1401 MERRILL CREEK PKY #9 2025-09-12

RCW 64.55 BUILDING ENVELOPE SUBMITT L WORKSHEET CITY OF EVERETT PERMIT SERVICES E V E R E T T 3200 Cedar Street.Everett.WA 98201 WASHiNGtON Phone.425-257.8810 ernoil web4te REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANTOR C NVERSION CHECK Ex rniw, n0 1`� YI {��f I iWA _ qr � y Box Property NaTfie Address ,Building Number Permit Number REHABILITATIVE CONSTRUCTION equal to or less than 5%or less of cur lent assessed market improvement value of specified building" "NOTE: Applicant to provide entire cost of rehabilitative construction to the building enclosure for a multiunit residential building or mixed use project per RCW 64 55 010,which may exceed the valuation for building permit. (A)ENCLOSURE REHAB COST (B)MULTIPLY W BY 100 (C)ASSESSED BUILDING VAt UE (D)DIVIDE(B)by(C) =% 39 1501 , boo ❑ NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to mo a than 5% of current assessed market improvement value of specified building' •NOTE Per RCW 64.55.010, RCW 64.55 020 and RCW 64.55 060 Each building enclosure design document is to be stamped and signed by a Washington State architect.The documents should also contain a stamped signed statement by the same architect that"the under igned has provided building enclosure documents that in my professional judgment are appropriate to satisfy the requirements or RCW 64 S5.005 through 64.55.090". Final inspection or 'Certificate of Occupancy' cannot be issued by the building department prior to receipt of a signed letter from an independent inspector certifying that the building enclosure has been inspected during the course of construction and has been constructed in substantial compliance with the building enclosure design documents. I ❑ RECORDED COVENANT OF SALE from Snohomish County (Sale Prohibition ovenant)64.55.010 Submit site plan with location of budding, permit with description of work and certifiec copy of recorded covenant from the real property records of Snohomish County,Washington for specified building. ❑ TOWNHOUSES ON SINGLE PLAITED LOTS(Unit Lot Subdivision) a ubmit for bull g pe it while concurrently seeking to obtain unit lot subdivisio for each townhome. This exemption ,10s 6 alternate to�f llding enclosure design documents for the townhome b riding,if the unit lot subdivision is not jajp roved. Certifjt f ancy will not be issued without approved subdivision he applicant accepts the risk involved ,{ obtain a sin®le I tx%mption to RCW 64.55 for each unit of building. Sig or of Owner or Authorll77 e� t Printed name of Owner or Authorized Agent Phone tt Date 41►nn &' ►i9r,� rg pM�J Aft. � m��, WA aSEAa Printed name of Business Address City Zip Code SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION