Laserfiche WebLink
i <br /> RCW 64.55 MULTI-FAMILY CERTIFICAT�ON WORKSHEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 88201 <br /> 425�257-8810-FAX 425�257-8857-www everettwa.ora <br /> VALUATION MAXIMUM, RECORDED SALE PROHIBITION, CONVERSION,OR FULL COMPLIAIJCE <br /> '�r IG 1 3� . S i►u7 a �b u� ' <br /> CHECK �� GVl��1,,�� WA �VZ�'___ �O_ . _. 1O OSI <br /> ONE L'pPld.O(111/11Q111�j'__._ '.__._'_._'___.../_. _. _ — _'_ _ . "'.'_.' _ __'. '___. ._ <br /> BOX Property Name Address Building Number Permit Number <br /> ❑ VALUATtON of 5% or less oi current assessed value (per building permit applicatfon) <br /> ' Per RCW 64.55.020 (1);refer to Everett Municipal Code lor all other permit requirements. <br /> Calculate percentage of valuation divided by current assessed value (struclure only). <br /> MULTIPLY CONTRAC7 PRICE OF WORK BV 100 DIVIDE BY ASSESSED VALUE RESULTING PERCENTAGE <br /> ❑ RECORDED Snohomfsh County Sale Prohibition Covenenant tor minimum 5 years <br /> ' Per RCV'64.55 010(10); refer to Everelt Municipal Code lor all olher permit requirements. <br /> Submil covenan� recorded in the real propeAy reco�ds ol Snohomish County,Washington, in salisfaction ol Ihe <br /> requirements of RCW 64.55.010 through 64.55.090. The covenant identities Ihe sole owner ol lhe propeAy <br /> described on Exhibit A (�he `Property). Until termination ol the covenant, no dwelling unit in or on the PropeAy <br /> may be sold as a condominium unit except lor sales listed in RCW 64.34.400(2). <br /> ❑ CONVERSION to condominium (owner inspection alternative) <br /> ' No permit required per RCW 64.55.090 and RGW 64.34.400(2);refer to Everelt PAunicipal Code lor all olher <br /> permit requiremenis. <br /> Signature ol Owner or Aulhorized Agent Pnnted name ol Owner or Authorized Agent Phone k Dale <br /> .. ---- -. . .- - - -- .. _ . .. _.... <br /> . _.-------- -._- _._ . _-_.__ - <br /> __._.____--- ---------- Cit 2ipCode <br /> Pnmed name ol Business Address Y <br /> FULL COMPLIANCE with RCW 64.55.005 through 64.55.090 <br /> All building enclosure design documenls lo be starr,ped and signed by a Washinglon Slate Architect or <br /> Enc�ineer, including moditicalions to the documenls lhat become addenda or cha�de orders lo aller lhose <br /> documents, pe; RCW 64.55.010 (11). Building enclosure design documr^.�, are to contain a slamped <br /> slatemenl by lhe archilect or engineer lhat "lhe undersigned has provided building enclosure documents lhat in <br /> my protessional judgment are appropriate to satisfy the requirements or RCW 64.55.005 lhrough 64.55.090", <br /> per flCW 64.55.020. <br /> Final inspection or Certilicate of Occupancy will not be issued wilhout a signed letter from an independent <br /> inspector certilying that the building enclosure has been inspected during the course of construction and has <br /> I been constructed m substantiaf compliance with Ihe building enclosure design documents,per RCW 64.55.060. <br /> Uptlaled 10�03;07 <br /> FOR OFFICE USE ONLV <br /> _- _—__- — __— ���� <br />