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. #01)%vilf;:=A RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORKSHEET <br /> 011114 ., CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Street, Everett,WA 98201 <br /> 425-257-8810 email:everetteps(d everettwa.gov website: www.everettwa.gov/permit <br /> REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION <br /> CHECK <br /> ONE OAKES APARTMENTS 3125 OAKES AVE,EVERETT,WA 98201 BUILDING A <br /> BOX Property Name Address Building Number Permit Number <br /> ❑ REHABILITATIVE CONSTRUCTION equal to or less than 5% or less of current assessed <br /> market improvement value of specified building* <br /> *NOTE: Applicant to provide entire cost of rehabilitative construction to the building enclosure for a multiunit <br /> residential building or mixed use project per RCW 64.55.010,which may exceed the valuation for building permit. <br /> (A)ENCLOSURE REHAB COST (B)MULTIPLY(A) BY 100 (C)ASSESSED BUILDING VALUE (D)DIVIDE(B)by(C) =% <br /> ® NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more than 5% of <br /> current assessed market improvement value of specified building* <br /> *NOTE: Per RCW 64.55.010, RCW 64.55.020 and RCW 64.55.060 <br /> Each building enclosure design document is to be stamped and signed by a Washington State architect. The <br /> documents should also contain a stamped signed statement by the same architect that"the undersigned has <br /> provided building enclosure documents that in my professional judgment are appropriate to satisfy the requirements <br /> or RCW 64.55.005 through 64.55.090". <br /> Final inspection or 'Certificate of Occupancy' cannot be issued by the building department prior to receipt of a <br /> signed letter from an independent inspector certifying that the building enclosure has been inspected during the <br /> course of construction and has been constructed in substantial compliance with the building enclosure design <br /> documents. <br /> 0 RECORDED COVENANT OF SALE from Snohomish County (Sale Prohibition Covenant)64.55.010 <br /> Submit site plan with location of building, permit with description of work and certified copy of recorded covenant <br /> from the real property records of Snohomish County, Washington for specified building. <br /> El TOWNHOUSES ON SINGLE PLATTED LOTS (Unit Lot Subdivision) <br /> Can submit for building permit while concurrently seeking to obtain unit lot subdivision for each townhome. This <br /> exemption is an alternate to providing building enclosure design documents for the townhome building, if the unit lot <br /> subdivision is not approved. Certificate of Occupancy will not be issued without approved subdivision. The <br /> applicant accepts the risk involved to obtain a single platted lot exemption to RCW 64.55 for each unit of building. <br /> 410 At*�•. -4--'�' SUZANNE DAVIS 206-852-6966 7.16.18 <br /> wx <br /> Sig atur-!of Owner or Authorized Agent Printed name of Owner or Authorized Agent Phone# Date <br /> THIRD PLACE DESIGN CO-OPERATIVE 177 WESTERN AVE WEST,SUITE 266 SEATTLE 98119 <br /> Printed name of Business Address City Zip Code <br /> SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION //C <br />