Fillable Printable Sewer Bill of Sale - Washington
Fillable Printable Sewer Bill of Sale - Washington
Sewer Bill of Sale - Washington
(03/04)
N:\OFFICE\BLANKFORMS\DEVELOPERSTANDARDS\BILLSEWR.DOC
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SILVER LAKE WATER DISTRICT
BILL OF SALE - SEWER
Project:
Developer:
THE UNDERSIGNED hereby conveys and transfers to the SILVER LAKE
WATER DISTRICT (the "District") the following described personal property:
This conveyance is made in consideration of the District's agreement to provide
routine maintenance of said property and to provide sewer services pursuant to the
District's resolutions and regulations, which may be amended from time to time.
The undersigned, and its successors and assigns, covenants and agrees to and with
the District, its successors and assigns, that the undersigned is the owner of said property
and has the right and authority to sell the same, that the property is free of all liens or
encumbrances, and that the undersigned will, and does, hereby warrant and agree to
defend the title of the District, its successors and assigns, against the claims of all third
parties claiming to own the same or claiming any interest therein or encumbrance
thereon.
The undersigned warrants that all bills and taxes relating to the construction and
installation of the sewer main and appurtenances have been paid in full and that there are
no lawsuits pending involving this project. The undersigned further warrants that in the
event any lawsuit is filed as a result of, or involving, this project the undersigned will
undertake to defend the lawsuit and will accept responsibility for all costs of litigation,
including costs on appeal, and will hold the District harmless on any judgment rendered
against the District.
The undersigned further warrants that all laws and ordinances respecting
construction of this project have been complied with, and that the property is in proper
working condition, order and repair and fit for purposes intended; i.e., for use as a sewer
collection system adequate for the service intended and has been constructed in
accordance with the conditions and standards of the District.
The undersigned covenants and agrees with the District to replace, repair and
correct any defect in work or materials in respect to the personal property subject to this
Bill of Sale arising during a period of two (2) years from date hereof, without cost to the
District. The undersigned shall further warrant the corrected work for two years after
acceptance of the corrected work by the District.
DEVELOPER: ___________________________________________________________
By: _____________________________________________________________________
Its: _____________________________________________________________________
(03/04)
N:\OFFICE\BLANKFORMS\DEVELOPERSTANDARDS\BILLSEWR.DOC
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INDIVIDUAL
STATE OF WASHINGTON )
) ss.
County of ____________ )
On this _______ day of ______________________, before me, the undersigned
Notary Public, duly commissioned and sworn, personally appeared
__________________________________ to me known to be the individual(s) named
herein, and who executed the within and foregoing in instrument, and acknowledged
execution of the said instrument to be the free and voluntary act and deed of said
individual(s), for the uses and purposes therein mentioned.
WITNESS my hand and official seal hereto affixed the day and year first above
written.
__________________________________________
NOTARY PUBLIC in and for
Washington State, residing at __________________
My Commission Expires: _____________________
CORPORATE
STATE OF WASHINGTON )
) ss.
County of ____________ )
On this ________ day of _________________, 20____, before me, the undersigned
Notary Public in and for the State of Washington, duly commissioned and sworn,
personally appeared _______________________________________________________
________________________________________________________________________
to me known to be the _____________________________________________________
of _____________________________________________________________________
the corporation named herein, and acknowledged execution of the said instrument to be
the free and voluntary act and deed of said corporation, for the uses and purposes therein
mentioned; and on oath stated that he is authorized to execute said instrument and that
the seal affixed (if any) is the corporate seal of said corporation.
WITNESS my hand and official seal hereto affixed the day and year first above
__________________________________________
NOTARY PUBLIC in and for
Washington State, residing at __________________
My Commission Expires: _____________________
(03/04)
N:\OFFICE\BLANKFORMS\DEVELOPERSTANDARDS\BILLSEWR.DOC
3
SILVER LAKE WATER DISTRICT
ITEMIZED COST OF
SANITARY SEWER SYSTEM
Project:
Developer:
Date_______________________
UNIT ITEM
DESCRIPTION QUANTITY COST TOTAL
8" Dia. PVC Pipe
8" Dia. Ductile Iron Pipe
6" Dia. PVC Side Sewer
6" Dia. Ductile Iron Side Sewer
Manholes
SUBTOTAL________________
SALES TAX________________
TOTAL COST________________
Include in each pipe price (Total Cost & Unit Cost) the cost of fittings, pavement
repairs, and any other items not otherwise listed above.
2. Blank spaces reserved for major cost items such as force mains, vaults, sewage
lift stations, etc. Contact District regarding listing of such items.
