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Jun �5 07 04:18p STERLING SQUARE 4253552013 P2 <br /> B <br /> UILDING ENCLOSURE VALUATION CERTIFICATION WORKSHEET j <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320D CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-SS1U-FAX 425-257-8857-tiwvw.everettwa.org <br /> /t.00 PtN(r <br /> BUILDING(NUMBERS) PE�R� <br /> SITE A�DRESS A b o 7 e�— <br /> 1�IJ5 W CAsir�� RD G -069 <br /> �vr_iZ�rr; �NA. 9532_Du D 'O�0 - <br /> _ 07� <br /> A ASSESSED BUILDING VALUE-PER STRUCTURE B. CONTRAC`TDPINO ENCLOSURE ON Y)RUCiURE Q B x 00)1nA.S'. <br /> (STRUCTURE ONLY) _I <br /> .`�� `� <br /> -c I ��� 1G`l $5 . � <br /> g ti 9�3 lv I � ti7 �3�J� 9 . �7� <br /> L � 1 z9� ti�c s� (�G 1s�Z �1.� `7 <br /> -p b 9�:'3 I c= l <br /> 4g7 39i: � . �, °j <br /> —� ; . <br /> � _ rl. 4 .�. <br /> CLu3�lu�.� "�7 ! L:3u :�u � — � <br /> — � <br /> i <br /> i <br /> I <br /> I <br /> I <br /> I hereby certify lhal Uie cost of conslrudbn work for 1ho buil�fng encbsure for the multi-family building(s)Is equal to or less than 5%of <br /> tho curtent assessed buflding valuo per strudure, based on lhe airren�Snohomish County lax assossments. Ap provisfons of laws and <br /> ordinances governing Uiie type of work will Ue complied with whelher specified herein or not. Tha granling of a pertnit doos nol presume <br /> to give authority to violalo or cancd Ihe provisbn of any oll�or state or beal law regula6ng constructlon ar lhe perlortnance ot <br /> Wa�e Co^�f a�tors l.a�y�g 2�RCW and 2 82U0 WAC and R�CW164��orm Ihe work tor wh�ch npplicnlioa Is mado and I mmply with ttw <br /> -�/ .,..i'/�� . STFhLS�. 73L�f��S/Ll2J l <br /> � CONTR LICENSE N <br /> ata <br /> S nelure of OwncrlContrac r/Authorizod Agent S�EyG�M���t,�����;• � <br /> '^ � <br /> ��saMFs MINY:LE�/ �� � h��� � � �re�, �;.�c, �.���-�, ► , :- <br /> Pnntod name ot buslness o-mall <br /> prinrod namo of OwoedCantractodAufbonzad Aqail I <br /> C � LCL. �'��•i:ic:i <br /> ' S-r� 5�F Z�:C, RG«�_�'�� v.�,1 r� �G4 � <br /> � ��� � 5�- �~ CITY2IP PHONE <br /> ADDIiESS I <br /> FOR OFFICE USE ONLY <br /> «.�z�m -- ----, <br />