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07/05/2000 10:34 AM Snohomish
P-0001 RECORDED County
ACCESSORY DWELLING UNIT COVENANT
Property Address: — Z +025 1- 1 Dl'�"_ A/6- 0
Edmonds, Washington
Assessor's Parcel Number: 5550 — 00 C) — c> I- I - 0 0
Legal Description: 'MET�AT-of 7-tWKC*4V 74KV_1Ap?-1SS, 'IR III
1, the undersigned, have attained approval for an accessory dwelling unit (ADU) at the
property address above, in accordance with the provisions of Chapter 20.21 (Accessory
Dwelling Units) of the Edmonds Community Development Code.
I agree and understand that it is my responsibility to notify all future property owners or long-
term lessors of the. existence of the ADU and that its existence is predicated upon the
occupancy of either the ADU or primary dwelling unit by the owner of the property.
Additionally, I will notify all prospective buyers of the limitations on use and maintenance of
the ADU as stipulated in Chapter 20.21 (Accessory Dwelling Units) of the Edmonds
Community Development Code. An example of the limitations of the ADU per Chapter
20.21 is the property owner is required to reside in the primary or accessory dwelling unit for
6 months out of every year.
Finally, this covenant shall be recorded in order to notify all current and future property
owners that if any conditions of the ADU approval are violated, the property owner will be
required to remove all improvements which were added to convert the primary dwelling unit
into an ADU and restore the site to a sipgf�-farnily dwelling unit.
Property Owner Signature:
Prope
Date:
STATE OF WASHINGTON )
COUNTY OF SNOHOMISH)
4ilCei5-L S4VI---eW f
I certify that I know or have satisfactory evidence that aneil 5ffe,,7 3,WM_0"'7
signed this instrument and acknowledge it to be his/her free and voluntary act for the uses and
purposes mentioned in this instrument.
Notary's pressure.seals must be:smudged. Dated: '771
JERE-LEI DOMINGO
STATE OF WASHINGTON
NOTARY PUBLIC
My COMMISSION EXPIRES IH8-00
Signature of
Notary Public:
Residing at:
My Appointment
Expires: /(-
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.
4
City of Edmonds Permit No: 7_00(o—OOZ-5
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date; 11 lato
A. Address or Vicinity of Construction: �" a Yo 3P. lols-f,4"Aw ghv 64aAAAtt �V�)
B. Typ& of Work (be -specific): 6#1 f- JeO Lo'-; via e,-- 46,0A) 0 U4 L oi-t 5"u ASAAIX2
ctqtLA"" i� S�ye_ poe/me LVW lake -J 4 - 6A /,_T J� eet �"1�6 aMo( U,�L& be IMA�za
I I .* .. A I — IJA I t I I % , F
C.
Contractor: L 5.1 Ahg�
Contact: I%Uka Alic"Isors
Mailing Address: fk
Ayf,
Phone: ' o7 0 V -,q-
State License #:
Liability Insura ce: A4 Bond: $1 12-K
City Business License#: A.PpLfCb rca..
D.
Building Permit # (if applicable):
Side Sewer Pe # (if applicable):
E.
F-1 Commercial El
Subdivision
City Project E] EUC (PUD, VERIZON, PSE, COMCAST, OVWSD)
F-1 Multi -Family
Single Family F]
Other
INSPECTOR:
F.
PAVEMENT CUT: F1 YES
0
G. SIZE OF CUT x
CONCRETE CUT: El YES
;PNO
G.
0 Mail Approved Permit
F] Call for Pickup
INDEMNITY. Applicant understands by his/her signature to this application helshe holds the City of Edmonds harmless from
injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of
Edmonds or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense
costs and attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND A CCEPTANCE OF THE WORK. ESTIMA TED RESTORA TION FEES WILL BE HELD UNTIL THE FINAL STREET PA TCH IS
COMPLETED B Y CITY FORCES, A T WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
* Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every
flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the
required training in their possession.
* Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City -
approved material prior to the end of the workday - NO EXCEPTIONS.
* Three sets of construction drawings of proposed work are required with the permit application.
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
I HA VE READ THE ABO VE STA TEMENTS AND UNDERSTAND THE PERMIT REQ UIREMENTS AND A CKNO WLEDGE
k
THA T I MUST MAKE THE PINK COPY OF THE PERMIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
Signature: Date:
(Contractor or Agent)
/V
FORCITY1,USE,ONLY
ht-'oP
Approved by:. Rig _wa`y:.Fee:. & 6)
Time Authorized: Void After 4,�nX Ile �7
_,00& Disruption,'Fee/FuYn. III:
Special Conditions: Ala; e /be A—t eehJ, Zz;;), Inspection Fee:. o0
�2�a�a- /low Total Fee:'_..,_T27S
ReceipVN'
A,1S ��,�44 -4.1- 0" /0- 4v �-,f A Issued -,by -
REQUIRED INSPECTIONS:
Call 425-771-0220, Ext. 1326for a 24-hour voice -recorded inspection request line.
FINAL APPROVAL OF PERMITTED WORK: Ll 44�--e� DATE:
CADocurnents and SettingsTunisNy Documents\Fonns\Engnrng\ROWpennit_.doc Revised 10/01/03