20120911115625414.pdfRETURN ADDRESS:
Ci.ty.qf Edmonds, City Clerk
5th A
venueNorth
Edinpbdi, WA 9.8020
............
A
VAIi11WV INII IUJUIpVBI A IIIWUi�I
��l�n'�h°
5PGS
6600 RHINGTON
COVENANT OF NOTIFICATION
AND.JNDEMNMCATIONJHOLD HARMLESS
Reference #:
Grantor(s): (I Additional on pg.
Grantee(s): City oLKA. niiils
Legal Description (abbrev*!'ated).-' 2-7 —Rng Qq Qtr 10 1;—�
OR:.. Block Plat
Assessor's Tax Parcel EDN(s). 100 DP9--P�.Ot (2) 0 0 S-1 3 109 100501
—Asses.soPs Tax Pa'rcel 13D# not yet assigned
CITY GF.EDM.0ND9--.1
APPROVED FOR 0C9RD!NG..
BY DATE: VAGF,- OF
Under the review procedures established pursuant... State.- Building Code,
incorporating amendments promulgated by the City of'.*-gdn' and as a
prerequisite to the issuance of a building permit for the constrU.ction ofa-residential
structure and attendant facilities, the undersigned OWNERS'-qf.-Vrop6rty db' hereby
covenant, stipulate and promise as follows:
Adh
APPRO TID FOR RECORDING:
B'Y DATE:
PAGE -Z, OF
1. tion o1 Subiect Property. This covenant of notification and
indennjfl6ationihijId 'Jigriffless relates to a tract of land at the street address of
(P S0-6 Ave-, We6-r (insert street
address), EddiQdds.Snoh6Wish County, Washington and legally described as:
19RU
-rO M -Y 6DYto 0 S L,.?,j 8 0 Ir � r R 9 7 M
PJ 1-b - P Oe> P Lug a -`**0A -Sl- LOT 01 0 1
V. octA. .05Z) 1
-7
5P 5-25-d-7 2e(, V'-J)t2.
2. Notification and Covenant of Notfacatf6n,. above referenced site
...........
(hereinafter "subject site") lies within an area whigh hag,bVen' identified by the City
of Edmonds as having a potential for earth subsidence or -landslide hazard. The
risks associated with development of the site have -b -Been . e.vafu.ated by technical
consultants and engineers engaged by the applicant as a-partthe process to
obtain a building permit for the subject site. The results 6f.the..cd . nsvl6iiVs reports
and evaluations of the risks associated with development are-.Cafitaffied ... in -building
permit file number bLD9,0120-4(insert number) on file "P�ith,..J-he .Mty of
Edmonds Building Department Conditions, limitations, or 'P.rplhipitions.. on
development may have been imposed in accordance with the recomniendation . s
i
•l
APPROV FOR RECORDING:
BY DATE
PAGE OF 6'
the •�cansulfaiits in the'.caurse of permit issuance. The conditions, limitations, or
proliibitaons may.-oghtre-:ongoing maintenance on the part of any owner or lessee or
may require modifications to the structures and earth stabilization matters in order
to address'•.iuiure ox.. aniieipated changes in soil or other site conditions. The
statements anid eogdiioris .prop
ised by the OWNERS' geotechnical engineer,
geologist, archite••autUoro structural engineer are hereby incorporated by reference
from the contents of the file. aJully as if herein set forth. Any future purchaser,
lessee, lender or any other:p04s in acquiring:or seeking to acquire an interest in the
property is put on notice'a the'ePistenee'of the content of the file and the City urges
review of its contents. The file may be review. 4 during normal business hours or
copies obtained at the Building Depart- ment,• -City "-.of Edmonds, 121 5th Avenue
North, Edmonds, Washington 98020'.
3. Indemnification and Hold Harmle,Ts.' T h 6 undersigned OWNERS
hereby waive any and all liability associated with development, stating that they
have fully informed themselves of all risks associated"'with. development of the
property and do therefore waive and relinquish airy and. all'•eauses of action against
the City of Edmonds, its officers, agents and employ a 6fsingfirom-and out of such
l
development. In addition, the OWNERS on behalf of themselves, their.-Successors in
interest, heirs and assignees, do hereby promise to indemn, .•and-•liold 6i1rmless the
City of Edmonds, its officers, agents and employees from any'ioss;'.claim, liability or
damage of any kind or nature to persons or property eithef%on-•*.•off the site
resulting from or out of earth subsidence or landslide hazard, arising fraix►'or out of
the issuance of any permit(s) authorizing development of the site, or occurring or'
I
APPROVED FORRECOI�DING:
BY• t DATE: zS�Jz
PAGE � OF�
arisfiug..ot`'o#` any false, misleading, or inaccurate information provided by the
OW'NEW, then~.-ej Ott gees, or professional consultants in the course of issuance of
the buiidii &.permit:'
4. Insutaiice. ouireuiei e -In addition to any bonding which may be
required during --the of development, the Community Services Director
has/has not (strike one)-specifxcally'-required the maintenance of an insurance policy
for public liability coverage ip the amount and for the time set forth below in order
toprovide for the financial responsibiities established through the indemnification
and hold harmless agreement above:
5. Covenant to Touch and Concern the t4 id.-.-` .This covenant of
notification and indemnification/hold harmless toiicheg••nnd''•:concerns the subject
tract and shall run with the land, binding, obligating and/oi' inuring to the benefit of
future owners, heirs, successors and interests or'" "an -
"'..t' of tef-. person or entity
acquiring an interest in property, as their interest may appear:' Tbis'provision shall
not be interpreted to require a mortgagor or lender to ind' mril..4-'theCity..except to
the extent of their loss nor to obligate such persons tomaintai�p.#lie•iiisuraitce.above
required.
rr=
APPROV FOR RECORp IN
"`. BY *r DATE: (10(75 !Z
PAGES OF
'DON
A. day of
OWNER(S)
By:
B
STATE OF WASHINGTON }
`
J
ss:
COUNTY OF AM !
,y
T certify }that X lcn w or have satisfactory•evideiice that
"Dona %%} ���! � sigbed'this instrument and
acknowledged it to be (his/her) free and voluiott#rx.aef.ftiir the purposes mentioned in
this instrument.
DATED this day of a�
NOTARY PUBLIC•'• • •: -�•'� •..•.•,4� o?D ,,J
My commission expires; •
L:\TE7vtk\BUUn DiNG\MEADOW\COVENANT