623 BELL ST (3).PDF11111111111111
10255
623 BELL ST
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: oo!L5�OW 0,�,�30 C)
r_7
BUILDING PERMIT (NEW STRUCTURE): 195�i 6 �g 65 4�)
COVENANTS (RECORDED) FOR:
CRITICAL AREjkS: 9 A— om — DETERMINATION: E] Conditional Waiver 0 Study Required b6Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
I
Of [0 1 go I cl I WIN
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:Abi—g) 4
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT I
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATI
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DA
LOT:
OTHER.1 t�W t n�,w I Pt z mu
LID #:
BLOCK:
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The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................
NEW CONSTRUCTION M REPAIRS 0— . LID NO . .................. . ASMT. NO . ..................
OWNER ................................................................................................ CONTRACTOR .................................................................................... PERMIT NO. R+ - 7b
...............
JOB ADDRESS ... (e .. � L 3. k . ........ -:-� ..................... LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO . ....................................
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PWW-0001 -11/75 (REV. 11/78)
NAMEOF ADDITION .......................................................................................................................
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Approved:
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DATE. ......... ( . .......... By .............................
Critical Areas Checklist
Site Information
Project Name: 4�31—e ok-�(4,�, c,�( Permit Number: C, Oq 0
Site Location:,��Z 3 Property Tax Account Number: 4 34 7- oriq 03 -30 C)
1;:*4Approximate Site Size (acres or square feet): 3 S'-50 '?' 4--�-
Have you filled out a Critical Areas Checklist for a project on this site before? /U 2)
General Site Conditions
1. Has the site been cleared or logged? Date of most recent action:,W��
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? .4 --�d 4'. V -1Z. 01-4 0 Z. Sc%-4 L4 fzc)-f,
3. D'escribe the general site topography. Check all that apply. C ��. S,
—Flat: less than 5 feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet.)
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise
of 10 feet of horizontal distance.)
Steep: grades of greater than 30% present on site.
Comments
Hydrology/Vegetation
4. Site contains areas of year-round standing water: 0
5. Site contains areas of seasonal standing water: /P o —Approx. Depth:
6. Site is in the floodway �)-D floodplain—A,�v of a water course.
7. Site contains a creek or an area where water flows across the grounds surface!'PL-flows
are year-round? Flows are seasonal?
8. Site is primarily: forested - meadow shrubs _;mixed
9. Obvious wetland is present on site: A) '0
10. Wetland invento ry or map indicates wetland present on site:/L)
11. Critical Areas inventory or map indicates any Critical Area on site: /Va—
For City Use Only
STUDY REQUIRED:..Critical areas study is required.
-WAIVER:.Crikical areas study not required'if specified conditions satisfied.
.— '.,,.,CONDITIONAL
WAIVER: Critical areas study is not required..
Determination Number. CA Reviewer. —
Planner Date
Rey 3/27192
9
0
& 90 .199 -
City of Edmonds
Critical Areas Checklist
T'he Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a development permit
to the City.
The purpose of the Checklist is to enable
City staff to determine whether any potential
Critical Areas are or may be present on the
subject property. The information needed to
complete the Checklist should be easily
available from observations of the site or
data available at City Hall (Critical Areas
inventories, maps, or soil surveys).
RECE-'IVED
6C*1 1 5 iSS2
PERMIT COUNTER
An applicant, or his/her representative, must
fill out the checklist, sign and date it, and
submit it to the City. The City will review
the checklist, make a precursory site visit,
and make a determination of the subsequent
steps necessary to complete a development
permit applicatiom
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Narne
Title
5- ;f) A 6 1� // S7-l'
Street Address
z I
f 4 9 -f�- 0
Applicant Representative:
Nwne
Title
Street Address
City, State, ZIP Phone City, State, ZIP Phone
-5
Signature Date Signature Date
The City of Edmonds
Side Sewer Drawing
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS X LID NO - ------------------ AsmT. NO - -----------------
OWNER AARK ------ GURKAARDT ------------------------------------- CONTRACTOR ---- QWNSR ----------- ------ --------------------- --------------- PERMIT NO.7;�40
JOB ADDRESS -- 0-4-1 --- ---- (0-23 --------- B ---- ----- L-L--.-ST ... LEGAL DESCRIPTION: LOT NO - -------------------------------------- ---------------------------
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623 BCLL'�)T-
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G-W.je 4
C. CAP
--------------------------------------------------------------- ------------------------- T
------------------
NAMEOF ADDITION ------------------------------------------------------------- --------------------------------------------------------
cLrp*" *u-r C-Ap
lbb2zi Be LL- ST.
X
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C.c. CAP
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8"rccMc. SGWER tv%AIM
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Na-Ey
%50UTH W^Lt- !ST^L)%UFl
Approved:
DATE 4w ... J.. si By - -------------------------
PWW-0001-11/75 (REV.11/78) STAD I Uln
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CE VED
CITY of EDMOI*s SIVOSEWER R M I T
Fo . r I Inspection Call 771-3202 ff rw, 4 9 YcM4 PERMIT NO.417240
PUBLIC WORKS
Address,of Construction: 6 ?, -�, 16
Property Legal Descri,ption (Include all easements):
Owner and/or Builder: M 1�
Contractor & License No:
Q
Single Family Residence,
'Multi -Family (No. of Units
Commercial (No. of fixture Units
EDMONDS
Invasion into City Right -of -Way: No Yes (If,Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
I c6'rtify that I,have�read and shall comply Date
with the.items listed on'the back.
Permit Fee: 30,00 Issued By -
Trunk Charge- Date Issued:
Assessment Fee: Receipt No.: 2.;-)eo ;,Z—,
Partial'Inspection:
Comments Date Initial
Final Inspection Approved:
Date' Inith'al
Rejected:
Reason Date Initial
PERMIT MUST BE POSTED ON JOB SITE
Wh.ite Copy - File Green'Copy - Inspector
Buff.Copy - Applicant
APPLICATION
for
The City of Edmonds SEDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS E]
114-o3800
OWNER .......... !�_g�me Qonnaug,]��.qn ................................................ CONTRACTOR ......................................................................
............................. ............................ PERMIT No . ......................
ADDRESS....... 6.2-3 ... B-e.11 .... St., ............................................................
0
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LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAMEOF ADDITION .......................................... ..............................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................
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ILLit inspeakn . ...................
Ind inspectiorL ... . ..............
st 3rd inspecd, . ... ................
2.,7 UNTIL CITY
;j 1jr L _g L NO'USF PERMIT W"L n"SSUED
INSPEMR HAS APPROVED THF,
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City of Edm&ds
RIGHT-OF-WAY CONSTRU ION
CT
Permit Num�er. /9 Z�
Issue Date:
A. AdSdre!Kri gTf FILE 623 Bell Street
9 0 03 uyp:rof Work (�e specific): GTE placing telephone drop from 623 Bell Street
C) C) B. Tnd sidewal to p&6e. TU-f-e-eU -on r.o.w.
I Mary Bower, Permit Coordinator
C. Contractor: GTE Northwest Incorporated Contact: Mary 206/488-1628
Mailing Address: 22118 20th Av SE, Suite 130 WARSpr: Bill Jira I ?
Bothell, WA 98021 296�823 6683 er GG9'5716
State License #: Liability Insurance: _ Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. E] Commercial F] Subdivision El CityProject Ej Utility (PUD, GTE, WNG, CABLE, WATER)
Ej Multi -Family E] SingleFamily Other 2100-9POOlDB 242310
INSPECTOR: INSPECTOR: Jtj
F. Pavement or Concrete Cut: ,�(Yes
,) [j]No G. Size of Cut: x H. Charg
Q--�"APPLICANT TO READ AND SId&
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold t fEdmondsharml,;,&r,�16nL�,� age or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made-agari�nkto City of Edmonds, or any of its departments or
employees, includin g or not limited to the defense ofany legal proceedings including defense' nd attorney fees by rcasori�b
, ? fjgrantQt5�permit.
�ICWP
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION ?E_�,S-,tVjLL BE HELD UNTIL TfffFINA,�L,STREET PATCH
IS COMPLETED B Y CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PRO�F_SgED FOR ISSUANCE TO THE XI-PLII-C-ANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
,Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall- be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihaue reddthe aboue statements andunderstand thepermit requiremen.ts andthepink copyof thepermit ivillbe
auailable on site at all times fQ n purposes.
March 16, 1995
Signature: Date:
(Contraptqn qn"vt)
JOHN H..STEWART, OPRNS SUPV-OPS ENGRG
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY DEPOSIT
TIME AUTHORIZED VOID AFTER AN,�%L-zo DAYS . DISRUPTION FEE/FUNI) III:
SPECIAL CONDITIONS: ' 1/91K)DOW OJEF— \NATefL
UNPE11 COOL, 51DF_'\,VALK,
J�Ai(L _51DA-AVAL4< I. I KE LEW
COMMENTS:
DATE:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Nv. 1991
FIELD INSPECTION NOTES
Comments:
10
Diagram;
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
PERMT SLIBIATTF-D 13y
— — — — — — — — — — — — — — — — — — — — — — --- — — — — -- dOP
- - - - - - - - - - - - - - - - - - - - --- - - - - --
d0-
PEDS a
POLES 0
ROAD 800JEt
OVERHEAD Lms.
LIL UTUTY PotfuXE E3
JUG WEMM
Vkk'o'l
EOP
PERMT SUBMTED 13Y
dr
- - - - - - - - - - - - - - --- - - - - - - - - - - -
I
I PEDS a
POLES 0
ROAD BoliEt
OVEFWAD UW-S.
LD.UWM PoTHoLE C3
UG VENCHM
I % WU 6. Fk' 0 '1
------------------------------ EOP
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CD
PERMT SLIBLUTIED By
- - - - - - - - - - - - - - - - - - - - - - - - - - --
r W, 5;-r -11 �*� 1 1,
PEDS a
POLES 0
WAID BokS
OVERHEAD UNES.
I.D. UTILITY PoTmXE E:3
UG TRENDONG
xx
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RIGHT-OF-WAY CONSTRUCTION
C
PERMIT' Permit Number:
Issue Date:. 6- 17- 9
A. Address or Vicinity of Construction: 623 Bell St.
B.,*, ype of Work (be sp cific): 9/R to -Install 2 " PE Main' in alley between
_ T e
89 0- 19 c� Bell & Edmonds St. from 1941E to 24KE c/1 of 6 Av. S to serve
623 Bell St. Per Attached job #9309647 (IR16043-3) (1)
Contractor: Washington Nat'l Gas Cd. Contact: Frank Swan
.Mail#�g Address: 815 Merc.Gr St.Sea'ttleWn.9 Phone: �224-22 1 78
State License #: Liability Insurance:. Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. Commercial, E] Subdivision El City Project JXXUtility (PUD, GTE, WNG, CAB L E, WATER)
Multi -Family Single Family n Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut .[],Yes Mo G. Size of Cut: /,X)— H. Charge $
APPLICANT TO READ AN GN
-kN
INDEMAFITY. Applicant understands and by his signature to this application I agrees to 4Cqh< City of Edmonds harmles.,41'om 7inili.es, d' 0_'ges, or
claims of any Aind or description whatsoever, foreseen or unforeen� that may be made against the City of Edmonds, or any of its departments or employ-,.,,
ees, including or not limited to the definse of any legal proceedings including defenje costs, and attorneyfees by reason of granting this permit.
4
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA TFRIA , 11 ASPERIOD OF ONE YEAR FOLLOWING T,�E FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK EMMA= RESTORA77ON FEES BEqELD UN77L THE FIN!AL S7REET AtCfi IS'COMPLETED BY
CITYFORCES, AT WHICH 77MEA, DEBITOR CREDIT WILL BE -PROCESSED FOR ISSUANCE TO THEAPPLICANT.
Construction drawing of proposed work required with permit applica ' tion.
A 24 hour notice is required for inspection; Please call the Engineering Departme
Work is to be inspected during progress and at completion.
Restoration is to -be in accordance with City Codes.
'Street shall be. kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Enginee I r.
All 9treet.,cut ditches shall be' patched with asphalt or City approved material prior to the end of the I working day;
NO EXCEPTIONS.
I have read the above s'tatementi and understand the permit require
Ments and the pink copy of the permit will be available
on site at all times for inspection pur
poses.
Date: flune. 9, 1993
Signature: vjks�
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
_-RIGHT-OFMAY
'ECIAL,CONDrrIONS:,: :.............:RESTORATION FEE:
La
. — NO. WORK SHALL BEGIN
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund IV Route copy to Street Dept.)
Comments:'
Diagram:
CONTRACTOR. CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By- Date:
FINAL APPROVAL BY: Pitt:
Lng. Lim it
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F-corIA40AJDG ST.
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PROPOSED Q
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N 0. ;: DESCR
REVISIONS
0
NOTES: EDMONDS
1.)
FIELD LOCATE ALL UTILITIES
CALL 1-800-424-5555
48 HOURS BEFORE DIGGING
2.)
INSTALL LOCATING WIRE OVER
ALL PE DIRECT BURIAL PIPE
3.)
INSTALL A ONE POUND ANODE FOR
EVERY 1000' OF LOCATING WIRE
4.)
SURVEY IS NOT REQUIRED
5.)
MAINTAIN A MINIMUM OF 5'
HORIZONTAL AND A 3' VERTICAL
CLEARANCE FROM ALL CITY
UTILITIES AND APPURTENANCES
7.)
AM SHOWN-Arp--
No TS ANTICIPATED
a.)
COMPLETE EXPOSED PIPE CONDITION
REPORT WNG FORM 1563.13 (D-1)
G
pe CAF-
14 67,qucTe
z)6rsc-r
2-"Sz>p,-It
Pe f-1pe
0ESCR!P!:0N
BILL OF MATERIAL
PER��I,!Ts
SIC
OP MAP:
Natur-M Gas
AREA
TAX CODE
SEO NO,
Fla 1-1 F�
5a- ro5o
65- 940
70 - 2roo
S r OCK "'0
Sw E?4 - P-7
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GR3 4BC-LL- ST.
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DATE !3Y 1 APP*D CHK 1) (,?3 0
C)RAWING
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SCAi--
COTY OP EMMONHDIE�
200 DAYTON ST. - EDMONDS. WASHIN CJON 98020 - (20,35) 775 251,)
DEPARTMENT OF PUBLIC WOnKS"'�
March 16, 1981
HARVE IA. HARRISON
MAYOR
Dear Resident:
On February 17, 1981, the Edmonds City Council passed
Resolution 488 for construction, reconstruction and repair
of deteriorated sidewalks. A Public hearing will be hold
in the Council Chambers at the'"Civic Center on April 21,1981
at 7:30 P.M. You are invited
.'. i .'. _to at,tend this hearing f
1� .1 - T �7 1:7'�, or
discussing repai, P por ions of�%de'e6ri d 6 W 6 1 k':':
orate ;�:§�i 7,
abutting you��i�'-property'-' of'- sidewalks in
need of repair -at the expense of the abutting property
owner is provided by City Ordinance, Chapter 7.20 and.
Revised Code of Washington, Chapter 35.68.
The areas needing repair have been marked in paint on
the sidewalk adjoining your prOT)erty. Reconstruction� and
repair of these sidewalks must be completed on'or before
September 1, 1981. In the event improvementsare not
completed within the above specified t:ime, the City will
perform and complete the improvements at
the expense:of the
abutting property owner.
This action is in response to many citizen requests
and pedestrian falling accidents which have been increasing
in recent years as a result of sidewalk deterioration and
increased pedestrian traffic.
Sincerely,
FRED F. HERZBERG
Director of Public Works
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PIPELINE EASEMENT AGREEMENT
This agreement is made this 19 day of December
1984 p between the following parties:
a. Grantor. �Iark L. Burkhardt and Adrienne Burkhardt
Grantor herein, and
b. Grantee. Mark L. Burkhardt and Ad"rienne Burkhardt
Grantee herein.
1. Recital of Circumstances.
a. Grantor is the owner
623 Bell St.
r
of land commonly known as
which is lega.Lly
described as follows:
Lot 33, Block 99. City of Edmonds, according to the platNO
thereof recorded in volume 2 of Plats,
page 39, records llpr-r),
of Snohomish County, Washington.
JEC I
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---wbich for the purposes of this
S? .-
agreement shall be
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.
.!7. - Oh-Lled "Parcel A".
a")
.:11 ,
b. Grantee is the owner of
land commonly known as
621 Bell St.
which is lega.Lly
describea as follows:
Lots 34 and 35, Block 99, City of Edmonds, according to the plat
thereof recorded in Volume 2 of Plats,
pages 39 and 40, records of
the Auditor of the County of Snohomish,
State of Washington.
which for the purposes of this agreement shall be
cailed "Parcel B".
These parcels are adjoining, having a common boundary line
on the wes t side of -Parcel A.
2.*Nature, Purpose of Easement.
The parties desire to create and hereby do create a formal
agreemeht to establish an easement to constr6ct,, improve,
maintain and repair a subsurface pipline for the conveyance of
412190 161
Pipeline Easement Agreement
effluent (commonly called a "side sewer"),, having not more than
a , 6 inch inside diameter, across, under and upon the
following described portion of Parcel A:
From a point on the north west corner of the two properties there shall
be a 5 foot wide easement beginningat a point 15 feet east from the north west
corner beginning at tile northern property line and extending south for
38 feet and then extending in a south-west direction at a 45* angle
to the property line adjoining the two properties. -
A portion of this pipeline easement Shall be ' a single
pipline used in common by the parties from a point of juncture
at NA on Parcel A to the public
trunk sewer line lying alongside the NA boundary of
Parcel A and a portion shall be ' used separate I ly by the parties
consisting of branch lines f rom said point of juncture, to the
respective residences of the parties o-i Parcels'A and B.
The Grantor may make all normal residential uses of the
surface of said easement area and construct fencing and.'
landscaping.
The
Grantee(s), may pass over said easement area to cause repairs
and extensions as necessary, provided that full restoration of
landscaping improvements is effected.
The parties wish to formally dedicate and confirm in
writing the establishment of said easement and to state the
terms and conditions of its use and maintenance in a man ner that
will meet the needs of each of the parties and apportion the
obligations of the parties in a reasonable manner.
3. Grant of Easement.
The parties agree that the easement described above shall
be forever a pipeline easement for the joint and mutual use and
benefit of the parties as owners of their respective properties
or. for their heirs, successors or assigns. Grantor hereby
grants and conveys to Grantee all such easement rights,
privileges, authority and interests in the above described
portion of Parcel A as is necessary to carry out the purposes of
this agreement. However . , each of the parties disclaims, waives
and relinquisnes any claim ee ownersnip interest in the land
8 412190 100
Pipeline Easement Agreement -2-
of the other upo0which said eas . ement lies. 0
4. Maintenance.
The reasonable cost of any necessary maintenance, repairs
or upkeep of the improvements or facilities located on the
described easement pursuant to the purposes of this agreement
shall be shared or allocated between the parties,as follows:
(a) As to all common portions, the use'of which is shared
by the parties,, the cost shall be shared equally.
(b) As to portions which serve and benefit only one parcel
or the other the cost shall be borne solely by the party whose
property is so served and benefitted.
(c) As to any improvements and modifications to the facil-
ities that are desired by one of the parties but not agreed to
by the other party,"such expense shall be the sole obligation of
the party desiring same.
STATE OF WASHINGTON )
ss.
A%
COUNTY OF" )
THIS IS TO CERTIFY that on this _�c
�._ day of
19��, bef ore me, a Notary Public in and for the State or
Washington, duly commissioned and sworn, personally came
to me known to be the individual (s)
described in and who executed the within and foregoing instru-
ment, and acknowledged to me that signed. and sealed the
same free and voluntary act and deed for the uses and
purposes therein mentioned.
WITNESS my hand and official. seal the day and year in this
certificate first above written.
8 41219018?
Pipeline Easement Agreement
CRIM
C
Nota y PU41 i c in and f or the
Y_
Stati of Washington, resid-
ing at 'A.--,-,; Z� c�
11