Fillable Printable Bill of Sale Example - Washington
Fillable Printable Bill of Sale Example - Washington
Bill of Sale Example - Washington
City of Bonney Lake Section 800 – Bill of Sale
2008 Development Policies
and Public Works Design Standards
800-21
Rev. 3/2014
Page 1 of 5
RETURN TO:
City of Bonney Lake Phone: 253-862-8602
Community Development Department Fax: 253-862-1116
9002 Main Street East, Suite 300
Bonney Lake, Washington 98391
Please make no mark in the margin space - Reserved for County Auditor’s use only.
BILL OF SALE
K
NOW ALL MEN BY THESE PRESENTS that for and in consideration of the sum of One
Dollar ($1.00) and other good and sufficient consideration, receipt whereof is hereby
acknowledged, the undersigned grantor(s)
do(es) by these presents hereby convey, set over, assign, transfer and sell to the City of Bonney
Lake, Pierce County, Washington, a municipal corporation, the following described utility or
other improvements and all appurtenances thereto, situated in Pierce County, Washington:
TYPE OF DOCUMENT:
Bill of Sale
GRANTOR(S):
GRANTEE:
City of
Bonney Lake
, a Municipal Corporation
ABBREVIATED LEGAL DESCRIPTION:
ASSESSOR TAX PARCEL I.D. NUMBERS:
NAME OF PROJECT:
ADDRESS OF PROJECT:
PROJECT NUMBER:
LEGAL DESCRIPTION: Located here or on Exhibit A of this document
PERSONAL PROPERTY DESCRIPTION; Located here or on Exhibit B of this document
the said grantor(s) hereby warrants that he, they, it, is/are the sole owner(s) of all the property
above described; that they have full power to convey all rights herein conveyed and agree to hold
the City of Bonney Lake harmless from any and all claims which might result from execution of
this document. IN WITNESS WHEREOF the grantor(s) has/have executed these presents this
___ day of ______________, 20__.
City of Bonney Lake Section 800 – Bill of Sale
2008 Development Policies
and Public Works Design Standards
800-22
Rev. 3/2014
Page 2 of 5
IN WITNESS WHEREOF, the parties have executed this agreement the day and year first above
written.
Grantor (DEVELOPER) SIGNATURE:
By: By:
Its: Its:
STATE OF WASHINGTON )
)SS
COUNTY OF PIERCE )
On this day of , 20____, before me, the undersigned, a Notary Public in and for the
State of Washington, duly commissioned and sworn, personally appeared ,
of , to me proven to be the individual described in and who
executed the foregoing instrument for himself and acknowledged that he signed the same as his free and voluntary act
and deed for himself and also as his free and voluntary act and deed on behalf of said ,
for uses and purposes therein mentioned, and on oath stated that he was authorized to execute the said instrument.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal the day and year first above written.
Printed Name:
NOTARY PUBLIC in and for the State of Washington,
residing at:
My Commission Expires:
City of Bonney Lake Section 800 – Bill of Sale – Exhibit A
2008 Development Policies
and Public Works Design Standards
800-23
Rev. 3/2014
Page 3 of 5
BILL OF SALE
EXHIBIT A
Legal Description
City of Bonney Lake Section 800 – Bill of Sale – Exhibit B
2008 Development Policies
and Public Works Design Standards
800-24
Rev. 3/2014
Page 4 of 5
EXHIBIT B - FINAL COST DATA AND INVENTORY
Page 1 of 2
Permit No.
Name of Project
Per the request of the City of Bonney Lake the following information is furnished concerning
final costs for improvements installed and turned over to the City for the above referenced
project.
WATER SYSTEM CONSTRUCTION/CONSTRUCTION COSTS
Amount Unit Size Type Item Cost
L.F. of = Water Main $
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 = Gate Valves $
EACH of = Fire Hydrant Assemblies $
Cost of Fire Hydrants must be listed separately $
Includes Engineering and Sales Tax if applicable $
TOTAL COST FOR WATER SYSTEM $
SANITARY SEWER SYSTEM
Amount Unit Size Type Item Cost
L.F. of = Sewer Main $
L.F. of = Sewer Main $
L.F. of = Sewer Main $
EACH of = Diameter Manholes $
EACH of = Diameter Manholes $
Includes Engineering and Sales Tax if applicable $
TOTAL COST FOR SANITARY SEWER SYSTEM $
City of Bonney Lake Section 800 – Bill of Sale – Exhibit B
2008 Development Policies
and Public Works Design Standards
800-25
Rev. 3/2014
Page 5 of 5
EXHIBIT B – FINAL COST DATA AND INVENTORY
Page 2 of 2
STORM DRAINAGE SYSTEM
Amount Unit Size Type Item Cost
L.F. of = Storm Lines $
L.F. of = Storm Lines $
EACH of = Storm Inlet Outlet $
EACH of = Storm Catch Basin $
EACH of = Storm Catch Basin $
Includes Engineering and Sales Tax if applicable $
TOTAL COST FOR STORM DRAINAGE SYSTEM $
STREET IMPROVEMENT
Item Amount Unit Cost
Curb, Gutter, Sidewalk L.F. $
Asphalt Pavement S.Y./L.F. of width $
Sign Installation Complete EACH $
SIGNALIZATION
(Including Engineering Design Costs, City Permit Fees, WA State Sales Tax) $
STREET LIGHTING
(Including Engineering Design Costs, City Permit Fees, WA State Sales Tax)
Number of Poles $
Phone
E-mail
Print Signatory Name
FAX
Signature by authorized agent or owner of
subject development
