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RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORKSHEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> E V E R E T T <br /> 3200 Cedar Street,Everett,WA 98201 <br /> WASHINGTON Vhone�425.257-8810 emoil:Permaservicesespeverettwo.aov website:www.everettwo.00v/vermi( <br /> REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION <br /> `ONEx � 1 D5-/fe be IJF))i9Ile, <br /> itox Property Name IAddress Building Number Permit Numtwr <br /> 0 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 (D)DIVIDE(8)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 budding enclosure design documents. <br /> O 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 obta�n a i platted lot exemption to RCW 64.55 for ch unit of building, <br /> -� ��iLGf1��:C <br /> gnature of Owner or Authorised Agent Printed name of Owner or Authorised Agent Phone p Date <br /> k�,a/•I7�7iI L LL /�30j�. t�lrySi�� /QW /lu �JJ, C1Ji� <br /> Printed name of Bu ess Address City C'p Code <br /> SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION <br />