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CW 64.55 MULTI -FAMILY CERTIFICATION WORKSHEET <br />S <br />CITY OF EVERETT PERMIT SERVICES <br />W <br />3200 Cedar Street, Everett, WA 98201 <br />425-257-8810 - FAX 425-257.8857 - www.everettwa_org <br />REH BILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION <br />OONEK <br />C']eE."15V1eW Apts. 1520 W. Casino Road p^�aFeM EN <br />Box <br />lmtt����.'(C�7 <br />Property Name Address Bwlding N, r Permit Number <br />❑ <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 100 (C) ASSESSED BUILDING VALUE (D) DIVIDE (B) by (C) <br />F1 <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. fhe <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 />❑ <br />RECORDED COVENANT OF SALE from Snohomish County' <br />'NOTE: Sale Prohibition Covenant per RCW 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 />I <br />CONVERSION to condominium' <br />'NOTE: permits may be required by the City of Everett per the results of the Independent inspection report. <br />Undersigned will comply with owner Independent Inspection alternative per RCW 64.55.090 and RCW 64.34.400(2). <br />Robert Nevitt, Architect 425-774-5600 /L,/2'0 <br />Signature of Owner or Authorized Agent Printed name of Owner or Authorized Agent Phone N / dilate <br />J2 Building Consultants, Inc. 3400 - 188th St SW, L},nnwood, WA 98037 <br />Printed name of Business Address Cif 1 Zip Code <br />chkist-new can and condo (rev 423r09) FOR OFFICE NSE ONLY 7 <br />