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I <br /> RCW 64.55 MULTI-FAMILY CERTIFICATION WORKSHEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STFIFET,EVERETT,WA 98201 <br /> 425•257-8810-FAX 425•257-BB57-www everetiwa.ora <br /> VALUATION MAIUMUh7 RECORDED SALE PROHIBITION, CONVERSION,OR FULL COMPLIANCE <br /> �'riP.ls�t�+'� � 30 y.� sin.c� Q 4 �7,). ,�ss <br /> CHECK 1_ EV-Q�TT WA_9V��'__ . ..� .1. _ ._._ iN <br /> ONE CQ✓lO�vrn�nlQlY�S- -_ . �'. - . _"._ "�'_.._'_' __ <br /> 80% Property Name Address Building Number Permit Number <br /> ❑ VALUATIOH ot 5% or less of current assessed value (per building permit appl(catfon) <br /> ' Per RCW 64.55.020 (1); reler to Everett Municipal C'ode for all other permit requirements. <br /> Calculate percentaye ol valualion divided by current assessed value ;structure only). <br /> MULTIPLY CONTRACT PRICE OF V, RK BY 100 DIVIOE BY ASSESSED VALUE RESUITING PERCENTAGE <br /> ❑ RECORDED Snohomish County Sale Prohibition Covenenant for minimum 5 years <br /> ' Per RCW 64.55.010 (10);refer to Eve�ett Municipal Code lor all other permit requirements. <br /> Submit covenant re��rded in Ihe real prope�y records ol Snohomish County, Washington, in satislaction of Ihe <br /> requirements ol RCW 64.55.010 Ihrough 64.55.090. The covenant Identilies the sole owner ol Ihe property <br /> described on Exhibit A (the "Property). U itil termination o1 ihe covenant, no dwelling unit in or on Ihe PropeAy <br /> may be sold as a condominium unit except for sales listed in RCW 64.34.400�2). <br /> ❑ CONVERSION to condominfum (owner Inspection alternative) <br /> ' No permit required per RCW 64.55.090 and RCW 64.34.400(2);refer to Everett Municipal Code for all other <br /> permit reqairemenis. <br /> uignature ol Owner or Aulhorized Hgent Printed name of Owner or Authorized Agenl Phone!t � Date <br /> . . _.... _ _ _ . . ._. .. _. _. <br /> __.— - ------ -- -- - . __ _ . <br /> -- - _._�_ __-- --'- Zi Code <br /> Primed name af Business Address �'�Y P <br /> FULL COMPLIANCE with RCW 61.:�5.005 through 64.55.090 <br /> All buildiny enclosure design docun�ents to be stamped and signed by a Washington State Architect or <br /> Engineer, including modilications to Ihe documents lhat become addenda or change orders to alter Ihose <br /> documents, per RCW 64.55.010 (11). Building enclosure design documents are lo conlain a stamped <br /> statement by the archltect or engineer that "the undersigned has provided building enclosuie documents Ihat In <br /> my professional judgmenl are appropriate to satisty the requirements or RCW 64.55.005 through 64.55.090", <br /> per RCW 64.55.020. <br /> Final inspection or Certilicate of Occupancy will noi be issued wi�nout a signed lotter Irom an Independent <br /> inspector certilying that the building enclosure has been inspected during Ihe tourse ol construction and has <br /> been constructed in substantial compliance with the building enclosure design documents, per RCW 64.55.060. <br /> Updated�Oi03r07 FOR OFFICE USE ONLV <br /> _. -- . _---� -- —�-------- -- <br /> �� '� <br />