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HomeMy WebLinkAboutBOS 20190109000369Instrument Number: 20190109000369 Document:BS Rec: 5102.00 Page-1 of 4 Record Date:1/9/2019 10:59 AM Electronically Recorded King County, WA Return Address: City Clerk's Office City of Renton 1055 South Grady Way Renton, WA 98057 BILL OF SALE Pleas'-, niake no pnark ir�a :ire Prwrgdls space - Resevivd,fior Cotmt'P lhediror,'�� Use 041v TYPE OF DOCUMENT: Bill of Sale GRANTOR(S): Ruslan Koval GRANTEE: ABBREVIATED LEGAL w 30 feet ofthe NW 1A of the NW IA ofthe NW 114 Section 03, township DESCRIPTION: 23 North, Range 05 East, WA. ASSESSOR TAX PARCEL I.D. NUMBERS: 342405-9131 NAME OF PROJECT: Koval water Extension ADDRESS OF PROJECT: 9550 132nd Ave SE PROJECT FILE NUMBERS: LUAO, UU-16005599, PLR-3925 LEGAL DESCRIPTION: See Attached Exhibit A of this Docume PERSONAL PROPERTY DESCRIPTION: See Attached Exhibit B of this Docume Reference Number(s) of Documents assigned or released: Additional reference #a on page _— of document I delivers to tl�e Grantee, -as named above, the of this doctivient. 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 clairn the same, This conveyance shall bind the heirs, executors, administrators and assigns forever. IN WITNESS WHEREOF, said Grantor(s) has caused this ins exit to be executed this—Z8th-- day of November 20 18 UV L!�al By Rusin Koval By_. Its Owner Its Instrument Number: 20190109000369 Document:BS Rec: S102.00 Page-2 of 4 Record Date:1/9/2019 10:59 AM King County, WA Project File Number: LUAO, UU-16005599, PLR-3925 INDIVIDUAL FORM OF A C1VOff'LEDGE:'MEWT Notary Seal must be within box STATE t3F WASHINGTON ) SS COUNTY OF KING } I certify that now or have satisfactory e 'dence that _ _ signed this instrument and s ram w.- acknowrledged it to be his/her/their free and volnmt act for the eases and purposes atfry t�ttttiic mentioned aea this inst ens. -��LSt,ate of asttia u { 14 Notary Public in a or the „ ,te of Washi on Y 114t?& EDtF'lFl Not<�ry (Print}: a° — — ,.rch 0% 2020 My appointment expires: Dated: E'PRE ' NE"r 77VEs FORM GAF AC;6. 0t8'Z.FDEa°tt ENT Notary Seal merit be within box STATE OF WASHING TON ) SS COUNTY OF ICING ) I certify that I knave 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 asses and purposes mentioned in the instrument. Notary Public in and for the State of Washington Notary (Print): , u _ .. ..._ _. m......u,._.._. fly appointment expires:... ..... Dated: a.. C'i' Rl't Rr9EEr FORM C)FAC°E"Nt dFLE Dfi°E.1EENT Notary Seal must be within box STATE OF WASHINC.aTON ) SS COUNTY OF KING On this._.__ day of_..... v 20 ____.... s before rue personally appeared _...._ ._n .. _ tome known to be ..m., _ 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 eases 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:,,,,___,_____ Instrument Numbem20190109000369 Oo ume taR R c S102.00 Page-3 of Record Oke!%92191m5 AM Vin County, WA tt OF SALE Project File teA0,r16005e9, #25 EXHIBIT w .:?2© ©11111©'11111© »*« Instrument Number: 20190109000369 Document:BS Rec: S102.00 Page-4 of 4 Record Date:1/9/2019 10:59 AM King County, WA {City Staff Use tall City Project Numbers: Return Address: R - 3925 City Clerk's Office --_..._._ P - N/A City of Renton SWP - N/A 1055 South Grady Way T'RO - N/A Renton, WA 98057 TES - 3925 - EXHIBIT "B" Contributary Assets PROJECT NAME: Koval water Extension CONSTRUCTION PERMIT NO. U-i6005599��� PROJECT hIL,E NUMBER: Per the request of the City of Renton the following information is furnished concerning final costs for improvements installed and -ned over to the City for the referenced project. ROADWAY, STREET LIGHTS AND SIGNALS WATER SYSTEM IMPROVEMENTS QTY UNIT SIZE TYPE ITEM TOTALCOST 186 L,E $" DI Water Main Pipe and Fittings $ 11,160.00 1 EA. g" Gate Valve Assembly 800.00 1 EA. 6" FirSI%drant Assernblv $ 4,000.00 Subtotal $ 15,960.00 Saps Tax $ 1,516.20 Grand Total Water System Improvements 17,476.20