Laserfiche WebLink
RCW 64.55 MULTI-FAMiLY CERTIFICATION WORKSHEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR StREET,EVEFiETT,Wh 98201 <br /> 425-257•8810-FHX 425-257-8857-fvww everettwa.ora <br /> VALUATION MAXIMUM, RECORDED SALE PROHIBITION, CONVERSION, OR FULL COMPLIANCE <br /> �orri.e,�sa�.�+'IG 1 'vo ,.L s�"� �U70Q ' 0�{�b <br /> CHECK . E V�J1�TT � <br /> oNE Address Building Number Permit Number <br /> - 1tJA_q82.o�i--- - ---- <br /> Condornioioms_------------- - �- <br /> BOX PropeAy Name <br /> ❑ VALUATION of 5% or less ot current assessed value (per building permit application) <br /> ' Per RCW 64.55.020 (1);refer to Everetl Municipal Code for all other permil requirements. <br /> Calculate percentage ol valuation divided by current assessed value (structure only). <br /> MULTIPLY CONTRACT PRICE OF WORK BY 100 DIVIDE BY ASSESSED VALUE PESULT�NG PERCENTAGE <br /> ❑ RECORDED Snohomish County Sale Prohibition Covenenant for minimum 5 years <br /> ' Per RCW 64.55.010 (10); reler to Everett Municipal Code lor all other permit requirements. <br /> Submit covenant recorded in Ihe real property records o1 Snohomish County,Washington, in satistaction of Ihe <br /> requirements o1 RCW 64.55.010 ihrough 64.55.090. The covenanl identilies the sole owner of the property <br /> described on Exhibit A (lhe "PropeAy). Until termination ol lhe covenant, no dwelling unil in or on ihe Property <br /> may 5e sold as a condominium unit excepl for sales listed in RCW 64.34.400(2). <br /> ❑ CONVERSION to condominium (owner inspection alternative) <br /> ' No permit required per FCW 64.55.090 and RCW 64.34.400(2); refer to Everett MuniciFal Code for all other <br /> permit requiremenis. <br /> _ __ . __ __- <br /> SignaWre ol Owner or Authorized Agent Printed name of Owner or Aulhorized Agent� Phone M Dale <br /> - ----._ ._ _.__. . _ . __--- �-- -`-'---- <br /> -- -- -� -- - --�--------- <br /> - '-- .. .---_. . _ . _ .. <br /> Frinted name ol Business Address City Zip o e <br /> FULL COMPLIANCE With RCW 64.55.005 through 64.55.090 <br /> All buiiding enclosure design documenls to be stamped and signed by a Washington State Architecl or <br /> Engineer, including moditicalions to the documents Ihal become addenda or change orders to alter ihose <br /> documents, per RCW 64.55.010 (11). 8uilding enclosure design documents are lo contain a stamped <br /> statement by the architect or engineer that 'Yhe undersigned has provided building enclosure documents thal in <br /> my professional judgment are appropriate to satisly the requirements or RCW 64.55.005 Ihrough 64.55.090", <br /> per RCW 64.55.020. <br /> Final inspection or CertiGcate of Occupancy will not be issued without a signed letter Irom an independent <br /> inspector certifying Ihat the building enclosure has been inspected during the course o1 construclion and has <br /> been const�ucted in subslantial compliance wilh the building enclosura design documenls,per RCW 64.55.060. <br /> FOR OFFICE USE ONLY <br /> Uptlated 10%03;07 <br /> + ? <br /> '-_—_'__ '. _ _ '__—'-_ _'—' <br /> jl% <br />