BLD1995-0296 LEGAL DOCSFile No
Applicant-701INSCIV
AFFIDAVIT OF MEADOWDALE LANDSLIDE PERMIT POSTING
STATE OF WASHINGTON )
) ss.
COUNTY OF SNOHOMISH )
R6, being first duly sworn, on oath, deposes
and says:
That on the la D-day of 19� the
site located at Z� 1� J ` % was posted as
prescribed by Ordinance No. 2661 on the subject property. This posting
begins on the day the City accepts the permit application for review
and shall remain until building occupan
Sign
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Subscribed and sworn to before me thisaay of
197 .
No Public i Oand for the State of
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CITY CLERK �
4 CIVIC CENTER U�F111 C IF
E10MONDS, WA 98020
COVENANT OF NOTIFICATION AND INDEMNIFICATION/HOLD HARMLESS
Under the review procedures established pursuant to the State
Building Code, incorporating amendments promulgated by the City
of Edmonds, and as a prerequisite to the issuance of a building
permit for the construction of a residential structure and
attendant facilities, the undersigned OWNERS of property do
hereby covenant, stipulate and promise as follows:
Description t f o ec .Z r.4.. Tbi 4 - f
1. esc__u,.�cr. c.. .,.�;�.... Prare�..z. �..�� c;,;-eran.. c�
notification and indemnification/hold harmless relates to a tract
of land at the street address of 161A t - ��F�� tn�, t �. { ( insert
street address), Edmonds, Snohomish County, Washington and
legally described as:
Jv�U_tMfel fS f45 144 Yec� rAs e�T Snc►tiovv�ls�
LO!kvlL�y. / fhi 0.5 rlV� �n S t C cla�2 vl2 GD�tK�}! p
2. Notification and Covenant of Notification. The above
referenced site (hereinafter "subject site") lies within an area
which has been 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 been evaluated by
technical consultants and engineers engaged by the applicant as a
part of the -process to obtain a building permit for the subject
site. The results of the consultant's reports and evaluations of
WSS52079A/0006.040.034 -1- BUILDING
02/08/90
FEB9-1"0
the risks associated with development are contained in building
permit file number � (insert number) on file with the
City of Edmonds Building Department. Conditions, limitations, or.'
prohibitions on development may have been imposed in accordance
with the recommendations of the consultants in the course of
permit issuance. The conditions, limitations, or prohibitions
may require 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 future or anticipated
changes in soil or other site conditions. The statements and
conditions proposed by the OWNERS' geotechnical engineer,
geologist, architect and/or structural engineer are hereby
incorporated by reference from the contents of the file as fully
as if herein set forth. Any future purchaser, lessee, lender or
any other person acquiring or seeking to acquire an interest. in
the property is put on notice of the existence of the content of
the file and the City urges review of its contents. The file may
be reviewed during normal business hours or copies obtained at.
the Planning Department, City of Edmonds, 505 Bell Street,
Edmonds, Washington 9802:,.
3. Indemnification and Hold Harmless. The 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 any and all causes of action
against the City of Edmonds, its officers, agents and employees
WSS52079A/0006.040.034 -2-
WSS/klt 02/08/90
arising from and out of such. development. In addition, the
OWNERS on behalf of themselves, their successors in interest,
heirs and .assignees, do hereby promise. to indemnify and hold
harmless the City of Edmonds, its officers, agents and employees
from any loss, claim, liability .or damage of any kind or nature
to persons or property either on or off the site resulting from
or out of earth subsidence or landslide hazard, arising from or
out of the issuance of any permits) authorizing development of
the site, or occurring or arising out of any false, misleading,
or inaccurate information provided by the OWNERS, their
employees, or professional consultants in the course of issuance
of the building permit.
4. Insurance Requirement.. In addition to any bonding which
may be required during the course of development, the Community
Services Director has/� (.strike one) specifically required
the maintenance of an insurance policy for public liability
coverage in the amount and for the time set forth below in -order
to provide for the financial responsibilities established through
the indemnification and hold harmless agreement above:
[insert insurance requirements and time period,
if any --if no insurance required, so state.]
WSS52079A/0006.040.034 -3-
WSS/k1t 02/08/90
S. Covenant to Touch and Concern the Land. This covenant
of notification and indemnification/hold harmless touches and
concerns the subject tract and shall run with the land, binding,
obligating and/or inuring to the benefit of future owners, heirs;
successors and interests or any other person or entity acquiring
an interest in property, as their interest may appear. This
provision shall not be interpreted to require a mortgagor or
lender to indemnify the City except to the extent of their loss
nor to obligate such persons to maintain the insurance above
required.
DONE this 11 day of , 1992.
OWNER(S)
By: IS,C ��rQA
-
By:
By:
STATE OF WASHINGTON )
f ) ss:
COUNTY OF Srckowk k5 n )
I certify that I know or have satisfactory evidence
thatOo-g,, QJJ signed this instrument and acknowledged'
WSS52079A/0006.040.034 -4-
WSS/k1t 02/08/90
Y
it to be (his/her) free and yoluntary act for the purposes
mentioned in this instrument.
DATED this of 199�
NOTARY PUBLIC ,
My commission expires: '7 a.-_.
STATE OF WASHINGTON )
) ss:
COUNTY OF 'S
I certify that I know or have satisfactory evidence
that =^ - C 0q"—.---.s1gned this instrument and acknowledged
it to be (his/her) free and voluntary act for the purposes
mentioned in this instrument.
DATED this f 6 —day of 199 Y
NOTARY PUBLI
My commission expires:
STATE OF WASHINGTON )
) ss:
-COUNTY OF )
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
of
whom
instrument
was
executed)- to be the free and voluntary act
of
such
party for
the uses and purposes mentioned in this instrument.
DATED this day of
, 199_.
NOTARY PUBLIC
My commission expires:
WSS52079A/0006.040.034 -5-
WSS/klt 02/08/90
BUILDING
FEB 0 91994
Stephen & Joan Johnson
16121.74th P1. W.
Edmonds, Wa. 98026
Jeannine Graf
Acting Building Official
City of Edmonds
250 5th Ave. N
Edmonds, Wa. 98020
We would like to ask for a waiver of the 10 year insurance
requirement on our home. We are not able to secure this
type of insurance. Our agent, Jim Bloch, of THE INSURANCE STORE
researched this type of insurance and found no company
that would offer it.
Thank you for your consideration on this matter.
Stephen C. Johnson
Joan P. Johnson
71-1
15SUE DATL jkAf0j',)D1YY�
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