HomeMy WebLinkAboutBill of Sale &Cost Data_Notorized.pdfReturn 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
TYPE OF DOCUMENT:
Bill of Sale
GRANTOR(S):
Tuscany Construction, LLC
GRANTEE:
City of Renton, a Municipal Corporation
Lot 7, Cedar Grove Park Division No. 1 according to the Plat
ABBREVIATED LEGAL
thereof recorded in Volume 72 of Plats, page 50, records of
DESCRIPTION:
King County, Washington
ASSESSOR TAX PARCEL LD. NUMBERS:
144450-0070
NAME OF PROJECT:
5626 NE 2nd Frontage Improvements
ADDRESS OF PROJECT:
5626 NE 2nd Street
PROJECT FILE NUMBERS:
C19002147, PLR-4066
LEGAL DESCRIPTION:
See Attached Exhibit A of this Document
PERSONAL PROPERTY DESCRIPTION:
See Attached Exhibit B of this Document
Reference Number(s) of Documents assigned or released:
Additional reference #'s on page of document
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.
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 taus. this' rument to be executed this
D7i! 20
By By
Its /::zLgf� Its
Page f of 4
0 `` day of
BILL OF SALE
Project File Number: C19002147, PLR-4066
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 anc
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 Pat I know or have satisfactory evident that
4IJ�
�q
—= C� signed this instrument, or
w
oath stated that he/she/they was/were authorized to execute the instrument
and acknowledge it as the and
00
o
of ` to be free anc
voluntary act of such party/parties for the uses and purposes mentioned in the
instrument.
0
O
rl1
Notary Public in lZifoState�Q f Washington
it
Notary (Print): - ttoyc- 1 V1
My appointment expires: De c.- to
Dated: q -;0- -1'Q
CORPORATE FORM OFACKNOWLEDGEMENT
Notary Seal must be within box
STATE OF WASHINGTON ) SS
COUNTY OF KING }
On this day of , 20 , before me personally appeared
to me knowr
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:
Page 2 of 4
BELL OF SALE
Project File Number: C19002147, PLR-4066
EXHIBIT A
Legal Description
Lot 7, Cedar Grove Park Division No. 1 according to the Plat thereof recorded in Volume 72 of Plats, page 50, records of
King County, Washington
Page 3 of 4
Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way
Renton, WA 98057
EXHIBIT "B"
Contributary Assets
(City Staff Use Only)
City Project Numbers.
WTR - N/A
W WP - 4066
SWP- 4066
TRO - N/A
TED - 4066
PROJECT NAME: 5626 NE 2nd Frontage Improvements
CONSTRUCTION PERMIT NO. 19002147
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.
ROADWAY, STREET LIGHTS AND SIGNALS
DESCRIPTION QTY UNIT
TOTAL COST
Sidewalk 123 S.Y.
$
4,701.00
Asphalt Concrete Pavement 78 S.Y.
$
3,510.00
ADA ramps 3 each
$
1,650.00
Subtotal
$
9,861.00
Sales Tax
$
986.10
Grand Total Roadway, Street Lights and Signals
$
10,847.10
STORMWATER SYSTEM IMPROVEMENTS
QTIi UNIT SIZE TYPE DESCRIPTION
TOTAL COST
4 L.F. 12" DI Storm Drainage Pipe
$
424.00
1 EA. 48" TYPE 1 Catch Basin
$
1,500.00
1 EA. Concrete Inlet
$
850.00
Subtotal
$
2,774.00
Sales Tax
$
277.40
Grand Total Stormwater System Improvements
$
3,051.40
Page 4 of 4