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• •S . <br /> i <br /> 1 <br /> f ... RCW 64.55 BUILDING ENVELOPE SUBMITTAL WOR SHEET' <br /> CITY OF EVERETT,PERMIT SERVICES 1 <br /> Nillill ' 32fa CedarStreet,-Everett,WA 882Ot <br /> 425-257-8810 email:everetteps@everetlwa.gov website:wt&w.everettwaf v/petmit <br /> REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR C VERSION <br /> Bo ' - Property Name Address Building Number etmtt Number <br /> REHABILITATIVECONSTRUCTION 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 ultiunit <br /> residential building or mixed use project per RCW 64.55.010,which may exceed the valuation for bylding permit. <br /> (A).ENCLOSURE REIHABCOST (BV MULTIPLY(A)BY 100 i(Cj ASSESSED BU1LDlNG VALUE (D)DIVIDE ,E3)by(.) o -. <br /> 4 )Z 143 Z.. 0/1 Z 5 CS/4/0 44 ::-. 9 7 ro <br /> ❑ NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more tt n 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 /> Ear-h bui4.4e0Pieslife des,dPooffient is to be stamped apd sad by a Walt ora,State a t t i <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 thei 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' receipt of a <br /> signed letter from an independent inspector certifying that the building enclosure has been inspe ,ed during the <br /> course of construction and has been constructed in substantial compliance with the building en losure design <br /> documents. , <br /> �f <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 recorder covenant <br /> from the real property records of Snohomish County,Washington for specified building. 4 <br /> 0 . ToWNHoUSES ON SINGLE PLATTEb LOTS (Unit Lot Subdivision) <br /> ..Can submit for building permit while concurrently seeking to obtain unit lot subdivision for each townhQrne. This <br /> exemption is an alternate to-providing building enclosure design documents for the townhome buildings 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 f building. <br /> ,j,, iv 2, <br /> Signature ofOwne ;Authorized rorized.Agent Pftntednarrie of Owner or 'bete <br /> r <br /> Printed name of Business Address City Zip Code <br /> SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION <br />