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0 <br />0 <br />RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORKSHEET <br />E C r CITY OF EVERETT PERMIT SERVICES <br />G 3200 Cedar Street, Everett, WA 98201 <br />WASHINGTON Phone: 425-257-8810 email: everetteas@everettwo.aov website: www.everettwo.aov/permit <br />REHABILITATIVE <br />CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION <br />CHECK <br />Western Facilities Supply 2914 McDougall Ave N/A TBD <br />ONE <br />BOX <br />Property Name Address Building Number Permit Number <br />® <br />REHABILITATIVE CONSTRUCTION equal to or less than 5% or less of current assessed market <br />improvement value of specified building* <br />*NOTE: Applicant to provide entire cost of rehabilitative construction to the building enclosure for a multiunit residential <br />building or mixed use project per RCW 64.55.010, which may exceed the valuation for building permit. <br />(A) ENCLOSURE REHAB COST_ (8) MULTIPLY (A) BY 100 i (C) ASSESSED BUILDING VALUE (D) DIVIDE (B) by (C) % <br />_ <br />1s_ _ <br />_ d _--------- <br />$56,426.11 $5,642,611 i $1,183,000 4.7% <br />i <br />❑ <br />NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more than 5% of current assessed <br />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 documents <br />should also contain a stamped signed statement by the same architect that "the undersigned has provided building enclosure <br />documents that in my professional judgment are appropriate to satisfy the requirements or RCW 64.55.005 through <br />64.55.090". <br />Final inspection or `Certificate of Occupancy' cannot be issued by the building department prior to receipt of a signed letter <br />from an independent inspector certifying that the building enclosure has been inspected during the course of construction <br />and has been constructed in substantial compliance with the building enclosure design documents. <br />❑ <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 from the <br />real property records of Snohomish County, Washington for specified building. <br />❑ <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 exemption <br />is an alternate to providing building enclosure design documents for the townhome building, if the unit lot subdivision is not <br />approved. Certificate of Occupancy will not be issued without approved subdivision. The applicant accepts the risk involved <br />to obtain a single platted lot exemption to RCW 64.55 for each unit of building. <br />% y Travis Hendrickson (425) 38_8_9906 /2021 <br />- <br />_ _ _10/21 <br />Signature of Owner or Authorized Agen_t _ Pri--mented naOwner or Authorized Agent _ Phone # —"-- Date_ <br />-Four Seasons Roofing 17903 SR 9 SE Snohomish 98290 <br />._....__. <br />Printed name of Business Address � City Zip Code <br />SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION <br />113 <br />