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0 40 <br />4RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORKSHEET <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Street, Everett, WA 98201 <br />425-257-8810 email* everetteDs0_everettwa..qov website: www.everettwa.-goylpermit <br />REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION <br />CHECK <br />ONE V <br />_1� jJAJ _tie;_ V laJ --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 10-0- (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 />❑ 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 />❑ 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 />------_---- <br />TOM NEAUBAUER 425-452-4042 12/21/2018 <br />ign ture of Owner or Authorized Agent Printed name of Owner or Authorized Agent Phone# Date <br />HEARTLAND . CONSTRUCTION, - LLCI 10900NE 8TH ST, SUITE, 1200 BELLEVUE 98004 <br />Printed name of Business Address city Zip Code <br />SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION <br />