Laserfiche WebLink
RCW 64.55 MULTI-FAMILY CERTIFICATION WORKSHEET <br /> i CITY OF EVERETT PERMIT SERVICES <br /> . 3200 Cedar Strrel. Everefl WA 98201 <br /> � a25-257.8810- �AX 425�251-8(�57 -w+.w everettwa oy <br /> REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RFCORDED COVENANT OR CONVi'RSION <br /> , --- - <br /> �CNECI( n ( A � ( p p <br /> T��.Y-kr�c i� fi <br /> ONE Y P�—I 4_I.:)—W�_C�\S (h'__'_.�C—___ .____�I-JQ j�—_C �___ <br /> I 90z Property Name AOdross 9uddnig Number Permn Numbei <br /> i <br /> � [-1 REHABILITATIVE CONSTRUCTION equal to or less than 5% or less of current assessed <br /> i market improvement value of specified buiiding• <br /> � 'NOTE Apphcant lo prov�de ent�re cost of rehab�lAahve construcUon to Ihe bud0�ng enclosure lor a multiunit <br /> � residential build�ng or miMed use pro�ect per RCW 64 55 010, which may eKceed Ne valuation lor buJding permd <br /> � (AJ f_NCI,OSURC REHA3 COST i(B)IdULTIPI V(A�[3Y 100 I (C)ASSESSED BUILDING VAW[ '�(D)DIVIDE !B)by ICI ' ''/o <br /> � -� - -- . . .-- � - . .. . . � _ .— - - <br /> � iI <br /> I i <br /> ❑ NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more than 5% of <br /> current assessed market improvement va�ue of specified building• <br /> 'NOTE Per RCW 64 55 010 RCW 64 55 020 and RC W 64 55 UGO <br /> Each budtling enclosure tlesign document is to be stamped and signed by a Washington State archdecl The <br /> documents should a�so conlain a stamped signed statemen(by the same architecl Nat'lhe undeisigned has <br /> provided buJding enclosure dotuments that in my piolessional�udgmeni are appropnate to satisty the reqwrements I <br /> or RCW 64 55 005 inrougn 6a 55 090' <br /> I <br /> Final mspect�on or 'Certificate ol Occupancy' cannot be issuPd Dy the bwlding department prior to receipl of a � <br /> 5ignetl letler from an independenl inspector certitymg that the budaing enclosure has been inspected dunng the ��� <br /> � course of consl,uctron and has been constructed �n substaMial comphance Hnlh Ihe buddmg enclosure design <br /> documenis <br /> I ----- — — <br /> ' ❑ RECORDED COVENANT OF SALE irom Snohomish County' <br /> 'NOTE Sa1e ProhiO�t�on Covenant per RCW G4 55 O10 <br /> Submtl sde plan Nnth location of budding. permd vnth descnphon ol work and certd�ed copy of recorded covenant <br /> from Ihe real propeAy records ol Snohom�sh County, Washington(or speaGeA budd�ng <br /> I ❑ CONVERSION to condominium' <br /> I 'NOT[ permds may be reQwred by the C�ty ol Everett per Ihe resWls ol the�ndependent inspection report <br /> ; Undersignrd vmll compty vnth owner independenl mspeclion attemative per HCW 64 55 090 and RCW 64 34 400(21 <br /> �� S�gnature ol Ownei or AuthorvM Ayenl Printed mm�r ul Owner or Authonred Agrnl Phone p Dalc <br /> i <br /> � <br /> Pnnted name of Dusmess Address Gry Zip Coae <br /> _ — -- 2 - - - _ --- ---- I <br /> cldl�i-ne�� cnm :mJ conJu Rc� 1'I i 1 F��H 111 I I(�P. I iSL(1\I 1' <br />