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CITY OF RENTON BS 74.00
PAGE-001 OF 002
03/15/2016 09:30
KING COUNTY, WA
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Tac�s Time-F�entean Highlands 1;323Q�9132
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RIB140Q5664 NE 4th Street�nd lJninn Ave NE 4114 NE�th Street.Rensan.WA�BC53
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STREET IMPROVMENTS: (Including Curb,Gutter, Sidewalk,Asphalt Pavement)
Curb. Gutter,Sidewalk N�n L.F.
Asphalt Pavement N�A S.Y.of�or L.F.of Width
STREET LICHTING:
#of Poles
1�� thi,cim�r�ai�cr.t�r�int�u��il)�iarrant and det�n.l ihe,.ilr h�rch� ntadr untn the(�ranlcr ae:un,t ali an.1 c�en �,cn�,n ur rersnn:..
��h��m�or��r.I����Ildh ci:umin���u to rlauii the��me I hi�cumr�anrr shall hin�1 lhc hcirs.e�erutur,_admin»Uator,ancl ussienti ti�re�er
IN WITNESS W REOF,said Gran r has caused this instrument to be executed this+b day of few...f ,20�6.
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l.'1D/1'7DL%.aL FORA10F.4Cti.1'014ZF.UGA/E_\'T
Notary Seal vithin box STATE OF WASHINGTON )SS
�.��``����7�i�,�h� COUNTY OF k1NG )
.?� Q ��i/ ��1� I certifi�that 1 know or have satisfactor} e�idence that
`�� ���.aaq�llp� J \ --7--
� �bs��������i ,��i �V�h.1� IG� 1���� signed this instrument and
;`„(�_� O 1��`y � acknowledged it to b hi her/their free and voluntary act f'or the uses and purposes
� �v r. . - Z % mentioned in the instrument
� '�l/�v�` � "
: �''� s. '�� �_� � �1,�-�,.,� l�s l.��4_A=� � ,�
l4���I��p wpS����' Notary (P bn1t)�ix��}n �te(� f(h�--�tA 1�-7�
����h�e1����``""� My appointment expires: rY.-d�- 2�J� ' �
__.. - ._
Dated: Z//�;-,/�s�//�.
i , —
REPR6SE.ti'T-1 T/l'E FOR.1t OF.4C/+\'OH ZEDG�11F.:�'T
Notary Seal must be within box STA'I E OF WASHINGTON �ss
COUNTY OF kING )
I certifi�that 1 kno�ti or have satisf'actory evidence tl�at
signed this instrument.on
oatli stated that he/she/they �sashvere authorized to execute the instrument and
acknowledged it as the and
of to be the fi•ee 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:
H 10ED\Data\Forms-TemplateslSelf-Help Handouts\Public Works\BILLSALE.doc