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Notary Seal must be within box
BILL OF SALE
Page 2
Project File Number: LUALUAI7-000855, UC18003290, PLR -
INDMD UAL FORM OF ACENOWLEDGEMEVT
STATE OF WASHINGTON ) SS
COUNTY OF KING )
I certify that I knoworhave satisfactory evidence that
A•'4 a✓ �T/>G/11�1 signed this instrument and
acknowledged rt t�/ieer/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): A''I /V .r
Myappointment-expires: Qjj. �/•?j41�3
Dated: Q/% /,3 Boz f
REPRESENTATIVE FORM OF AC%NOWLEDGEMENT
STATE OF WASHINGTON
COUNTY OF KING
I certify that I know or have satisfactory evidence that
) SS
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 OFACKJVOWLEDGEMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING )
On this u 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 Fite Number. LUALUAI7-000855, UC18003290, PLR -
EXHIBIT A
Legal Description
TRACT 1, KING COUNTY SHORT PLAT NO. 677115, RECORDED UNDER RECORDING NO.
7712130605, RECORDS OF KING COUNTY, WASHINGTON;
SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON.
Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way
Renton, WA 98057
PROJECT NAME:
CONSTRUCTION PERMIT NO.
PROJECT FILE NUMBER:
EXHIBIT "B"
Contributary Assets
HuDnh Short Plat
C18003290
LUA17-000955
(tllty )tall use mlyl
Citv Proiect Numbers:
wTR-
WWP -
sWP-
TRO -
TED -
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
Curb and Gutter 180 L.F. S 2,655,00
Sidewalk 80 S.Y. $ 3,040.00
Subtotal $ 5,695.00
Sales Tax $ 569.50
Grand Total Roadway, Street Lights and Signals $ 6,26450
WATER SYSTEM IMPROVEMENTS
QTY
UNIT
SIZE
TYPE ITEM
TOTALCOST
175
L.F.
8"
DI Water Main Pipe and Fittings
$
10,500.00
1
EA.
6"
Gate Valve Assembly
$
700.00
1
EA.
8"
Gate Valve Assembly
$
800.00
1
EA.
6"
Fire Hydrant Assembly
S
4,000.00
Subtotal
$
16,000.DD
Sales Tax
$
1,600.00
Grand Total Water System Improvements
$
17,600.00
SANITARY SEWER SYSTEM IMPROVEMENTS
QTY UNIT SIZE TYPE DESCRIPTION
TOTAL COST
343 L.F. 8" PVC Sewer Main
S
36,015.00
2 EA. 48" Diameter Manhole
$
12,000.00
Subtotal
$
48,015.00
Sales Tax
$
4,801.50
Grand Total Sanitary Sewer System Improvements
$
52,816.50
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