1430 W CASINO RD BLDG 32 2016-01-01 MF Import

RCW 64.55 MULTI-FAMILY CERTIFICATION WORKSHEET CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 9820t 425-257�8810-fA%425-257�BB57-www everettwa.ora VALUATION MAXIMUM, RECORDED SALE PROHIBITION, CONVERSION,OR FULL COMPLIANCE �vtt�.tsa.t �+� � 30 . � s;,�.� 3 "L �u 7 ab -053 CMECK GVn�t+. WA_.q62c�--.--- oNE �r�d.o rn�n��ms---- -------- ... , . _ _... _ -- --_ _.. _ 80% Property Name Address Building Number Permit Number ❑ VALUATION of 5% or less of current assessed value (per buflding permit applfcation) ' Per RCW 64.55.020 (1);refer to Everett Municipal Code tor all other permii requirements. Calculate percentage ol valuation divided by curreni assessed value (structurA c��ly). MULTIPLV GONTRACT PRICE OF WORK BV 100 DIVIDE B�'ASSESSED VALUE RESULTING PERCENTAGE ❑ RECORDED Snohomish County Sale Prohibitlon Covenenant for m(nimum 5 years ' Per RCW 64.55.010(10); reler to Everett Municipal Code lor all other permit requiremenls. Submit covenant recorded in Ihe real property records ot Snohomish County,Ylashington, in satislaclion ol the rec,uirements of RCW 64.55.010 through 64.55.090. The covenant '.dentilies lhe sole owner of Ihe property described on Exhibit A (the "Property). Until lermination of the covenan;, no dwelling unit in or an lhe Property rtiay be sold as a condominium unit except lor sales listed in RCW 64.34.400(2). ❑ CONVERSION to condomfnfum (owner Inspection alternative) ' No permii •equired per RCW 6a.55.090 and RCW 64.34.400(2);refer tc Evr,retl Municipal Code for all other pormit requirements. Signature ol Owner or Authorized Agent Printed name o1�Owner or Authorizeo Agent Phone 1t � Dale _ -'---__- _._. . . _... - --_. ._ _. _ ._- - �. - . . _._.. -- - - -_ . _. .. Pri�led name ol Business Address City � Zip Coae FULL COMPLIANCE with RCW 64.55.005 thr�ugh 64.55.090 All building enclosure design dccuments lo be stamped a�d signed by a Washington State Architect or Engineer, including modifications to the documents that become addenda or change orders to aller Ihose documents, per RCW 64.55.010 (11�. Building enclosure design documents are to contain a stamped statement by lhe architect or engineer that"the undersigned has provided building Pnclosure documents Ihat in my prolessional judgment are appropriate to satisty the req�.iremenls or RCW 64.55.005 through 64.55.090", pei RCW 64.55 020. Final inspeclion or Certilicate ot Occupancy will not be is, ued without a signed letler lrom an independent inspeclor certitying that the building enclosure has been in:;pected during the cowse of construction and has been constructed in substantial compliance with lhe building enclosure design documents, per RCW 64.55.060. Updaittl 10l03r07 FOR OFFICE USE ONIV L. . .__.___—__--__ -- / i .______ / - � ' � �i �