HomeMy WebLinkAboutBill of SaleTYPE 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
Tuscany Construction, LLC
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:
Lot 28, Plat of Puget Colony Homes, recording number 6390948; records of
King County, Washington
ASSESSOR TAX PARCEL I.D. NUMBERS: 692800-0280
NE 1st Sewer Extension
5002 NE 1st Street
LUA, C19001872, PLR-4061
See Attached Exhibit A of this Document
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
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 _____ .
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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
Project File Number: LUA, C19001872, PLR-4061
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Lot 28, Plat of Puget Colony Homes, recording number 6390948; records of King County, Washington
BILL OF SALE
EXHIBIT A
Legal Description
Project File Number: LUA, C19001872, PLR-4061
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WTR - N/A
WWP - 4061
SWP - N/A
TRO - N/A
TED - 4061
PROJECT NAME:
CONSTRUCTION PERMIT NO.
PROJECT FILE NUMBER:
ROADWAY, STREET LIGHTS AND SIGNALS
DESCRIPTION QTY UNIT TOTAL COST
Asphalt Concrete Pavement 386 S.Y.14,282.00$
Subtotal 14,282.00$
Sales Tax 1,428.20$
Grand Total Roadway, Street Lights and Signals 15,710.20$
SANITARY SEWER SYSTEM IMPROVEMENTS
QTY UNIT SIZE TYPE TOTAL COST
156.4 L.F.8"PVC Sewer Main 16,422.00$
73.4 L.F.6"PVC Side Sewer Laterals 6,973.00$
1 EA.54"Diameter Manhole 6,500.00$
Subtotal 29,895.00$
Sales Tax 2,989.50$
Grand Total Sanitary Sewer System Improvements 32,884.50$
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:
NE 1st Sewer Extension
C19001872
N/A
Return Address:
City Clerk’s Office
City of Renton
1055 South Grady Way
Renton, WA 98057
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