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<br /> 16111 RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORKSHEET
<br /> EVERETT CITY OF EVERETT PERMIT SERVICES
<br /> 3200 Cedar Street,Everett,WA 98201
<br /> WASHINGTON Phone:425-257-8810 email:everetteps(«everettwa.pov website:www.evetettwa.pov/permit
<br /> REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION
<br /> CHECK Olin Fields Apartments 10115 Holly Dr. Everett WA 98204 U le,221t -1 D�
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<br /> BOX Property Name Address Building Number Permit Number
<br /> LJ 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 1-(B)MULTIPLY(A)BY_100- u 1(C)ASSESSED BUILDING VALUE (D)DIVIDE(B)by^(C) =%
<br /> $67,000 I $6,700,000 $2,596,551.72 I 2.58
<br /> El 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 /> ❑ 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 /> ❑ 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 /> approved. Certificate of Occupancy will not be issued without approved subdivision. The applicant accepts the risk involved
<br /> to obtain a single platted lot exemption to RCW 64.55 for each unit of building.
<br /> Jason Bean 206-498-2332 10/10/2022
<br /> S ature of Owner or Authorized Agent Printed name of Owner or Authorized Agent Phone it Date
<br /> Keck General Construction 17311 135th Ave NE Suite B400 Woodinville 98072
<br /> Printed name of Business Address City Zip Code
<br /> SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION
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