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APPLICATION
CARD No . ......................................
The City of Edmonds
FILE
for
SIDE SEWER PERMITEASEMENT
No . ......................................
L-1 OUTSIDE
❑ INSIDE 0— REPAIRS ❑
OWNER .-•--- ..... .,!-.4...............•----�.
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CONTRACTOR ._...........- - - -• -• --.. -_ ...
� Yye_ !. ..................�� � s j...... �' PERMIT No. ._ .._ _. !•t-
HOUSE No.........4; f`
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STREET J
AVENUE LOT No . .................!-_.....__..0..... ..-. BLOCK No. ...............................................
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NAME ADD.
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APPROVED
APR 2 5 1966
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Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ............................................. / % r
SEWER WORK ORDER ISSUED .......................................... DATE `...I .....�-.............................. BY .._- ....V..
•i,. .;.. �, yr. � tii�•" -
CITY OF EDMONDS
Call PRospect 6-1107 when work
CIVIC CENTER —WATER-SEWER DEPARTMENT Is ready for Inspection. (No inspeo-
SIDESEWER PERMIT liens Saturday, Sunday or holidays.) N ° 1397
ADDRESS ............ 1329... Ninth Avenue North
OWNER ........ Lyle ....Zaparra.................................. ...... ............. CONTRACTOR ....... Arrow --- Conatruction... Co. .-------------
Permission is granted-----APY'11--- 2.5 .................... 19.5.5.., for ...................... days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
I
NOTE No. 1—The owners of the property may obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been Inspected.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
s TE No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
No bends in grade sharper than % will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. 5--It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its ap-
purtenances except to insert the pipe into the wye.
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Al,
EmsUSE - PERMIT
CITY OF EDif NE '�S- [Z. NU R
CONSTRUCTION PERVIT�EMT
JOB
NAME QR NAME OF BUST ESS) ADDRESScc
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f C _/l LEGAL DESCRIPTION CHECK SUBDIVISION` NO. LID NO.
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MAILING ADDRESS W(�)Al 15—_41-74,
40
CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
S EXISTING G� REQUIRED DEDICATION _ �S
NAME PROPOSED .. -T7
0
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•) S•C,fiti RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
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ADDRESS STREET USE PERMIT REQUIRED ❑
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SEE ENGINEERING MEMO DATED
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CITY TELEPHONE NUMBER SEE PIW DEPT. REVIEW CHECK LIST DATED _ _-
ta REMARKS
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AD RESS
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METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
CITY TELEPHONE NUMBER
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(b It) C)/V/b S; T REMARKS
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STATE LICENSE NUMBER CITY LICENSE NUMBER
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SIGN AREA ENV. REVIEW ADB NO.
Legal Description of Property . include all easements ALLOWED PROPOSED COMPLETE EXEMPT
(show below or attach four copies) SHORELINEN
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VARIANCE OR CU PLAN IN EVIE `B OAT
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YARDS / LOT CO YEyq AGE
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REAR
REMARKS
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NEW RESIDENTIAL PLUMBING
ADDIALTER NON-RESIDENTIAL El MECHANICAL
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REPAIR RETAINING WALL SIGN
EXCF CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
❑ FENCE
DEMOLISH VLTE
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PRE -MOVE INSP.1 SWIM SPECIAL INSPECTOR AREA OCCUPANT
COMPLIANCE INSP. POOL
JOCCUPAN
REQUIRED GROUP LOAD
1-1 YES I
D SIDE SEWER REMARKS NO
WATER LINE
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NUMBER OF STORIES NUMBER OF
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DWELLING %
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UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
VALUATION FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY. GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
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harmless the City of Edmonds, Washington, its officials,
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employees, and agents from any and all claims for damages of
DATE: — 7I—A s
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT:—�9q--Lej 422� ky
After review of the subject Building Permit application, we have the following
comments:
1. Connection to City water system required.
2. Connection to City sanitary sewer system required.
3. Right-of-way permit required for any work on City property.
4. Driveway slope not to exceed 147,
5. Backwater valve required if downstairs plumbing is below elevation of
upstream
6. Water and sewer lines to be -separated by 10 foot minimum.
1. Builder/Owner responsible for containing all tem orar runoff and erosion
on site and may not impact neighboring prover•ties in an •
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BD 6/62
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PUBLIC DARKS DEPAKII4ENT CHECKLIST
BUILDING PERMIT REVIEW rj'/ �li ��G-v� /�'� , j /,;P:;,
(address) e
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Street Right -of -Way Existing �G1
REQD
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Access Easements Existing ��, ,yam(,-
IEQD
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Utility Easenent Existing
RFQD
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Lot Per Subdivision 5-42--79 Plat
Assessor Map
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Site Plan Checked for Accuracy
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Underground Wiring Reqd.
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Check Accuracy of ga Descriptioc
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Review by
Date `J
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Existing Water Main Size c F)_
Water Main Required l
Service Line Required
Hydrant Size Existing
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Hydrant Reqd Per Fire Code K� /A
Size
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Detector Check Meter Reqd. jA, --
Cross Connection Inspection --
Fire Department ConTrents -
3
Water Meter ge d.` .(U ����. + S"i RF_.FT "iZzP/�T oti, .
Review by
Date 7- 4 '3
Septic Tank Design Approved %%
Date
Septic Tank Permit Reqd. _Iql% 14
_
Permit No.
Sanitary Sewer Availability GIl1��
Proj.
Drawing No ..` � / /? /4C_.) "C1
File No.
Side Sewer Availability 4/7,4
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Sanitary Sewer Connection Fee Reqd. ,(d
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3
Review by _4
Date Z.
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Open Ditch Existing /(%7
Regd.
Culvert Reqd. /Uv
Size
cd
Catch Basin Reqd.
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Indicate on Site Plan
Shoulder drainage maintain collection on swale open runoff 4�
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Manhole reqd. GUD
Indicate an Site Plan
Soil Conditions and Ground/ Water Field Checked
Review by/•(/
Date
Revised: lv10-1977
.....tit.: ..w..► .�....:i..,e.L:n.d..l�...� -
AL
CITY OF EDMONDS
co RECORD OF SHORT SUBDIVISION 1
This is to certify that the properties as shown on the attached map (Exhibit "A") and .
described as follows:
c::) See Exhibit "B"
have been divided under the provisions of the Edmonds Subdivision Ordinance (Sec.12.10)
Q File No.
CD S-42-79 subject to the following conditions and requirements:
00 1.. Exhibit "C" Hold Harmless Agreement
.2.-91 dedication of right-of-way required along Driftwood Lane
3. Turnarounds required on all lots.
4. Connection to City water and sanitary sewer systems required for -all new units.
5. Submit and obtain approval of site drainage plan with application for building permit
(See Restrictive Covenant)
6. Underground Wiring required per Ord. #1387.
7. Excavation and grading to conform to Chapter 70 of the Uniform Building Code.
8. Locate or install monument at the nearest intersection.
9. Lots 2 and 3 are Flag Lots (See face of plat).
10. $600.00 In -lieu park land dedication fee required prior to recording.
11. Tree cutting restrictions to be imposed on all trees 8" in diameter & over per
Section 12.10.050 (c) (2).
ALL REQUIREMENTS MUST BE MET AND ALL IMPROVEMENTS MUST BEA N'STALLED PRIOR TO
ISSUANCE OF BUILDING PERMITS.
I/we certify that I/we are the legal owner(s) of the property described above. I/we
warrant that all representations are true and correct and understand that in the event
"of any misrepresentation or failure to comply with the conditions and regulations set
forth herein, the City of Edmonds shall have the right to declare the subdivision void
and record a statement to that effect in the Gr
antor -Grantee's s Index in the office of
the Snohomish County Auditor.
:A uTl 10r 17_EU
0.
F01Z SIGNED: y`� "� �� Y (• -� c , /G
• :): FONDS r'1
Pace Of
DATED' -this :.; / day of .J.c"(�.uA/c.i 19
STATE OF WASHINGTONJ 4 �u
COUNTY -OF SNOHOMISH as: .7' C-
On this day personally appeared before me r �•-�t�cr .E� .
and to me known to be the -individuals described
in and who executed the within and foregoing instrument, and acknowledged that
i�;pdhe same as `/C�i free and voluntary act and deed, for the uses and purposes
.�'•` 1hGreSn, mentioned.
,; C1�vpe� �indeT. my,hand and official seal this.V day of¢ lgsv
htbtao Public in and for the State of Washingtoi
8'6C Al
3 1 b 0 18 4 residing at ciy�Lt4���
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VOL if 61 Pak 1769
♦Mn1mMIWOMWMMYI�IICIMIM��!IrY�IWV1/.•I,.:Rµ•1�MM.V::.•N{/NM{,M!�p.w......,. .i,n. y. .. .. u.0 ri4 i.....:,.w.MFO:1 ,
FILE NO . S-42-79
EXHIBIT "C
11.
Owners, and all persons having any present or subsequent
interest in these lands, and•the successors and
ownership an said interest,
assigns of owners or other parties having Y
g
hereby agree that the City of Edmonds shall be held harmless
in -
in all respects from any and all claims for.damane�he°future
junctive relief which may be occasioned nowon frthe construction,
to adjacent land or improvements by reas
operation and maintenance of the drainage system analleclaims
waive and release the City of Edmonds
sol solely any
an act or
for damages, excluding damage caused
omission of said City and injunctive relief which the owners,
may themselves have now or in
or their successors or assigns,
the future by reason of the construction, maintenance and
operation of said drainage system.
:'. U;T1 IUI:IZED
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of
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� n 84 VOL1661 ran MO
yr,,iNCTT• �AUI_
90LEQJACK RECLIVED
JAN 31 1980
WAYNE C.
MEYERS Dir. 01'f ub1h, Works
W. D. HAMILTON
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15' STOEM e
5ANITA2Y 'SI:WEQ
ESM'.T 110
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JaMES C.
T AyLOR
DONALD L .
&RUNS
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j 1 EUGENE W.
� HL
H.D. PRO PST, JQ. ,✓>'a`3. `�•.� b AUTIInIttlrl.)
1'zrc� P-u LI\Lc_
c CITY 01 L1)1'y:01NI)S
�p BYAfsee — --
NI Page 3 Of
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JOHN E.
�O KO SCO
•' I 1 I
�q H.p( NF M 2
PRO.PST,JJ? h
i War.
e ECK HORN
CUeTIS 1. I �\•,
.OALLAS
�.KOHN
Q
I I SATTERVVN/TE ON
f
FLAG LOT DETERMINATION I
Lot 2 Front Yard - SW Rear Yard - West Side - NE &R ouWE0
•`�c�r I"�� << Lot 3 Front Yard - South Rear Yard - North Side - kltbo bl
SHORT SUBDIVISION
C'•/ of Edmonds
FORPAMMunity I ww. on•,/
-�' DONALD E.- PATIeICK S.E. COeNER. OF` r
GOVT. L07-4,
V-4 P. W. DEPT. ENGINEERING p� sEC
(0 EXAMINEo . . 13,T. 27 N., Q3 E., W.
By Arr --DAT! --
0 REMARKS Division of this property subject to the conditions
M ,
O set forth in the City of Edmonds Record of Short
p Subdivision File rIS-42-79
vc� MINCE 1771
L.S.A. FILE NO. 79. 420 '
.. ....... �..n'.,.,,r,-.,-."'t'°.la""'ry oN^4V�blti��,�..•,.n:+.� rrr._:a�.•.N,.yy, _
- ............. .. ... ..... ..-.._... _ _ --�— .rz+y:Tis: ___ -_ •+3'+ur'►�:.ys.i::++i ou .--:� '+r+a�ra.�.f�Y'� 'Jy '�;' Ya'""iiSSi. 'L..: ��
JAN 31 1980
PARCEL No. 3 Dir. Of P6hlir. W()►kS
All that portion of Government Lot 4, Section 13, Township 27 North,
Range 3 East, W.M., described as follows: Ilcginning at the south quarter
corner of said Section 13;'thence North 0109, West along the north -south
center line.of said section, 138.6 feet; thence North 72002' West 277.45
feet; thence N 0009' W, a distance of 199.91 feet to the True Point of
Beginning of the parcel herein described; thence continuing N 0°09' W,
a distance of 130.09 feet to an intersection with the south line of the
Plat of Northstream Lane according to the plat thereof as the same is
recorded in Volume 23 of Plats, on page 87, records of Snohomish County,
Washington; thence N'72°02' N, along said south line, a distance'of.
138.73 feet; thence S 0°09' E, a distance of 30.25 feet; thence
S 38°It- 10" E, a distance of 181.53 feet; thence N 89051' E, a distance
of 20.00 feet to the True Point of,Beginning.
SUBJECT TO the terms and conditions of that certain Notice of Easement
and Maintenance Agreement filed under Auditor's File No. Baji2s p/s7g
Records of Snohomish County', Washington.
CITY OF EDMONDS
P. W. DEPT. ENGINEERING DIV.
EXAMINED
BY .SL�DATE
6
AUTIJORIZCD
FOR
RECORDING
CITY Or EDNiON DS
Dig
P:Igu 5_ Of --
o�- iGGi PAGE 1773
Pace 2 of 2 Pages
M
RESTRICTIVE COVENANTS
WHEREAS, DONALD E. PATRICK and PAULINE A. PATRICK, his wife, hereafter
referred to as "Owners", are owners of certain real property located in
the City of Edmonds, Washington, and more particularly described as set
forth hereinafter, and
WHEREAS, Owners,have applied to the City of Edmonds for a -short
subdivision of their property, and
WHEREAS, at the November 28, 1979 public hearing held by the Edmonds
Planning and Engineering Divisions, after due notice had been posted and
mailed as required by law and after having heard comments from the public
and Owners, the Edmonds Planning and Engineering Divisions granted Owners
a short subdivision approval under Planning Division File No. S 42-79,
subject to certain conditions as set forth herein, and
WHEREAS, Owners have no objections to the imposition of said
.
conditions, now, thereror,
IN CONSIDERATION of the grant of short subdivision approval for the
property described herein under Planning Division File No. S 42-79, and
mutual benefits to be derived, Owners, their heirs, successors in interest
and assigns hereby covenant as follows:
1. Owners are the owners of certain real property located in the
City of Edmonds, Washington and legally described as set forth on Exhibit
attached hereto and incorporated herein as if set forth in full.
2. Before any building permit may be issued for any building and/or
structure to be constructed a submission and approval by the City Engineer
of an on -site drainage plan must be obtained.
DONALD E. PATRICK AULINE A. PATRICK
STATE OF WASHINGTON)
SS.
COUNTY OF SNOHOMISH)
On -this day personally appeared before me DONALD E. PATRICK and
PAULINE A. PATRICK, his wife, to me known to be the individuals described
in and who executed the within and foregoing instrument, and acknowledged
that they signed the same as their free and voluntary act and deed, for
the uses and purposed therein mentioned.
• GIVEN under my hand and official seal this /'Tday ofiaP-v.4 ay ,
80.
AUTIiORIZED Votary p b is in and for the State of
FOR Washing to residing at
`''�`; RECORDING
C1TY OF EDMONDS
BY VOL 1661 PACE 1�r4
page Of
8 0030 6018 4
..,x•i4.*�,. i•..�..,;..�."....i•:.•..}_;.�w��.{_'(,����..�._..r,._ _ �� .-� .: .. � :...:..,.�.. . , :.... - lilt®Is'}a�_fi�
1C....a:»:.dIL•ikiTdiiYi6lah!nIK.:�L:6yw.e.a:7�:fI��&LL'IG�ki�llbt�IAlifw.hti'4.i�..r_...._Il..::J.�L•:OC.Iil1.6�YI:�.wl.^ �4�{ILY 1�►�" �J...i .:.•.�..tN •A.�u�.:ii-�i,�,�
• -yY
STATE OF WASHINGTON)
SS.
COUNTY OF SNOHOMISH)
On this day personally appeared before me DONALD E. PATRICK and
PAULINE A. PATRICK, his wife, to me known to be the individuals described
In and who executed. the within and foregoing instrument, and acknowledged
that they signed the same as their free and voluntary act and deed, for
the uses and purposes therein mentioned.
GIVEN under my hand and official seal this / / T" day of .�.��..v,�y
1980.
i1
Notary blic in and or the State f _c
Washing on, residing at
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80012 5 n 19 "8
VOL 165 6 199.8
Page 3 of 3 Pages
do hereby reserve and convey unto the present and future owners, t e r
heirs, successors and assigns, of the above described Parcel No. 2 an
easement for the installation, operation and maintenance of a sanitary
sewer pipeline and.a storm sewer pipeline, over, under, across, through
and upon the west 15.00 feet of the above described Parcel No. 3, and
furthermore do hereby reserve and convey unto.the present and future
owners, their heirs, successors and assigns, of the above described
Parcels,. an easement for the installation, operation and maintenance
of a storm sewer system, over, under, across, through and upon the
east 10.00 feet of the above described. -Parcel No. 3, and furthermore
do hereby reserve and convey unto all present and future owners, their
he successors and assigns, of the above described parcels and unto
PUBLIC UTILITY DISTRICT NO. 1 OF SNOHOMISH COUNTY'and.unto GENERAL
TELEPHONE COMPANY OF THE NORTHWEST, INC., and unto the CITY OF EDMONDS,
their respective successors and assigns, an easement for ingress and
egress and for the construction, operation and maintenance of utilities,
over,•under, across, through and upon the following described property,
situated in the County of Snohomish, State of Washington, to wit:
All that portion of Government Lot 4, Section 13, Township 27
North,
Range•3 East, W.M., described as follows: Beginning
at the
south quarter corner of said Section 13; thence North
0009'
West along the north -south center line of said section,
138.60
feet; thence North 72002' West 277.45 feet to the True
Point
of Beginning; thence North.0009' West, a distance of
199.91
feet; thence South 89151100" West, a distance of 20.00
feet;
to -an intersection with a curve to the right, from which
Intersection
the radius point of said curve bears South 89151'
West;
thence southwesterly along the arc of said curve to the
right;
having a radius of 20.00 feet, and consuming a central
angle
of 90000100"; an arc distance of 31.42 feet; thence
South
0009' East, a distance of 20.00 feet to an intersection
'-It-
with a
curve to the right, from which intersection the radius
point
of said curve bears South 0009' East; thence southeasterly
along
the arc of said curve to.the right having a radius of
20.00
feet and consuming a central.angle of 4803612511, an arc
distance of 16.97 feet; thence South 0009' East, a distance
-of 144.95 feet; thence South 72002' East, a distance of
26.30
feet to the True Point of Beginning.
EXCEPT the south 25.00 feet thereof for road.
Maintenance or reconstruction of any roadway or utilities constructed or
installed upon or within the easements reserved and conveyed herein, shall
be the responsibility of and the costs of said maintenance or reconstruction
borne jointly.and equally by those present and future owners, their heirs,
successors and assigns, unto which the respective easements are hereby
reserved and conveyed.
This instrument shall be a covenant running with the land and shall be
binding upon the parties hereto, their heirs, successors and assigns,
forever.
In witness we hereunto set our signatures this day of
1980, A.D.
DONALD E,. PATRICK PAULINE A. PATRICK
W
80012.5 0198
vo- 165 6 rAGc. 199 7
Page 2 of 3 Pages
r Q A
NC) (SALES TAX
R-17 1.01iRI D
NOTICE OF EASEMENT
Cc: ,'t) i�c3se;2r AND
'G
_.. MAINTENANCE AGREEMENT
TO ALL WHOM THESE PRESENTS CONCERN:
Notice is hereby given that DONALD E. PATRICK and PAULINE A. PATRICK, his
wife, owners of the following described property, situated in the County
of Snohomish, State of Washington, to wit:
PARCEL NO. 1
All that portion of Government Lot 4, Section 13, Township 27
North, Range 3 East, W.M., described as follows: Beginning
at the south quarter corner of said Section 13; thence North
0009' West along the north-south..,center line of said section,
138.60 feet; thence North 72002' West 277.45 feet to the
True Point of Beginning of the parcel herein described; .
thence North 0009' West, a distance of 168.34 feet; thence
South 69151' West', a distance of 65.00 feet; thence
South 71001102" West, a distance of 70.63 feet; thence
South 0109' East, a distance of 102.41 feet; thence
South 721021, East, a distance of 138.73 feet to the True
Point.of Beginning;
EXCEPT the South 25.00 feet thereof for road.
PARCEL NO. 2
All that portion of Government Lot 4, Section 13, Township.
27 North, Range 3 East, W.M., described as follows: Beginning
at the south quarter corner of said Section 13; thence North
00091.West'along the north -south center line of said section,
138.60 feet; thence North 720.02' West 277.45 feet; thence
North 0009' West, a distance o'P 168.34 feet to the True Point
of Beginning of the parcel herein described; thence continuing
North 0009' West, a distance of 31.57 feet; thence South
89051' West, a distance of 20.00 feet; thence North 38011'10"
West, a distance of 181.53 feet; thence South M 09' East, a
distance of 1.97..34 feet; thence North 71001102" East, a
distance of 70.63 feet; thence North 89151' East, a distance
of 65.00 feet to the True Point of Beginning;
PARCEL.NO. 3
All that portion of Government Lot 4, Section 13, Township
27 North, Range 3 East, W.M., described as follows: Beginning
at the south quarter corner of said Section 13; thence North
0009' West along the north -south center line of said section,
138.6 feet; thence North 72002' West 277.45 feet; thence North
0009' West, a distance of 199.91 feet to the True Point of
Beginning of the parcel herein described; thence continuing
North 0009' West; a distance of 130.09 feet to an intersection
with the, south line of the plat of Northstream Lane, according
to the plat thereof recorded in Volume 23 of Plats, on page 87,
records of Snohomish County, Washington; thence -North 72002,
West, along said south line, a distance of 138.73 feet; thence
South 0009' East,•a distance of 30.25 feet; thence South
38011'10" East, a distance of 181.53 feet; thence -North
89151' East, a distance of 20.00 feet to the True Point of
Beginning.
VOL 165 6 �:._..
1996
8001250198 1 Page 1 of 3 Pages