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• r LI Alrii <br /> Ell RON 64.55 BUILDING ENVELOPE SUBM ITTALVVORPEHEET <br /> E V E R E T T CITY OF EVEREIT inn IT SERVICES <br /> 3200 CBdar Greet,Everett,WA98201 <br /> WASHINGTON Phone:425-257-8810 email:everetteps55everettwa.gov webs'te:www.everettwa.cgov/permit <br /> 1-IAHUTA11VECDNSTRUCTION,NBN CONSTRUCTION, OOVBVANTORt)ONVB ON <br /> CHEEK __,,.�. 6 cc e��a �2.2-ram 8-O�}q) <br /> Waterford Apartments 2020 Lake Heights Dr, Everett,WA 98208 IV B2208-007 <br /> ONE _.. <br /> BOX Property Name Address Building Number Permit Number <br /> 91 I 1ABBUTA11VECONSTRIJCTION 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 endosure for a multiunit residential <br /> building or mixed use project per RalV64.55.010,which may exceed the valuation for building permit. <br /> (A)GJ 1OSJl I E-tABc7Sr ()MUL11PLY(A)BY100 (Q AS BUILDINGVALUE (D)DIVIDE(B)by(G) =% <br /> $42,686.60 $4,268,660.00 $2,500,000.00 1.7% <br /> ❑ NEW CONSTRUCTION OR RB1ABIUTATIVE(XONSTRIJCTION equal to more than 5%of current assessed <br /> market improvement value of specified building"` <br /> *NOTE Per RUN 64.55.010,RDIV 64,55.020 and ROJV 6455.060 <br /> Each building endosure design document is to be stamped and signed by a Washington Sate architect.The documents <br /> should also contain astamped signed statement by the same architect that"the undersigned has provided building endosure <br /> documents that in my professional judgment are appropriate to satisfy the requirements or FOV 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 endosure has been inspected during the course of construction <br /> and has been constructed in substantial compliance with the building endosure design documents. <br /> ❑ RECORDED COVENANT OF SALEfrom Snohomish County(Sale Prohibition Covenant)64.55.010 <br /> Sabmit site plan with location of building,permit with description of work and certified copy of recorded covenant from the <br /> real property records of Siohomish County,Washington for specified building. <br /> ❑ TOWNHOUSESON SINGLE PLATTED LDTS(Unit Lot Sibdivision) <br /> Clan 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 /> approv-• • j'ficate of Occupancy will not be issued without approved subdivision. The applicant accepts the risk involved <br /> to obth <br /> e platted lot exemption to FO V 64.55 for each unit of building. <br /> Angelica Juarez 206-681-0015 08/23/2022 <br /> 9gnature of ir, orized Agent Printed name of Owner or Authorized Agent Phone# Date <br /> Polen Property Services LLC 4104 SW 327th PL Federal Way 98023 <br /> Printed name of Business Address City Zap Code <br /> SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION <br />