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Return Address:
City Clerk's Office
City of Renton
South Grady
Renton,WA 98057Way 20131107000149
CITY OF RENTON BS—RER 73.00
PAGE-001 OF 002
11/07/2013 09:27
KING COUNTY, WA
BILL OF SALE Proj Name:NW tiviotio liteu,MO Property Tax Parcel Number: 801110 Otto
Project File#: vikAQ_ — sgsei Street Intersection:i0Y:sr. . 4�Address: 341.E ge .3...,„
V074Reference Number(s)of Documents assigned or released:Additional reference numbers are on page .
Grantor(s): Grantee(s):
1. 41-1U0 hi 6 Pki AM 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: Length Size Type
L.F.of >5 Water Main
L.F.of 1> Water Main
L.F.of 17 Water Main •
1 each of " Gate Valves
each of " Gate Valves
each of Fire Hydrant Assemblies
SANITARY SEWER SYSTEM: Length Sizer, _Tv�e
5- 3C561 '13� L.F.of f,3 " WC. Sewer Main
L.F.of " Sewer Main
L.F.of I> Sewer Main
each of ct " Diameter Manholes
3 each of 4t " Diameter Manholes
each of " Lift Stations
STORM DRAINAGE SYSTEM: Length Size Type
'/ L.F.of Storm Main
L.F.of Storm Main
L.F.of Storm Main
each of Storm Inlet/Outlet
each of Storm Catch Basin
each of Manhole
STREET IMPROVMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk //' L.F.
Asphalt Pavement: SY or L.F.of Width
STREET LIGHTING:
#of Poles /
By this conveyance,Grantor will warrantand 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 astns forever.
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IN WITNESS WHEREOF,said Grantor has caused this instrument to be execu -• thi• _).ay of ) O_,204_3,
INDIVIDUAL FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )ss
��/ �lAW,' COUNTY OF KING )
11Iill/
st s 1.4 '1, 44-1.^� I certify that I know or have satisfactory evidence that 7 h
\V ;e*�SS\vN°-i',o• Y \f\ signed this instrument and
��t.101:AR y ,%. acknowledged it to be his/her/their free and voluntary act for the uses and purposes
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:.1 •8:27;1 (� � +s Nota ublic . d for t e Stat- e Washington
Ofvei gars-0 ► Notary(Print) . V
My appointme t expires: t e )
Dated: / 1
REPRESENTATIVE 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:
CORPORATE FORM OF ACKNOWLEDGMENT
, 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
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:
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