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0 <br />RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORKSHEET <br />CITY OF EVERETT PERMIT SERVICES <br />E V E R E T T 3200 Cedar Street, Everett, WA 98201 <br />WASHINGTON Phone:425-257-8810 email: everetteos0eyerettwa.aov webslte: www.everettwa.aov Hermit <br />REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION <br />CHECK, <br />�1'►n i►'i ��1' I �b l a� lay-2 1 ' D 1 <br />ONE <br />BOX <br />Property Name Address Building Number Permit Number <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 <br />(B) MULTIPLY (A) BY 100 <br />(C) ASSESSED BUILDING VALUE <br />(D) DIVIDE (B) by (C) =% <br />`) A�. % <br />�ooIDco 00oba.�' <br />o2�lII�b <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 certifled copy of recorded covenant from the <br />real property records of Snohomish County, Washington for speckled building. <br />❑ <br />TOWNHOUSES ON SINGLE PLATi'ED 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 />ap ved. Certificate of Occupancy will not be issued without approved subdivision. The applicant accepts the risk involved <br />to taIn a sin a pl iy&exaw pttonto RCW 64.55 for each unit of building. <br />Signature of Owner o uthorized Agent Printed name of Owner uthortzed Agent Phone # Date <br />Nin I: OWL <br />Printed name of business J Address City Zip Code <br />SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION <br />