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HomeMy WebLinkAboutBOS 20170519000761 . � Return Address: City Clerk's Office 10 5 SoRth Grady Way �0170519000 Renton,WA 98057 pAGE-00 RENTON BS 74 076 1 1 OF 002 05/19/2017 12:49 KING COUNTY, WA BILL OF SALE Proj Name: ��(a(jL �p(�,w�• Property Tax Parcel Number: 2 0 „0 04,'� Project File#: Street Intersection. s Address: ;r'; �����r � N Reference Number(s)of Documents assigned or released:Additional reference numbers are on page Grantor(s): LG Grantee(s): 1, �����•�o� ��'e L- 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 personal property: WATER SYSTEM: Len�th Size Type L.F.of " Water Main L.F.of " Water Main L.F.of " Water Main each of " Gate Valves each of " Gate Valves each of Fire Hydrant Assemblies SANITARY SEWER SYSTEM: Len�th Size � Tvpe _� L.F.of � " 7 V G Sewer Main �_ L.F.of �" � Sewer Main L.F.of " Sewer Main each of " Diameter Manholes each of " Diameter Manholes each of " Lift Stations STORM DRAINAGE SYSTEM: LenQth Size Tvve L.F.of " Storm Main L.F.of " Storm Main L.F.of " Storm Main each of " Storm Inlet/Outlet each of " Storm Catch Basin each of " Manhole STREET IMPROVMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement) Curb,Gutter,Sidewalk L.F. Asphalt Pavement: SY or L.F.of Width STREET LIGHTING: #of Poles By this conveyance,Grantor will warzantand defend the sale hereby made unto the Grantee against all and every person or persons, whomsoever,lawfulty claimin or to claim the same. This comeyance shall bind the heirs,executors,administrators and as�ns forever: \�rvfps-01\data�Piazza�DATA_Center�Forms�PBPWIBILLSALE2.DOC�HP Page 1 , - IN WIT'NESS WHEREOF,said Grantor has caused this instrument to be executed this�day of 201�. �/�� � INDIYIDUAL FORM OFACKNOWLEDGiYtENT Notary Seal must be within box STATE OF WASHINGTON )SS \`����\�\\�ti11���� COLINTY OF KING ) ,��� PN KO V,� �l/�� I certify that I know or have satisfactory evidence that Ho�1 GGA N G �y�. ,.,..,,,,,,,, l�, i� ��4N _ J`���Ss��N�'h,��► �/� signed this instrument and � �s��i' ,�pT�1q�'0!�',�G,� �acknowledged it to be his/her/their free and voluntary act for the uses and purposes � gv � � � a� �mentione d in t he' ent . � % N",�% A`�V�G ' 2 � / y �ii � Q `� Q= �/i� �F�''�r�„�9��.•�'G'�� Notary Public in and for the State of Washington ������F W,�SN���.��� Notary(Print) �ob1o►�► Ko�a�c 1�.�lL �����1��������� My appointment expires: 2-Iq-Zo Dated: �'Z �" �b REPRESENTATIVE FORM OFACKNOWLEDGMENT _ 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 acknowledged it as the and of to be the free and voluntary act of such partylparties 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 OFACKNOWLEDGMENT Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) On this day of ,20_,before me perso�ally 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 therein 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: \�rvfps-01\data�Piazza�DATA_Center�Forms\PBPW\BILLSALE2.DOC�HP Page 2