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0 • <br /> - RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORKSHEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Street,Everett,WA 98201 <br /> 425-257-8810 email:averefteps@everettwe gov website:www.everefiwa.gov/permk <br /> REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION <br /> CHECK GREENS OF MERRILL CREEK 1707 MERRILL CREEK PKWY BLDG 10 B2011-013 <br /> ONE <br /> BOX Property Name Address Building Number Permit Number <br /> 0 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 /> (A)ENCLOSURE REHAB COST (B)MULTIPLY(A)BY 100; q ASSESSED BUILDING VALUE:(D)DIVIDE(B)byp) _% <br /> E 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 64.55.020 and RCW 64.55.060 <br /> Each building enclosure design document Is to be stamped and signed by a Washington State architect.The <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 /> El 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 <br /> from the real property records of Snohomish County,Washington for specified building. <br /> 0 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 buildings if the unit lot <br /> subdivision is not approved. Certificate of Occupancy will notte issued without approved subdivision. The <br /> applicant accepts the risk involved to obtain a single platted loi exemption to RCW 64.55 for each unit of building. <br /> . !ilk?* X 444.4.„ , JOSHUA M STRANGE. 206.957.4715 ‘ 02/08/2021- <br /> Signature of Owner or Authorize 4 f Agent Printed name of Owner or Authorized Agent Phone# Date <br /> Printed name of Business - Address City Zip Code <br /> SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION <br />