1401 MERRILL CREEK PKY #11 2025 Plans 2025-09-12

RCW 64.55 BUILDING ENVELOPE SUBMITTAL WORKSHEET CITY OF EVERETT PERMIT SERVICES EVERETT 3200 Cedar Street,Everett.WA 9820 i WASHINGION Phone:425-257-8810 emorl webs're- REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR C NVERSION C x ONr11/l n® (�'1rr'ri�1 , WA - At 3 (S25o3- ou3 BOX Property Name Address Building Number Permit Number REHABILITATIVE CONSTRUCTION equal to or less than 5%or less of current 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 (9)MUI TIPtY iA)BY 100 (C)ASSESSED BUILDING VAI UE 10)DIVIDE(B)by(0 =% w Q ❑ NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more 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 undersigned has provided building enclosure documents that in my professional judgment are appropriate to satisfy the requirements or RCW 64 55.005 through 64.S 5.090" 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 jSale ProhibitionCovenant)64.55.010 Submit site plan with location of building, permit with description of work and certified copy of recorded covenant from the real property records of Snohomish County, Washington for specified building. ❑ (TOWNHOUSES ON SINGLE PLATTED LOTS (Unit tot Subdivision) Can Abmit for building Ile concurrently seeking to obtain unit lot subdivision for each townhome. This exemption is r mate to providlr,)Ig u g enclosure design documents for the townhome bt ilding,if the unit lot subdivision Is not a f/ v d. Certificate 6 y will not be issued without approved subdivision. he applicant accepts the risk involved b� in a single plat tion to R W 64.55 for each unit of building. ' 4��,WVL Signat a Owner or Aut n:e A Panted name of Owner or Authorized Agent Phoi e q Date g� M006 4VC� AIP3!510 Or% &1 40 1 FC7 Printed name of Business Add, tY Z;p Code SIGNATURE REQUIRED FOR EACH BUILDING PERMIT APPLICATION City of Everett Permit Services EVERETT Reviewed for Permit 03/21/2025 WASHINGTON