGHTS AND SIGNALSDESCRIPTIONQTYUNITTOTAL COSTCurb and Gutter 140 L.F. 1,750.00 $
Sidewalk 125 S.Y. 4,750.00$
Asphalt Concrete Pavement 412 S.Y. 11,536.00 $ Subtotal20,036.00$ Sales Tax2,063.71$ Grand Total Roadway, Street Lights and Signals22,099.71$ STORMWATER SYSTEM IMPROVEMENTSQTYUNITSIZETYPETOTAL COST120 L.F. 8" PVC Storm Drainage Pipe 1,800.00$
25 L.F. 8" DI Storm Drainage Pipe 2,100.00$
2 EA. 48" TYPE 1 Catch Basin 3,000.00$ Subtotal6,900.00$ Sales Tax710.70$ Grand Total Stormwater System Improvements7,610.70$ 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 AssetsCity Project Numbers: Mangat Short Plat21001474
20-000265Return Address:City Clerk’s OfficeCity of Renton1055 South Grady Way
Renton, WA 98057Page 4 of 5
PROJECT NAME:CONSTRUCTION PERMIT NO.PROJECT FILE NUMBER:EXHIBIT "B"Contributary AssetsMangat Short Plat21001474
20-000265STORMWATER FACILITIESSubtotal-$ Sales Tax-$ Grand Total Stormwater Facilities-$ WATER SYSTEM IMPROVEMENTSSubtotal-$ Sales Tax-$ Grand Total Water System Improvements-$ SANITARY SEWER SYSTEM IMPROVEMENTSQTYUNITSIZETYPETOTAL COSTSubtotal-$ Sales Tax-$ Grand Total Sanitary Sewer System Improvements-$ DESCRIPTIONPage 5 of 5