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25a3 �ace C <br /> 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,tverett,WA 98201 <br /> W A$H i N G 10 N Phone:425.257-8810 emoil. - web site: <br /> REHABILITATIVE CONSTRUCTION,NEW CONSTRUCTION, RECORDED COVENANT OR C NVERSION <br /> CHECK <br /> ONf ()�) n V' (�1' 1i1 R►�. �w l.eLrl`�� �� �� <br /> BOX Property N iTT1e Address 'Ruildrng Numbr:r Pt°nrnl Number <br /> j ' REHABILITATIVE CONSTRUCTION equal to or less than S%or less of curl ent 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)ENCIOSl1Rf RFHAR COST (8)M01.WILY!A)BY 100 (C)ASSESS[1)WILDING VAI UE (D)DIVIDE(B)by(C) =% <br /> ❑ NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more than S%of current assessed <br /> market improvement value of specified buil(ling` <br /> 'NOTE: Per RCW 64.55.010,RCW 64.55 020 anti RCW 64.55 060 <br /> Each building enclosure design document is to be stamped and signed by a Washingtor State architect.The documents <br /> Should also contain a stamped signed statement by the same architect that"the under Jgned has provided building enclosure <br /> documents that in my professional judgment are appropriate to satisfy the requirements or RCW 64 55.00S 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 enclosu has re 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 I5ale Prohrbition,Kovvnant)64.55.010 <br /> Submit site plan with location of building,permit with description of work and certifiet copy of recorded covenant(roil)the <br /> real property records of Snohomish County,Washington for<pecified building. <br /> ❑_ITOWNHOUSES ON�SINGLE PLATTED LOTS (Unit lot Subdivision) <br /> li ubmit for build( g pe it while concurrently-,oekmf;to obtain unit lot subdivisio for ear h townhome. This exemption <br /> alternate to�Yvvro ilding enclosure design documents for the townhome bt rldrng,if the unit lot subdivision is not <br /> roved. Certitic e,�f ancy will not be issued without approved subdivision. he applicant accepts the risk invol ed <br /> / r ( obtain a sinBfe %n)ption to HCWW b4.S5 for each unit of building <br /> �! ,_I {-,arrt� ollc, .61Z,Z,65y 3 1� Z <br /> Sigh ur.of Owner or Authore 1 Printed name of Owner or Authorized Agent phol en Date <br /> M &4z-,r;ilqr� (bO, Ate. A Asia <br /> Printed name of Business Address city Zip Code <br /> SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION <br />