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I <br /> � <br /> RLW 64.55 MULTI-FAMILY CERTIFICATION WORKSHEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Street, EvereU,WA 98201 <br /> 425-257�8810-FAX 425-257�BB57-www.evereltwa.oro <br /> REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION <br /> i <br /> CHECK Greensview Apts . 1520 W. Casino Road A�through F -TcU��� U2� <br /> ONE .LJ <br /> BOX Property Name Address Building Number Permit Number <br /> ❑ REHABILITATIVE CONSTRUCTION equai to or less than 5% or less of current assessed <br /> market improvement value oi speciiled bullding' <br /> 'NOTE: Applicant to provide entire cost ol rehabilitative construction to the building enclosure lor a multiunit <br /> residential building or mixed use project per RCW 64.55.010, which may exceed tho valuation for building permit. <br /> (A)ENCLOSURE REHAB COST (B)MULTI'LY(A)BY 100 (C)ASSESSED BUILDING VALUE (0)DIVIDE �B�by(C) _ % <br /> � NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more than 5% of <br /> current assessed market improvement value ot specified building' <br /> 'NOTE: Per RCW 64.55.010, RCW 64.55.020 anA RCW 64.G5.060 <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 tho same architect that"the undersigned has <br /> provided building enclosure documents that in my prolessional judgment are appropriate to satisty Ihe requiremenis <br /> or RCW 64.55.005 through 64.55.090". <br /> Final inspection or 'Certificate ol Occupancy' cannot be issued by the building department prior to receipt of a <br /> signed letter Irom an independent inspector certifying that the building enclosure has beon inspected during the <br /> course ol construction and has been constn:cted in substantial compliance with the building enclosure design <br /> documents. <br /> ❑ RECORDED COVENANT OF SALE irom Snohomish County' <br /> 'NOTE: Sale Prohibition Covenant per RCW 64.55.010 <br /> I Submit site plan with localion of building, permit with description of work and certified copy of recorded covenant <br /> Irom the real property records of Snohomish County, Washington lor specilied building. <br /> ❑ CONVERSION to condominium' <br /> 'NOTE:permits may be required by ihe City ol Everetl per ihe results o1 the independent inspection report. <br /> Undersigned will compty with owner independent inspection alternative per RCW 64.55.090 and RCW 64.34.400(2�. <br /> ���]��� ' Robert Nevitt , Architect 425-774-5600 �LJZ9/D <br /> 1 <br /> Slgnefure of Owner or Aufhorlred Agenf Prinfed name of Owner or Aufhorlred Apent Phone N � Dafe <br /> J2 Building r_onsultants , Inc. 3400 - 188th St SW, Lynnwood, WA 98U37 <br /> Prinled name ol�usiness Address City Zip Code <br /> r.hkist�new com and condo(rev 4�23�081 FOR OFFICE USE ONLY <br /> I <br />