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I • I <br /> yF <br /> d <br /> RCW 64.55 BUILDING ENVELOPE SUBMITTAL WOR SHEET <br /> NoIca/ WY OF EVERETT PERMIT SERVICES <br /> 425-257-8810 -email:everetteps@averettwvagov website:www.everettwa4gov/permit <br /> REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CVERSIOI <br /> CHECK <br /> BOX- ' :Property Name Address Building NgrAbet *emit slit Nur be r <br /> 31/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 ultiunit <br /> residential building or mixed use project per RCW 64.55.010,which may exceed the valuation for b L'Iding permit. <br /> JJ EEC CtSCURE REHAB COST (8)MULTIPLY(A)BY 100 i(C)ASSESSED BUILDING VALUE (D)DIVIDE )by(C) =°/a <br /> :i <br /> , <br /> 0 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 /> F-actt,bulldifQ erkPlbeAt7e Oesiarl dewy,is tp be stamped ebd si by a WaabirkEttqlState ar t .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 tio 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 /> c. <br /> ,P <br /> ,11 <br /> 0 RECORDED COVENANT OF SALE from Snohomish County (Sale Prohibition Covenant)64.55.010 <br /> E <br /> Submit site plan with location of building, permit with description of work and certified copy of recorde,;covenant <br /> from the real property records of Snohomish County,Washington for specified building. ic <br /> 0 TOWNHOUSES ON SINGE pLATIEi'3 to 'S (unit tot Subdivision) <br /> Can submit for building permit while concurrently seeking to obtain unit lot subdivision for each townhne. This <br /> exemption is an alternate to,providing building enclosure design documents for the townhorne 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 unitf building. <br /> 1/2/2-0- <br /> ? <br /> '.. -- d Agent `Priritectrarrie of Ouvrter.or AtIttiOtiZed Agent a# 43ate <br /> Printed name of Business .Address City Zip Code <br /> SIGNA LIRE REQUIRED FOR EACH BUILDING PERMIT APPLICATION <br /> tl <br />