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City Clerk 2005051800027 1
City of Tukwila TUKWILA CITY 0 D 22.00
6200 Southcenter Boulevard PA 09430
Tukwila, WA 98188 KING COUNTY, WA ENT�D SEP 0 {2005
EXCISE TAX NOT REQUIRED t
1Jng Co. Records Division
Above this line reserved for Recorder's use
DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS
Grantor /Borrower: D, .41t: Yr4H&SS //vc
1 1 T J
Grantee /Beneficiary: CITY OF TUKWILA, a Washington municipal corporation
Document Reference Number(s):
D6 Dl Cv
Section/Township /Range:
Assessor's Tax Parcel Number(s): 01!J Q�i'J rPyy 2
Property Address:
Property Legal Description (abbreviated):
10 7
DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Page of
Form approved 2003
The Grantor, l6A-1, SSW &s //vc conveys, warrants, and
dedicates to the CITY OF TUKWILA, a Washington municipal corporation, the
following described public water /sanitary sewer /storm water utility improvements:
APPROXIMATELY:
3/y
ENGINEERING COSTS: aDD
CONSTRUCTION COSTS: 29 93,09
TOTAL: 93, OY
DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Page Z of
Form approved 2003
situated in King County, State of Washington.
DATED this 2nd day of IV01 2005.
GRANTOR: k
By: ifs t�,(� c
(signature)
(P
rint n� ame
P ?a f 1 -4-
(title)
STATE OF WASHINGTON
ss.
COUNTY OF KING
On this 2�d day of march 200 S, before me personally appeared
&rrul ,6. Doak, Sr. to me known to be the President of
Dook 140mes. Inc. a Washington corporation, that executed the
within and foregoing instrument and acknowledged 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 was authorized to execute and in
fact executed said instrument on behalf of the corporation.
Given under my hand and official seal this 2hd day of N01'6 LI
200-5 "ze-
Q
Type /Print Name Al, c e, A. l'GQ cv
�GE A. DF 1o 'h JI
Q. c Notary Public in and for the
State of Washington residing at
7;�.. s. rs o �;�o=" My Commission expires 6 -16 -0,Y
DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Page of
Form approved 2003
DEPARTMENTAL APPROVAL: RECEIVED FOR FILING:
6 mes F. Morrow, J e Cantu,
Public Works Director City Clerk
A CCEPTED AND APPROVED for the City of Tukwila this q� day of
v j 200 S
CITY OF TUKWILA
B y:
4W.-I vv� �.A
Tteven M. Mullet, Mayor
DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Page 1' of
Form approved 2003