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• <br /> RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORT SWEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> • <br /> 3200.cec erGtreet;:Everett,WA:18201 <br /> 425-257-8810 email:everetteps(a.everettwa.gov website:www.evereftwa g4v/permit <br /> REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION <br /> CHECK <br /> HE /41 TD61 O/32K. OPTS- QD aq & „81 A L L_ be-, , bl C.4!d <br /> BOX ? Property Name Address Building Number Permit Number <br /> El' 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 /> (. ENCLOSURE REHAB COST (B)MULTIPLY(A)BY 100 a(G ASSESSED BUILDING VALUE (D)DIVIDE.B)by(C) <br /> 11 `Otto As707S35 - z.0 t <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 e.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 /> 0 ,TOWNH4iSES ON SINGLE PLATTED LOTS (unitt-Lot Subdivision) <br /> Can submit for building permit while concurrently seeking to obtain unit Iot 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 unitof building. <br /> optic- Fii-g145- 5-21244243:2 <br /> Signature ofZwne e r Authorized Agent Printed name of Owner or Authorized Agent Phone* Date <br /> � v IC77be QES0v7---G><S Ig c g3514 M .0 avJ /i �fir . .. '19_52— <br /> Printed name of Business Address �.� MC' ? Zip Code <br /> SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION <br />