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A& <br />oifoo�-00"A-- <br />RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORKSHEET <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT <br />3200 Cedar Street, Everett, WA 98201 <br />WASHINGTON Phone: 425-257-8810 email: ever etteps2everettwo-00v website: ww-wevercttwa.-qq_y&grMi <br />REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION <br />CHECK <br />"Buildinq D- PW2007-007ONE <br />BOX <br />Property Name Address Building Number Permit Number <br />0 <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 (8) MULTIPLY (A) BY 100 (C) ASSESSED BUILDING VALUE (0) DIVIDE (B) by (C) = % <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 />F-1 <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 certified copy of recorded covenant from the <br />real property records of Snohomish County, Washington for specified building. <br />El <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 exemption <br />is an alternate to providing building enclosure design documents for the townhome building, if the unit lot subdivision is not <br />appyroved.Certificate of Occupancy will not be issued without approved subdivision. The applicant accepts the risk involved <br />in Ingle platted lot exemption to RCW 64.55 for each unit of building. <br />I le 'a" <br />Scott Schreffler 206-902-5560 12/17/2020 <br />Signa ur rorAutho edAgent Printed name of owner or Authorized Agent Phone # Date <br />ror u <br />GGLO Design 1301 1 st Ave, Seattle, WA 98101 <br />Printed name of Business Address city Zip Code <br />SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION <br />