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. <br /> I <br /> 1; <br /> M:-.4Hair RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORI4SHEET <br /> ,iliati <br /> � I° EVERETT PERMIT SERVICES <br /> 3208 Cedar Stied, ve' ;�: <br /> 425-257-8810 email.everettepsceverettwa.gov website:www..everettwa ovlperm t <br /> REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR C VERSION <br /> I <br /> CHECK <br /> BOX Pro( tyName Address &ullilirrg Nurnner -_vy rrnriti th*ber- <br /> Q REHABILITATIVE CONSTRUCTION equal to or less than 5% or less of current ilissessed <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 binding permit. <br /> (AI ENCLOSURE REHAB COST (B)MULTIPLY(A)BY 100,(C)ASSESSED BUILDING VALUE (A)DIVIDE B)by(C) =°fin <br /> g <br /> it 11171 7201-/TOS = /I. 04y/t, <br /> ❑ NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more tfin 5% of <br /> current assessed market Improvement value of specified building* l <br /> *NOTE: Per RCW 64.55.010, RCW 64.55.020 and RCW 64.55.060 <br /> - Each b s *r*e' '" t is t`bs s sired.', a Wastileatati State ar #eit,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 threquirements <br /> or RCW 64.55.005 through 64.55 080'. <br /> Final inspection or `Certificate of Occupancy' cannot be issued by the building department prior ,i receipt of a <br /> signed letter from an independent inspector certifying that the building enclosure has been inspeced during the <br /> course of construction and has been constructed in substantial compliance with .the building ,enclosure design <br /> documents. <br /> El 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 /> ;.TOWI*OUSES ON SINGLE PLATTED`LOTS (Unit Lot Subdivision) <br /> Can submit for building permit while concurrently seeking to obtain unit lot subdivision for each townhrrne. 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.z 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 une f building. <br /> a _nig 1 C- Fh g lAS- Zp 6-.,,i‘O 5--11-7 4 /iliti-2-0 <br /> -Sign ofOwne Authmized Agent PFintedknarie of Owner or.Aer sc ,mci Agent one* fie <br /> Printed name of Business Address City • Zi+`Code <br /> - <br /> SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION <br /> f <br /> 1 t <br />