2802 HOYT AVE EVERETT ELKS 2018-01-02 MF Import

P--)07 07-oy�, RCW 64.55 MULTI -FAMILY CERTIFICATION WORKSHEET CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 — FAX 425-257-8857 — www.everettwa.orq VALUATION MAXIMUM, RECORDED SALE PROHIBITION, ONE Box I Property Name Address OR FULL COMPLIANCE Building Number Permit Number ❑ VALUATION of 5% or less of current assessed value (per building permit application) Comply with RCW 64.55.020 (1). Refer to Everett Municipal Code for additional permit requirements. --hmit site plan with location of building and permit with description of work. Calculate percent valuation divided by current assessed structure value. I MULTIPLY CONTRACT PRICE OF WORK BY 100 DIVIDE BY ASSESSED VALUE RESULTING PERCENTAGE ❑ RECORDED Snohomish County Sale Prohibition Covenant, minimum 5 years Comply with RCW 64.55.010 (10). Refer to Everett Municipal Code for additional permit requirements. Submit site plan with location of building and permit with description of work. Submit covenant recorded in the real property records of Snohomish County, Washington, in satisfaction of the requirem •nts of RCW 64.55.010 through 64.55.090. The covenant identifies the sole owner of the property described on Exhibit A (the "Property). Until termination of the covenant, no dwelling unit in or on the Property may be sold as a condominium unit except for sales listed in RCW 64.34.400(2). ❑ iCONVERSION to condominium (owner inspection alternative) No permit required if complying with RCW 64.55.090 and RCW 64.34.400(2). Refer to Everett Municipal Code for additional permit requirements. Signature of Owner or Authorized Agent Printed name of Owner or Authorized Agent Phone k Date Printed name of Business Address City Zip Code C FULL COMPLIANCE with RCW 64.55.005 through 64.55.090 All building enclosure design documents to be stamped and signed by a Washington Stale Architect or Engineer for compliance with all applicable codes, including modifications to the documents that become addenda or change orders to alter those documents, per RCW 64.55.010 (11). Building enclosure design documents are to contain a stamped sta+.:ment by the architect or engin,�er that "the undersigned has provided building enclosure documents that in my professional judgment are appropriate to satisfy the requirements or RCW 64.55,005 through 64.55.090", per RCW 64.55.020. Final inspection or Certificate of Occupancy will not be issued without a signed letter from an independent inspector certifying that the building enclosure has been inspected during the course of construction and has been constructed in substantial compliance with the building enclosure design documents, per RCW 64.55.000. Updated 10i23107 FOR OFFICE USE ONLY