7333 BEVERLY LN 2017-11-22 - Laserfiche WebLink

�cw ��.5� IV1lJLii�r�4MIL.Y �ERiIFI�/�iI�N UVORK�WE�T" �. CIiY OF �V�Ft�TT F�EI�M1T S�RVICFS 3200 Cedar Street, Everett, WA �J8201 425-257-8810 — FAX A25•257•Sf357 — �ti��v.evereitvra orq REf-IAC3ILITATIVE CONSTRUCTION, NEW CONSiRUCTiON, R�CORDED COVGNANT OR CONVERSION CHECI( Fountain Head ApartmenCs 7333 Beverly Lane I��"`� �� tG� ONE _ —_ . - aox Properiy Name AddrQss Building Number Permit Number L�l R�H�BILIT�TIV� CC�NSiRUCTION equal to or less tl�an .ri°/a or less of current assessed maricet improvement value of spec(fied buildirig� "NOTE: Applicant to provide entire cost of rehabilitative consUuction to ihe building enclosure for a multiunit residentlal buildinc� or mixed use project per RCW Fi4.55.010, which may exceed the valuation for building permil. (A) ENCLOSURE REHAB COST ((8) MULTIPLY (A) BY 100 I(C) ASSESSED BUILDING VALUE I(0) DIVIDE (B) by (C) _% $45,536. $4,553,600. $1,658,700. 2.74% ❑ N�W CONSTRUCiI�N OR RGWAI3fLIiATIV� CONSTRUCTION equal to more than ,ri% of current assessed marlcet improvement value of specifi�d building* 'N07E: Per RCW 64.55.010, RCW 84,55.020 and t2CW 64.55.060 Each buildlny enclosure desic�n document is to be slamped and signed by a Washington Slate architeck. The documenls shoidct also contain a stamped signed statement by 1he same architect lhat °the undersigned has grovided buiiding enclosure documents that in my professional judgment are appropriate to satisfy the requirements or RCW 64.55.005 through 64.55.090'. Final inspection or 'Certificate oi Occupanc� canr�ot be issued by the huilding deparlment prior to receipt of a slgned lelter from an independent inspector certifying that the building enclosure has been inspected during the course of construclion and has been constructed in substantial compliance with the buildinc� enclosure design documents. ❑ RECORDED COVENANT OF SALE f�•om Snohomish Co�iniy* "NOTE: Sale Prohibition Cavenant per RCW 64.55.010 Submit site plan wilh localion of building, permit with doscription of work and certified copy of recorded covenant from tlie real proE�eriy records of Snoi�omisli Counly, Wasl�ingfon for specified building. ❑ CONVERSION to condorninium* "NOTE: permits may be required by the Cily of Everett per the resulls of the independent inspection report. Undersignect will comply with owner independent inspection alternative per RCW 64.55.090 and RCW 64.34.400(2). Signalure of Owner or Aulhorized Agent Prinled name of Owner or Authorized Agent Phone # Date Printed name of Business Address City Zip Code cliklst-ne�v com nnd coii<to (re�� 7l13) POR OFf ICfi USE O�ILt'