HomeMy WebLinkAboutBOS 20160812000744 ., -►
Return Address.•
City Clerk's Office �� � i� � - � � � � r -. _. . . . .
City of Renton
1055 South Grady Way
Renton, WA 98057 20�608120007
CITY OF RENTON BS 74.00 ��
08G1202038F120S8
K=NG COUNTY, WA
BILL OF SALE Proj Name: Property Tax Parcel Number:
��,�n�rl'�����If��'�-��" �3��n - 3��Z��2�� ,
Project File#: Street Intersection: � Address: � /
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Reference Number(s)of Documents assigned or released Additional reference numbers are on page
Grantor(s): Grantee(s):
1• ��/�',��,�'{�s/��� ��i�i 1. City of Renton, a Municipal Corporation
2.
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 persona(property:
WATER SYSTEM:
Type � Length Size(Inche )
Water Main ��1,��7'JL;r� ��,�3� ��J�'p L.F.of
Water Main � "�� �
L.F.of
Water Main L.F.of
Gate Valves .3 Each of �}-'/�c(,{,
Gate Valves Each of
Fire Hydrant Assemblies J Each of
SANITARY SEWER SYSTEM:
�`,�ype Length Size(Inches�
Sewer Main '?-'/` '� LF of �/��'�{
Sewer Main L.F.of
Sewer Main L.F.of
Diameter of Manholes � Each of l����.��
Diameter of Manholes Each of
Lift Stations Each of
STORM DRAINAGE SYSTEM:
Type Length Siz�ches)
Storm Main ,'���r�L� ��'��j+,� _7�:�1'D LF of '"
Storm Main .�,�� ,^/--./L� ��,p L.F.of �'��lv
Storm Facility ��� �/��/� Each of
Storm Inlet/Outlet �`�}: �° /� Each of
Storm Catch Basin �—^Zc'�j7` ,/ Each of �¢�' P'
Manhole � Each of
H:\CED\Data�F'oRns-Templates\Self-Help Handouts�Public Works�BILLSALE.doc
.. �-
STREET IMPROVMENTS: (Including Curb,Gutter, Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk ��"3 / L.F.
Asphalt Pavement _�l� -� S.Y.of or L.F.of Width
STREET LIGHTING:
� #of Poles
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 G r has caused this instrument to be executed this�day of�20L�ir
�
INDI[�IDUAL FORMOFACKNOWLEDCMENT
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 voluntary act for the uses and purposes
mentioned in the instrument
Notary Public in and for the State of Washington
Notary(Print)
My appointment expires:
Dated:
REPRESENTATIVE FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )SS
COUNTY OF KING ) ,
I certify that I know or have satisfactory evidence that_�
����"�I signed this instrument,on
= L�(�Qp► R.wH�T ath ated that he/she/they was/were authorized to execute the instrument and
= NOTARY PUBLIC ackn ledged it as the �( �,.,l�D�...r- and
. STATE OF WASN�NGTON of to be the free and
- �pMNNgS10N EXP1RESvolun ry act of such party/parties for the uses and purposes mentioned in the
- J U N E 7.,201 S instru ent.
� ,
Notary Public in and for the State of Washington
Notary(Print) �,�,..�1.• wl"..�c,
My appointment expires: (Q-"�,.(�'
Dated: �a't�
H:\CED\Data�F'orms-Templates\Self-Help Handouts�Public Works�BILLSALE.doc