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• <br /> NMI <br /> 11111111 RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORKSHEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> ' C 3200 Cedar Street,Everett,WA 98201 tvebsite:.:,yw•pvprPttwa aovermit <br /> 1ASHINGTON Phone:425 257-8810 email:everetteps@everettwa.aov <br /> tB!!{TATIVE CONSTRUCTION,NEW CONSTRUCTION,RECORDED COVENANT OR CONVERSION <br /> plote,c of\J \ \ h zitic f ' -, 971_m a . _ , <br /> - <br /> - Building Number Permit Number <br /> Property Name Address _• _ <br /> EHAgILITATiVE 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 /> erm <br /> it. <br /> ..__... <br /> building or mixed use project per RCW 64 55.010,which may exceed the valuation for building p <br /> -..�__._..__._._. p DIVIDE B b <br /> _ ____--.-----_.__... ASSESSED BUILDING VALUE l ) (L Y(C) = _.... <br /> B MULTIPLY(A)BY 100 1 (CI E-S.5E I" <br /> IAj ENCLOSURE REHAB COST_ }( L.,_ _ <br /> VII <br /> 5°5 '_ 2,1 450i 5oO zI 5 i <br /> 3 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 /> do <br /> ts <br /> Each building enclosure design document is to be stamped and signed <br /> bhaty aW ashington undo nState e ahas rchitect. <br /> The <br /> bu cum ntclosure <br /> should also contain a stamped signed statement by the same architect <br /> documents that in my professional judgment are appropriate to satisfy the requirements or RCW 64.55.005 through <br /> 64.55.090". <br /> prior to receipt of a <br /> letter <br /> Final inspection or'Certificate of Occupancy' cannot be issued enclosure has been spectedy the building tduring the course of cons auction <br /> from an independent inspector certifying that the building <br /> and has been constructed in substantial compliance with the building enclosure design documents. <br /> ❑ RECORDED COVENANT OF SALE from Snohomish County(Sale Prohibition Covenant)64.55.010 the <br /> Submit site plan with location of building,permit with description of work and certified copy of recorded covenant from <br /> real property records of Snohomish County,Washington for specified building. <br /> ❑ TOWNHOUSES ON SINGLE PLATTED LOTS(Unit Lot Subdivision) <br /> Can submit for building permit while concurrently seeking toobtain or the townhome'on for buildinga f the unit lot subdivision ich townhome. This stnot <br /> is an alternate to providing building enclosure design documentsapproved subdivision. The applicant accepts the risk involved <br /> approved- Certificate of Occupancy will not be issued without <br /> ob ain a ' e platted lot exemption to RCW 64.55 for each unit of building. ��� /�0 j <br /> ...�1� '�9ET-�--�• � tr .— Date <br /> .... .. Agent Phone# <br /> -Sign re w or horned Agent <br /> Printed name of Owner or Authorized Ag <br /> f- . <br /> 7 t n-e-5s .__ .t_ ,5City Zip Cade <br /> PrnAddress <br /> Printed name of Business <br /> SIGNATURE RE UIRED FOR EACH BUILDING PERMIT APPLICATION <br />