20131017114011712.pdfRETURN ADDRESS:
City of Edmonds, City Clerk
121 5th Avenue North
Edmonds, WA 98020
20131011042 CONFORMEDDOPY PGS
10111 SNOHOMISSH3COUNTY, WRINGTON
COVENANT OF NOTIFICATION
AND INDEMNIFICATION/HOLD HARMLESS
Reference #: �
Grantor(s): (2)/ / Additional on pg.
Grantee(s): City of Edmonds
Legal Description (abbreviated): Sec Twn- Rng Qtr/
OR Lot Block Plat Avlw
Assessor's Tax Parcel Ili#(s): (1) (2)
Assessor's Tax Parcel ID# not yet assigned
-CITY OF EDMONDS
APPROVED FOR RECORDING
BY: v DATE: AGE/ OF�
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:
APPROVE FOR RECORDING:
APPROVE
VA, V OF
- ")
I3 Desi This covenrant of ofdoand
indemnMeattion/hold harmless relates t10 -a tract off land alt the street address of -
/� 6 7: street
2 -C� �#-
address;, Edrnonds Sno-hom-a-sh County,WashLngton and I-egally describedPS,---
Ju -Dov.1-bALe ::i2zdLLs coo
RF Isto
kV r, ex 1-s —I
to
EZ-) M-1, 3 Q �,O 3 �0
,1��
2a Notification and Covenant of Notification. The above referenced site
(he-t-An2fler '-subject site") lies within an area -,vhlch has been Men-fified by the City
of Edmonds as having a Potential for epeth subsidence or landslide hazard. The
ted
ri with development of t -he site ha-ve been evaluated by tech -u -1 -cal
isks associa
-on-suita,uts and engineers en -gaged by the applicant as a part of the Process to
obtain a building permit for the subject site. The results of the consultants reports
and evaluations of the Asks associated with development are contained in bud"ding
nuirnber) on Me with the CitY Of
Edmonds Building Department. Conditions, Ihnitab."ons, or prohibitions on
development may have been imposed in accordance with the recommendations of
APPROVED OR RECORDING:
DATE:
PAGE _
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 wilding Department, City of Edmonds, 121 5th Avenue
Forth, 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 of 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 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 permit(s) authorizing development of the site, or occurring or
4. Insurance Requirement. In addition to any bonding which may be
required during the course of development, the Community Services Director
hasihas not (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:
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 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.
d
J-7 4
DONNE this day of
OV,f--N--ER(S)
By-
B -
By
ST,kTE OF WASHINGTON
I I
COUNTY OF W0AJhqLSIi-)
/17
t�)I certify that I know or have satisfactory evidence that LIZ
(7ZC-el-) All signed this instrument and
-T--- V
acknowledged it to be (his/her) free and voluntary act for the purposes mentioned in
this instrument, A
DATED this 7day of
V
Notary Pubuc U I IAJK X Y U J --I k -
state of Waftwo My commission expires:
LINA US VA Z�
My AppoWmerd EXPIM Sep 27, 2094