Laserfiche WebLink
f <br /> RCW 64.55 MULTI-FAMILY CERTIFICATION WORKSHEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> 425-257-8B10-FAX425-257�BB57-y+� +everettwa.ora <br /> VALUATION MAXIMUM, RECORDEO SALE PROHIBITION, CONVERSION,OR FULL COMPLIANCE <br /> �rnn.�sQt �+� � 30 . s;n.� 3� __(1U� 441 - o s 5 <br /> CHECK E Y���- . <br /> . ._ _ . - ---"._'--- <br /> ^ 2-'- - — <br /> Box `�pe�y Nemen IU�YIS---�---Address � �A Building Numbe� Permit Number <br /> ❑ VALUAfION of 5% or less of current assessed value (per building permit application) <br /> ' Per RCW 64.55.020 (1);refer to Everett Municipal Code for all other permit requirements. <br /> Calculate percentage of valuation divided by current assessed value (s!ructure only). <br /> MULTIPLY CONTRACT PRICE OF WORK B� 100 DIVIDE BY ASSESSED VALUE RESULTING PERCENTAGE <br /> ❑ RECORDED Snohomish County Sale Prohibition Covenenant tor minimum 5 years <br /> ' Per RCW 64.55.010 (10); refer to Everett Munic�pal Code lor all other permit requirements. <br /> Submil covenant recorded in lhe real property records of Snohomish County,Washinglon, in salislaction ol the <br /> reqwrements of RCW 64.55.010 through 64.55.090. The covenant identilies the sole owner ol the property <br /> described on Exhibit A (the "Property). Until termination of the covenant, no dwelling unil in or on ihe Property <br /> may be sold as a condominium unil except lor sales listed in FiCW 64.34.400(2). <br /> ❑ CONVERSION to condominium (owner inspection alternative) <br /> ' No permit required per RCW 64.55 090 and RCW 64.34.400(2); reler to Everett Municipal Code for all other <br /> permit requiremenis. <br /> - --- ---- — — .- _ . _ _ <br /> Signature ot Owner or Authorized Agent Printed name oi Owner or Authorized Agent Phone M Date <br /> -------�----___--- --- �- <br /> _-- - - ----- ... - -._ . . ._ . .. _. _. <br /> . ._ .. . ----- - ----- Cit ZipCode <br /> Printed name al0usiness Addrnss Y <br /> FU�L COMPLIANCE with RCW 64.55.005 through 64.55.090 <br /> All building enclosure design documeNs to be stamped and signed by e Washington Stale Architect or <br /> Engineer, including modifir.ations to the documenls lhat become addenda or change orders lo alter those <br /> documents, per RCW 64.55.010 (11). Uuilding enclosure design documents are to contain a stamped <br /> statemenl by the architect or enginee� that "the undersigned has provided building enclosure documents ihal in <br /> my protessional judgment are appropriale to satisty the requirements or RCW 64.55.005 thro��ph 64.55.090", <br /> Iper RCW 64.55.020. <br /> IFinal inspection or Certificate of Occupancy will not be issued N .�out a signed letter trom an independent <br /> � inspector certilying Ihat the building encloswe has been inspected during the course of construction and has <br /> been conslrucled in substanlial compliance with the building enclosure design documents,per FCW 64.55.060. <br /> FOR OFFICE USE ONLV <br /> UpAated 10�03'07 <br /> l . .__ _—____--.--_ — � , <br /> __. _—.___._.- �'�� � <br />