BLD2023-0501+RECORDED COVENANT+1.9.2024_4.05.24_PM+3991459U:
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City of Edmonds, City Clerk
Return Name
121 5th Avenue.North
Street Address
Edmonds, WA 98020
City, State, ZIP
Standard Cover Sheet
202401090202
COVENANTS Rec: $308.50
1/9/2024 2:44 PM 6 PG
SNOHOMISH COUNTY, WA
AX*
Snohomish County Recording
A Division of the Auditor's Office
The Auditor/Recorder will rely on the information provided on the form. The staff will not read the document to verify the accuracy
or completeness of the indexing information provided herein.
Document Title(s)
1.
COVENANT OF NOTIFICATION AND INDEMNIFICATION /1-10161 AWE leas
2. 4.
Reference Number(s) of Related Documents
BLD2023-0501
Additional reference numbers on page
Grantor(s)
1 LANE CHRISTOPHER P
Last Name ' First Name Middle Initial
2 LANE PAULINE Y
Last Name ' First Name Middle Initial
Additional names on page
Grantee(s)
1 CITY OF EDMONDS
Last Name ' First Name Middle Initial
2.
Last Name ' First Name Middle Initial
Additional names on page
Legal Description (abbreviated form: ie lot, block, plat or section, township, range)
SEC 05 TWNSHP 27 RNG 04 QTR SW SUBDIV MEADOWDALE BEACH BLK000-MEADOWDALE BEACH
BLK000 D-04-PAR A OF BLA CITY OF ED LLA NO PLN20100050 REC AFN 201011155003, A PTN EXST PLAT
Assessor's Property Tax Parcel/ Account Number Number not yet assigned
00513100005204
Additional numbers on page
RETURN ADDRESS
City of Edmonds, City Clerk
1.21 5th Avenue North
Edmonds, WA 98020.
COVENANT OF NOTIFICATION
AND INDEALNMCATION/HOLD HARMLESS
Reference ##_. BL13202370501
Grantor(s): (1) C.Ara4a�Fv° Additional �n fig-
Grantee(s): Q& of j dxtmonds
Legal Description (abbreviated): Sec Twn 22 Rn Qt ice'
Assessor's Tax Parcel EW(s): (I t7,112 i; ! /'f�t,� 3` 'a I
Assessor's Tax Parcel ID#i not, yet assigned
CITY OF EDMONDS
APPROVED FOR REGORI)ING
wir. DN D,An;:6/20/23 _ PAGE 1_ _ OF 5
Under the review procedures established pursuant to the State Building Cade,
incorporating. amendments. promulgated > by the- City of Edmonds, and as a
prerequisite to the issuance of a building permit for the construction of a res dential .
structure and attendant facilities, the undersigned t3WirTiiRS of property do hereby
covenant, stipulate and promise: as follows:
APPROVFD FOR RECVltl. XG:
BY,. _ 'DATE::. 6/26/23
PAGE OF
1 Description of Subiect Prooerty. This covenant of notification and
indemnification/hold harmless relates to a tract of land at the street address of _
/0 7FAVO (insert street
address), Edmonds Snohomish County, Washington and legally described as:
.°;:✓
� 0 . -7
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O "
I 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 the risks associated with development are contained in building
permit file number BLD2023-0501 (insert number) on file with the City of
Edmonds Building I3epartment . Conditions, limitations, or prohibitions an
development may have been imposed in accordance with the recommendations. of
APPRQ" FOR REC muiTic,
BY _6V _ DATE FPA"23
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 otherpersonacquiring 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 it the Building Department, City of Edmonds, 121 Sth Avenue
North, Edmonds, Washington 98020.
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 o€'Edmonds, :its officers; agents and employees 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 andbold harmlessthe
City of Edmonds, its. officers, agents and employees from any loss, claim, liability or
damage of any kind or naturetopersons or property either on or off thesite
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
APPROV'RT) FOP, RE CORM-ING,
BY ON . ;DATE: 6/20/23
PAGE. 4 OF_
arising out of any false, misleading, or inaccurate information provided by the
O"ERS, their employees, or professional consultants in the course of issuance of
the building permit.
4. Insurance Requirement. In addition to any bondingwhich way be
required during the course of development, the Community Services Director
hasAmmul (strikeone)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:
5. 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 are interest in property, as their interest may appear. This provision stall
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.
APPROVE FOR RECCixv1114".
$Y: CAN DATE:619n/23
PAGE- 5 OF 5
DONE this day of L A"
OWNER(S)
By
By
STATE OF WASHINGTON
� Ss.
COUNTY OF 54CAOM .5
I certify that I know or have satisfactory evidence that
signed this instrument and
acknowledged it to be (his/her) free and voluntary act for the purposes mentioned in
this instrument.
DATED this -20!4 day of
Naftry PWM
SANlt3E4 STiSt?NN6TARY PUBLIC Z
LI.1,M#23008M ]VIEUqMy commission expires: ____ z_.
MARCH22,2027
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