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• <br /> • <br /> RCW 64.55 BUILDING ENVELOIPE'SUBMITTAL WORKSHEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Street, Everett,WA 98201 <br /> ' 425-257-8810 email;everetteps@everettwa gay website:www.everettwa.gov/permit <br /> REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION <br /> CHECK GREENS OF MERRILL CREEK 1707 MERRILL CREEK PKWY BLDG 3 B2011-006 <br /> ONE <br /> BOX Property Name Address Building Number Permit Number <br /> ❑ 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 /> .42 ENCLOSURE REHAB COST (B)MULTIPLY(A)BY 100:(C).ASSESSED BUILDING VALUE (p)DIVIDE(B)by jC) /a <br /> El 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 64.56.020 and RCW 64.55.060 <br /> Each building enclosure design document is to be stamped and signed by a 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". SEE PLAN SET COVER SHEET FOR SIGNED STATEMENT <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 • • •unty (Sale Prohibition C• o 64.55.010 <br /> Subrnit 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 /> ❑ 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 <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 notbe issued without approved subdivision. The <br /> applicant accepts the risk involved to obtain a single platted lot exemption to RCW 64.55 for each unit of building. <br /> 21(. owtsifro f JOSHUA M STRANGE. 206.957.4715 02/08/2021 <br /> Signature of Owner or Authorize•1Agent Printed name of Owner or Authorized Agent Phone# Date <br /> AMENTO GROUP 710 2ND AVE STE 400 SEATTLE 98104 <br /> -- <br /> Printed name of Business Address _ City Zip Code <br /> SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION <br />