1430 W CASINO RD BLDG 31 2016-01-01 MF Import

� RCW 64.55 MULTI-FAMILY CERTIFICATION WORKSHEET CITY OF EVERETT PERMIT SERVICES 3200 CEDAFi STREET,EVERETT,WA 9A201 425-257-BBt 0-FAX 425•257-8857-www everettwa.ora VALUATION MAXIMUM, RECORDED SALE PROHIBITION, CONVERSION,OR FULL COMPLIANCE �rn.o,�sat �'� 1 30 y.� s�n.� p, `� (�0'10�-O�L CHECK 1_ EVI�1.�iT qVZ�'..__ . ✓ � ONE CQI'�WJrnInIQln'�',J'___ ____.—"_ __._� .WA__ _ . . . . _ . __. .__'__._' ._".__. ... BOX Property Name Address Building Num6ei Permit Number ❑ vALUA7lON of 5% or less of current assessed value (per building permit applicatfon) ' Per FCW 64.55.020 (1);reler to Everett Municipal Coc'e for all other permit re�uirements. Calculate percentage�t valuation divided by current assessed value (structure only). MULTIPLY CONTRACT PRICE OF WORK BV 100 DIVIDE BY ASSESSED VALUE RESUL�ING PERCENTAGE ❑ RECORDED Snohomish County Sale Proh(bition Covenenant for minimum 5 years ' Pe�RCW 64.55.010(10); refer lo Everelt Municipal Code lor all other permit requiremenls. Submit covnnant recorded in the real property records ol Snohomish County, Washington, in satislaction ol the requirements ol RCW 64.55.010 through 64.55.090. The covenant identilies the sole owner ol lhe property described on Exhibit A (the "Property). Until lermination ol the covenant, no dwelling unil in or on the Property may Ee sold as a condominium unit except lor sales listed in RCW G4.34.400(2). ❑ CONVERSION to condominfum (owner inspection alternative) ' No permit rnquired per RCW 64.55.090 and RCW 64.31.400(2); reler to Everelt Municipal Code for all olher permit requiremenis. - - __ Signature ol Owner or Authorized Agent Pnnled�iame of Owner or Authorized Agent Phone M Date - --�-- _._.... _ _ . _ .__. .. ._. _. .. ___....._ . - --- -- �-- ----- ----`— . _----- - -- - ------ -- Printed name of Business Address �i�Y Zio o e FULL COMPLIANCE with RCW 64.55.005 through 64.55.090 All building enclosure design documents to be slamped and signed by a Washinglon Slate Architect or Engineer, including modifications to the documents that become addenda or change orders lo aller those documenls, per RCW 64.55.010 (11). Building enclosure design documents are to contain a stamped statement by the archilect or enginerr that "the undersigned has provided building enclosure documents ihal in my protessional judgment are appr�oriate to satisfy the requirements or RCW 64.55.005 ihrough 64.55.090", per RCW 64.55 020. Final inspection or Certificate ol Occupancy will not be issued without a signed letter Irom an independent inspector certilyinc� that the building enclosure has bean inspected during lhe course of construction and has been constructed in substantial compliance wilh the building enclosure design documents,per RCW 64.55.060. Updated t0�o3r07 FOR Of-FICE USE ONIY _--- � -------�------- � . - � 7 �%� )