Fill and Sign the Washington Easement Form

Recording Requested By And When Recorded Mail To:                                                                                           DOCUMENT TITLE: PRIVATE EASEMENT FOR SEWER LINES REFERENCE NUMBER OF RELATED DOCUMENT:                         GRANTOR(S):                                           GRANTEE(S):                                           ABBREVIATED LEGAL DESCRIPTION:                                                                               ASSESSOR'S TAX / PARCEL NUMBER(S):                         PRIVATE EASEMENT FOR SEWER LINES (the "Grantor"), for and in consideration of                         and other good and valuable consideration, hereby dedicates, conveys and grants to ("the Grantee") and its successors and assigns a permanent easement for sewer lines and appurtenances thereto upon the following described property situated in                               County, Washington, legally described as follows: 1. Nature and Location of Easement. The Easement granted by Grantor herein shall be a permanent easement for the benefit of Grantee over, upon, across, through and under the real property legally described in Exhibit “A”, attached hereto and incorporated herein by this reference (“Real Property”), such Easement as legally described on Exhibit “B” and as depicted on Exhibit “C”, attached hereto and incorporated herein by this reference, for the purposes of installing, laying, constructing, maintaining, inspecting, repairing, removing, replacing, renewing, using and operating sewer lines, together with all facilities, connectors and appurtenances (“Sewer Lines”), including the right of ingress and egress for said purposes. 2. Right of Entry. Grantee shall have the righ t, without notice and without prior institution of any suit or proceeding at law, at times as may be necessary, to enter upon said property and adjoining property owned by the Grantor and his assigns and successors to install, lay, construct, renew, operate and maintain lines and necessary facilities and other equipment for the purposes of serving the property and other properties with sewer service. The Grantee agrees to restore the property to its condition prior to any disturbance from construction, operation, maintenance, repair, or replacement of the Sewer Lines. 1 3. Encroachment/Construction Activity. Grantor shall not undertake, authorize, permit or consent to any construction or excavation including, without limitation, digging, tunneling, or other forms of construction activity on or near the Easement which might in any fashion unearth, undermine, or damage the Sewer Lines or endanger the lateral or other support of the Sewer Lines without Grantee's prior written approval. Grantor further agrees that no structure or obstruction including, without limitation, fences and rockeries shall be erected over, upon or within the Easemen t, and no trees, bushes or other shrubbery shall be planted or maintained within the Easement, provided Grantor shall have full use of the surface of the Real Property within the Easement, so long as such use does not interfere with the Easement or the Sewer Lines. 4. Binding Effect/ Warranty of Title. The Easement and the covenants, terms, and conditions contained herein are intended to and shall run with the Real Property and shall be binding upon Grantee and Grantor and their respective successors, heirs and assigns. Grantor warrants that Grantor has good title to the Real Property and warrants the Grantee title to and quiet enjoyment of the Easement. 5. Recording. Upon its execution, the Easement shall be recorded with the Department of Records and Elections,                         County, Washington. DATED this             day of                               , 20       . GRANTOR(S)                                                                         Printed Name Signature                                                                         Printed Name Signature DATED this       day of                         , 20       .                                                                         Printed Name Signature By                                     (Print or type name(s)) Its                                     (Print or type position held) 2 STATE OF WASHINGTON ) ) ss. COUNTY OF                         ) I certify that I know or have satisfactory evidence that                               signed this instrument and acknowledged it to be free and voluntary act for the uses and purposes mentioned in the instrument. Dated                                                       Signature of Notary Public Title                         My appointment expires:                         STATE OF WASHINGTON ) ) ss. COUNTY OF                         ) I certify that I know or have satisfactory evidence that                               signed this instrument, on oath stated that                                     was authorized to execute the instrument and acknowledged it as the                         of                               to be the free and voluntary act for the uses and purposes mentioned in the instrument.                   Dated                                     Signature of Notary Public Title                               My appointment expires                         3