19207 80TH PL W.PDF11111111 lill
7264
19207 80TH PL W
NOTICE:
No warranty of accuracy.
The information on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Eclmonds does not warrant the
accuracy of anything set forth on these
map(�-). Any person or entity-reque sting a
copy should conduct an independent
inquiry regarding the information shown on
------fh-e -map(s), Including, but not limited to,
th . e location of any sewer stub shown. Such
sewer stubs may or may* not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emp-l-o-yees or offiCer--) --)hall be HaLD.-le for the
information given on this map(s), nor for
any one representation provided.based
upon said map(s).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 7,76-1107 for side sewer inspections BEFORE covering any portion of the construction.N
Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspectionsj
ADDRESSLOCATION OF CONSTRUCTION ........................................................................................................................................................................
PROPERTY LEGAL DESCRIPTION ...................................................
..................................................... ................................................................................
......................................................................................................................... ............................... 7 ................................................ ..................................................
................................................................ OWNER AND/OR. BUILDER --------- I ------------------- --------------------------- ...... -------- - ------------------------------- 7 ------------------------
CONTRACTOWSNAME & ADDRESS .................. ....... ............ 7 ---------------------- * .....................................................................................................................
. r
F-rndssion Is granted ----------- --------
.. ................................... , 19..;.-'._ for repair and/or connection of a side sewer to the city sanitary sewer
em in accordance with City of Edmonds ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
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.
ITE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
I rE No. 3--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
oTE No. 4—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 'A will be permitted.
NOTE No. 3.--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper
I work which may develop within one year of completion.
NOTE No. 6—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 appurtenances except to in-
sert the pipe into the wye.
DISAPPROVEDE] Date ... . ................................... By ................ Date .................................... By ................ Date ............... . ................... By ................
APPROVED CK Date ... . ................ .......................................
R43marks: ....... ........................................................................... .......................................
..................................................................... . ............ 11 ......... ...... ......... ............................................................. w ......................................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
hereby certify that the side sewer installation constructed under this permit
.01. 6��ne, n__s_ it-r- u_`ct_ i o--n-
in e
inst _,O
was d dinances of the City of Edmonds.
Dated this .......... )J ------------ day of ----- i�� ....................................... 192C
Check BEFORE you dig for: Water E],' Gas Ej, Telephone E], Power E], Sewer E], Other E] V V
APPLICATION
Tho City of Edmonds
for
SIDE SEWER PERMIT
Cn
EASEMENT79.,- ----------- -------------
NEW CONSTRUCTION E] REPAIRS 0 -;2
-------------
OWNER ............. G --- ..... ------------------------
CONTRACTOR . .................... ---------- ....... o,i.1
PERMIT N . . 29�&------
ADDRESS 1.9-20.7..- 80th-"Pl ace West
......... ........ .............. -----------------
---------------- ------------
LEGAL DESCRIPTION: LOT No. -12..-Ni --- C ....... --------- BLOCK No . ..............................
-------
NAME OF ADDITION ...... �ierra Villa
.....................
................... ................................................
/�A
Approved:
DATE ....... B;
RETURN ADDRESS:
City of Edmonds, City Clerk
121 5th Avenue North
Edmonds, WA 09020
5;W401-1 Mialt 14, W11�9-o", �01-
9812310007,
1-2131198 09:18
P-0003 Recorded
I Snohomish County
NOTICE'OF LDUTATIONAND COVENANT
ADULT FAMILY HOME
Reference #:
(2) Additional on pg.—
Grantor(s): (1)
Grantee(s): Qtr—'6F—
Legal Description (abbreviated): See_ —Twn—ZT--Pjl
OR Lot_�� Block_____Ylai Se"524 11'rI14,fe
Assessor'sTax Parcel IID#(s): V-01 Z, -OW (2)
_______Assessor's Tax Parcel JD# not yet assigned
7 AUTHORIZED FOR RECORDING
City of Edmonds
By:_ JZ6_ Date::�
page --L- Of --j
WHEREAS, the undersigned owners of property located at
in Edmonds, Washington legally described
below, or on the attached Exhibit A, have applied for a building permit for
compliance and/or to remodel a structure located on the site; and
WHEREAS, the. applicant has notified the City of applicanVs intention to utilize the
improvements andlor to convert an existing Single . family structure to an adult
family home; and
WHEREAS, under the Uniform Building Code the number of occupants of a
structure trigger certain requirements relating to the fire suppression and exiting
requirements; and.
e City has notified the applicant that the permit will be issued,
WHEREAS, th or fewer residents and their
conditioned on limitation of residents to
caretakers; and
WHEREAS, the C . ity has issued a permit based upon such representations;
NOW, THEREFORE, the undersigned property owners (hereinafter
"Owner") in consideration of the issuance of a building permit and In order to
confirm the promises upon which such,issuance is based while providing notice to
any future owners or mortgagors of the property does hereby stipulate, coven . ant
and agree as follows:
. 1. Coveriant: Limitafififl-ga-R99ftam The owner hereby stipulates
and agrees that occupancy of the structure as an adult family home shall be limited
to or fewer adults and their caretakers as allowed by applicable
provisions of state law. The owner acknowledges that in the event that the applicant
seeks revision of the applicant's state license to operate an adult family home with
an occupancy of greater I than---A—� residents or 'attempts to rent, lease or
otherwise provide residence for additional residents above the
A�' — permitted in the current occupancy classification, the structure shall
be vacated and all residential use ceased until such time as the property is brought
into compliance with the provisions of the State Building Code, under the edition of
the Uniform Building Code then in effect. The owner further stipulates that this
covenant touches and concerns the land so long as the present structure and use
continues and shall run with, the land to all future purchasers and assigns.
2. Subject Tract. The above stipulation and promises shall apply to and
run with the land with respect to a residential structure located at /912.0-7 Sr
Jos 11f0*2--6, Edmonds, Washington and legally described as:
/0 7- ZI/ovo-V
3. Notification to Future Purchasers and Assignees. This notification
and covenant has been recorded in the records of Snohomish County9 Washington
in order to provide notice to any and all future owners of the property of the
limitation at the current level of improvement to single families and adult family
home residents. fewer than — --z— in number.
4. Enfocement. In addition to any and other remedies civil or criminal
which the City may have, the property owner hereby agrees. and stipulates that this
grant of covenant shall entitle the City to enforce by injunction the provisions of this
code and, in so doing, to recover its reasonable attorney's fees and costs.
AUTHORIZED FOR RE CORDING
City of Edmonds
Ily:-2:6-- Date:-AeLft
Page -z- Of
fl^ -"' 3 10 01
DATED this -- 12— day of 1990
ACCEPTED BY:
OWNER:
Jei6nine L. Graf
Building Official
0,-vie- # 029105- -
'0:�Rarwoz&
NOTIFICATION
NOTARY FOR OWNER SIGNATURES
State of Washington )
County of )ss
APPLICANT/PROPERTY
Owner
Owner
COVENANT AND
ACKNOWLEDGED:
t/.014'ej 5,61 J 001? &nk
V
Mortgagor .
I certify that I know or have satisfactory evidence that rHIA110- Yl
signed this instrument, on oath stated that he/she was authorized to execute the
instrument and acknowledged it as the QWA.^e� (title) of
Roi%t (name of party on behalf on whom instrument was executed) to be the
free and voluntary act of such party for the uses and purposes mentions in this
instrument. Subscribed and sworn to before me this W4 day of /1/01/'
Notary Public in and for the State of Washington.
My commission expires
I certify that I know or have satisfactory evidence that -Z�IE K
signed, this instrument, on oath stated that h.e/she was authorized to execute the
instrument and acknowledged it as the L4�11e- — (title) Of 00/t/Ak
(name of party on behalf on whom instrument was executed) to be the
free and voluntary act of such party for the u'ses and purposes mentions in this
instrument. Subscribed and sworn to before me this day of
. 14 E 14
Notary Public in and for t� tate of Washington.
# iP -My commission expires 1�4
OTA
V
w 'Aueo0w." jr AUTHORIZED FOR RECORDING
V.. IX. Cit of Edmonds
y
W'k By: 076 Date:ah--&'?,r,
Page -3 of
L:\TEMPVBUILDINGtFORMSkA])F-COV.DOC
7 IZ—
RETURN ADDRESS:
City of Edmonds, City Clerk
121 5th Avenue North
Edmonds, WA 98020
NOTICE OF LIMITATION AND COVENANT
ADULT FAMILY HOME
Reference #: V160461.
Grantor(s): (1 6111AI 4 P )�j" M.5�aA-ffAe Additional o I n pg�
Grantee(s):___ City of Edmonds
Legal Description (abbreviated): Seg—&L—. Twn ]Rng.� Qtr
OR Lot 14- Block Plat
Assessor's Tax Parcel ED#(s): (13-22- 7-000-01 L -OW 7— (2)
:__��ssessorls Tax Parcel H)# not yet assigned
AUTHORIZED FOR RECORDING
City of Edmonds
By: JZ6 Date: /214'
Page I of 3
WHEREAS, the'undersigned owners of property located at /f:2 0:2 TVA
141. &J2ffi=d_V VVA. , in Edmonds, Washington legally described
below or on the attached Exhibit A, have applied for a building permit for
compliance and/or to remodel a structure located on the site; and
WHEREAS, the ap7 licant has notified the City of applicant's intention to utilize the
1p
improvements and/or to convert an existing single family structure to an- adult
family home; and
WHEREAS, under the Uniform Building Code the number of occupants of a
structure trigger certain requirements relating to the fire suppression and exiting
requirements; and
WHEREAS, the City has notified the applicant that the permit will be issued -
conditioned on litnitation of residents to or fewer residents and their
caretakers; and
WHEREAS, the City has issued a permit based upon such representations;
NOW, THEREFORE, the undersigned property owners (hereinafter
"Owner") in consideration of the issuance of a building permit and in order to
confirm the promises upon which such issuance is based while providing notice to
any future owners or mortgagors of the property doe's hereby stipulate, covenant
and agree as follows:
1. Covenant: Limitation on Residence, The owner hereby stipulates
and agrees that occupancy of the structure as an adult family home shall be limited
t o —or fewer adults and their caretakers as allowed by applicable
provisions of state law. The owner acknowledges that in the event that the applicant
seeks revision of the applicant's state license to operate an adult family home with
an occupancy of greater than ie� . residents or attempts to rent, lease' or
otherwise provide residence for additional residents above the
,er permitted in the current occupancy classification, the structure shall
be vacated and all residential use ceased until such time as the property is brought
into compliance with the provisions of the State Building Code, under the edition of
the Uniform Building Code then in effect. The owner further stipulates that this
covenant touches and concerns the land so long as the present structure and use
continues and shall run with the land to all future purchasers and assigns.
2. Subject Tract. The above stipulation and promises shall apply to' and
run with the land with respect to a residential structure located at 1912-o -7 On
1.an-[s 41�& flLo-a-6 Edmonds, Washington and legally described as:
107- /Z 5�e,<,otA 11111,4,g .4L1')1v1S1vv6
3. —Notification to Future Purchasers and Assignees. This notification
and covenant has been recorded in the records of Snohomish County, Washington
in order to provide notice to any and all future owners of -the property of the
limitation at the current level of improvement to single families and adult family
home residents fewer than — Z— in number.
. 4. Enforcement, In addition to any and other remedies civil or criminal
which the City may have, the- property owner hereby agrees and stipulates that this
grant of covenant shall entitle the City to ' enforce by injunction the provisions of this
code and, in so doing, to recover its reasonable afforney's'fees and costs.
AUTHORIZED FOR RECORDING
City of Edmonds
By: �,W Date:_446&ft
Page 2-- of .3
DATED this day of
--Y-e-A�j _ 1996
ACCEPTED BY:
OWNER:
JeaAnnine L.
Building Official
#
NOTIFICATION
NOTARY FOR OWNER SIGNATURES
State of Washington. ) .
County of -*VP )ss.
APPLICANT/PROPERTY
COVENANT AND
ACKNOWLEDGED:
Mortgagor
-or- /
I certify that I know or have satisfactory evidence that Yl Ayd�fzlbz;5e
signed this instrument, on oath stated that he/she was authorized to execute the
instrument and acknowledged it as the OC�V416� (title) of
(name of party on behal
f On whom instrument was executed) to be the
free and voluntary act of such party for the uses and purposes mentions in this
instrument. Subscribed and sworn to before 'me this R1
'19-29-- 12 day of /14011
Notary Public in and for the State of Washington.
MY commission expires
I certify that I know or have satisfactory evidence that
signed this instrument, on oath stated that he/she was authorized to execute the
instrument and acknowledged it as the (title) of
(name of party on behalf on whom instrument was executed) to be the
free and voluntary act of such party for the uses and purposes mentions in this
instrument. Subscribed and sworn to before me this 1--;2, day of
t�tl E
Otary Public in and for tate of Washington.
#.%oplimy commission expires /W-V
oTAft
Z
OLD0
AUTHORIZED FOR RECORDING
City of Edmonds
r W . 10-V By: Date:LVL4-&L1
00;
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of
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