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• 9 <br /> AIIPPAIL,frj,j1i RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORIISHEET <br /> : CITY OF EVERETT PERMITSERVICES <br /> „tics <br /> 3 �,Everett,WA 3 <br /> 425-257-8810 email:everetteps@everettwa.gov website:www.everettwa ovipermit <br /> is <br /> REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR C VERSION <br /> CHECK- ,P <br /> ONE . i�Ltd.'!iip-o Pr t - ` ®1 1 )ALL. ba, _ Z J <br /> BOX Property Name Address Buitdtng Number :permit NuMber <br /> Ee 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 cnultiunit <br /> residential building or mixed use project per RCW 64.55.010,which may exceed the valuation for budding permit. <br /> L.(A)ENCLOSURE REHAB COST ,BJ MU .T(PLY(A'E3Y 100 (C)ASSESSED BUILDi 1G VALUE,,(D)DIVIDE 00).by(C) . - _.: <br /> r <br /> ." 1 ia57.,iii 172A4 tOS = (1 (NI, , <br /> ❑ NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more tr 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 2 <br /> Each builds ,en4ost e.4estar.k ckbeeMent Ls be stePIPeEL aPod sififked. eWeStiVbfk She . <br /> documents should also contain a stamped signed statement by the same architect that"the undersigrd has <br /> provided building enclosure documents that in my professional judgment are appropriate to satisfy therequirements <br /> or RCW 64.55.005 through64.55.090% <br /> I <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 en:closure design <br /> documents. <br /> RECORDED COVENANT OF SALE from Snohomish County (Sale Prohibition Covennt)64.55.010 <br /> Submit site plan with location of building, permit with description of work and certified copy of recordecl covenant <br /> from the real property records of Snohomish County,Washington for specified building. <br /> 0 .TOWNHOUSES OH SINGLE PLATTED LOTS (Unit Lot Subdtvision) . <br /> Can submit for building permit while concurrently seeking to obtain unit lot subdivision for each townhcrne. This <br /> exemption is an alternate to-providing building enclosure design documents for the townhorpe building if the unit lot <br /> subdivision-is not approved.;Certificate-of Occupancy will not be issued without approved subdivision 4 The <br /> applicant accepts the risk involved to obtain a single platted lot exemption to RCW 64.55 for each unit f building. <br /> t <br /> _ ,,,., e i i t It 1 c' Fitgi4s— z06.—G.0 5----)174 012-0' <br /> ) eigtetcrelof. ' Authorized Agent Prittedltattie of der or 3 .zed Agent e <br /> Printed name of Business Address City ' Zip Code <br /> SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION :I> <br /> -1 i <br /> I <br />