HomeMy WebLinkAboutBOYS AND GIRLS CLUB OF PUGET SOUND Return Address City Clerk
City of Bremerton
345 6` Street, Suite 600
Bremerton, WA 98337
BREMERTON CITY OF 201312170104
Deed Reo Fee $ 75 00
Walter Co Ruditor Page f of 4
IIIIIII IIIIII III IIII IIIIIII IIIIII
1111 1111 IIII IIIII II IIIII III IIII IIIII IIIII III IIII J
AUDITOR/RECORDER'S INDEXING FORM
Document Title(s) I Deed of Conveyance of Public Improvements
Reference Number(s) of Documents assigned or released
Grantor(s) 1 Boys and Girls Club of Puget Sound
Additional names on page of document
Grantee(s) I City of Bremerton
Additional names on page of document
Legal Description A portion of the NW 1/4 of the N 1/2 of Section 12, Township 24 N, RANGE I W, W M , in
(abbreviated) Kitsap County, Washington,
u Additional legal is on page 4 of document 4
Assessor's Property Tax Parcel /Account Number 122401 -2 -037 -2006 j
DEED OF CONVEYANCE OF PUBLIC IVIPROVEN'IENTS
The Grantor, 1, Boys and Girls Club of Puget Sound conveys and warrants to the City of
Bremerton the following described public improvements and /or real property interests
• 169 LINEAL FEET OF 8 INCH DUCTILE IRON WATER MAIN, 1 FIRE HYDRANT, AND
APPURTENANCES
located upon the following real property situated in the County of Kitsap, State of Washington
and legally described as
See Exhibit A" EXCISE TAX EXEMPT DEC 17 2013
B &G Water main extension
Page 1 of 4
ENGINEERING COSTS $ N/A
CONSTRUCTION COSTS $12,92000
TOTAL $12,920 00
DATED this& day of e , 2013
Grantor
STATE OF WASHINGTON)
P, a ss
COUNTY OF IMP )
On this 00,
of U e e a war . ,c. 2013, before me p onally appeal ed
to me known to be the owner /constructor of the sse a main that executed
the within and foregoinstrument, and acknowledged said instrument to be the free and voluntary
act and deed of said =main, for the uses and purposes therein mentioned and on oath stated
that ( , te a was authorized to execute said instrument
In Witness Whereof, I have hereunto set and and affixed my official seal the day and
year first abov .W le•.,,
s
0
° ° Gp MM . . ve�
®° - NOT �(% NOTAR UBLIC in a r the State of Washington,
9 - p m residing at '�/ q�
:rn; ® �
9 A v My Commission expires
4
O ®m
04
®ses �2 : ,
ACCEPTED AND APPROVED for the City of Bremerton thisk(. . g day
ot'x-
B &G Water main extension
Page 2 of 4
CITY OF BREMERTON
BY
Patty t ayor
DEPARTME>JAL APPROVAL
Chal Martin, Director Public Works & Utilities
APPROVED AS TO FORM
1
RFerLubovich, City Attorney
EIVED F R ILING
Shannon Co n, City Clerk
B &G Water main extension
Page 3 of 4
EXHIBIT A"
LOT A OF CITY OF BREMERTON SHORT PLAT NO B -257 (SP98 -0009) AS RECORDED
UNDER AUDITOR'S FILE NO 200007280130, AN AMENDMENT OF AUDITOR'S FILE NO
3120723, RECORDS Or KI TSAP COUNTY, WASHINGTON, BEING A PORTION OF THE
NORTHWEST QUARTER OF THE NORTHWEST QUARTER, SECTION 12, TOWNSHIP 24
NORTH, RANGE 1 EAST, W M, KITSAP COUNTY, WASHINGTON
B &G Water main extension
Page 4 of 4