3006 W MARINE VIEW DR 2016-01-01 MF Import

� � RCW 64.55 MULTI-FAMILY CERTIFICATION WORKSHEET CITY OF EVERETT PERMIT SERVICES 3200 Cedar Street, Fvereit, WA 98201 425-257-8810 - FAX 425-7.57-8657 - www.everettwa.org REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION CHECH � OO� �,/ ONE BOX Property Name L7 ❑ � .MU��Y.e. �J� C � v�� Address � . P�ex Building Number Permd Number REHABILITATIVE CONSTRUCTIOIv 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 ihe building enclosure for a multiunit residential building or mixed use project per RCW G4.55.010, which may exceed lhe valualion for building permit. REHAB COST {�� ovv — MULTIPLY l� �P� ° , ASS[SS[D BUILDING VALUE 3 4? 70� a. � r� � NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more than 5% of current assessed market improvement value of specified building' 'NOT[ Per RCW 64.55.010, RCW 64.55.020 and RCW 64.55A60 [ach building enclos�re design document is to be stamped and signed by a Washing;on State architect The documenis should also contain a stamped signed statemert by the same architect thal "lhe ur.dersigned has provided bwlding enclosure documents ihat in my professional judgmenl are appropriate to s;lis(y lhe requirements or RCW 6455.005 through 64 55.090" Final inspection or 'Certificate of Occupancy' cannot be issued by �he bwlding department prior to receipt of a signed Ictler from an mdependent inspector certrfying that ihe building enclosure has been mspected durinc� the course of wnsiruction and has been constructed in substanlial compliance with lhe building enclosure design documents. RECORDED COVFNANT OF SALE from Snohomish �ounty" 'NOTF Sale Prohibition Covenant per RCW 64.55.010 SubmR sile plan wilh location of building, permit wdh description of work and certi�ied copy of recorded covenant from Ihe real properiy records of Snohomish County, Washington for specdied building. CONVERSION to condominiurn' 'NOTF pernufs may be reqwred hy the City of F_verelt per ihe results of the independenl inspeclion report. Undersigned will camply with owner independent inspection altemative per RCW 64 55 090 and RCW fi4 34 400(7) Signature of Owner or Aulhorved �9cnt Pnnted name of Owner or Authorized Agr.nt Phonr, H Date Prinled namc of 13usmr.ss r.liklsi-ncw cont and cnndn (rcv 7/13) AddrFss Gty POIt 011•lCC USIi ONL}, Zip Codr.