1430 W CASINO RD BLDG 25 2016-01-01 MF Import

� RCW 64.55 MULTI-FAMILY CERTIFICA710N WORKSHEET � CITY OF EVERETT PERMIT SERVICES ``" 3200 CEDAR STREET,EVERETT,WA 98201 42E-257-BBtO-FAX 425�257-8857-fwnv everettwa.ora VALUATION IVIAXIMUM, RECORDED SAL[ PROHIEITION, CONVEFiSION, OR FULL COMPLIANCE �ornn,�sa�t. �� 3ca . s�Ka�� 2 5 l�o�d�� 04� CHECK /�� E v.��- wA_�+a?�-__.__ ONE nd.orn�n�om� - -------- ---�-�-- - --- - ------ 80% P perty Name /�ddress Building Numbar Pe��nii Numter ❑ VALUATION ot 5% or less of current as:;essed value (per building perrnit application) ' Per RCW 64.55.020 (1);reter to Everett Munici�al Code lor all other permit requirements. Calculate percentage ol valuation divided by c�rrent assessed value (sVucture only). MULTIPLY CONTRACT PRICE OF WORK BV tOG DIVIDE BY ASSESSED VAWE RE-SULTING PERCENTAGE ❑ RECORDED Snohomish County Sale Prohibition Covenenant for minimum 5 years ' Per RCW 64.55.010 (10); reler to Everett tilunicipal Code for all other permit requirements. Submit covenant recorded in the real p�operty records of Snohomish Counry,Washington, in salistaction ol lhe requiremenls of RCW 64.55.010 thro�gh 64.55.090. The covenant identifies the sole owner ol lhe property described on Exhibit A (the "Property). Until termination ol the covenant, no dwelling unit in or on the Property may be sold as a condominium unit except lor sales listed in RCW 64.34.400(2). ❑ CONVERSION to condominium (owner inspection alternative) 'No permit required per RCW 64.55.090 and RCW 64.34.400(2); reler to Eve�etl Municipal Code lor all other permit requirements. _. __ — - -- —- - - — _ _ _ SignaNre o1 Owner or Authorized Agent Printed name ol Owner or Authorized Agent Phone!1 ate ...-- - ---- � ------------ ----- ---� ------ -- . .__ . . .. _ ._--.. . - ----_ _. . ---- - - Zi Code Primed name ol Businnss Address ��Y P FULL COMPLIANCE wfth RCW 64.55.005 through 64.55.090 All building enclosure design documents lo be stamped and signed by a Washinglon State Architect or Engineer, including modilications to the documents lhat become addenda or change orders lo alter th�se documents, per AGN 64.55.010 (11). Building enclosure design documents are to contain e stamped statement by Ihe archilect or engineer ihat "the undersigned has provided building enclosure documents lhal in my professional judgment are appropriale to satisly ihe requirements or RCW 64.55.005 through 64.55.090', per RCW 64.55.020. Final inspection or Certilicate ol Occupancy will not be Issued without a eigred letter from en Independent inspector certilying that the building enclosure has been inspected during the course of construction and has been constructed in substantial compliance with tlie building enclosure design documenis, per RCW 64.55.060. Upda�ed 10'09'07 FOR OFFICE USE ONLV _--—_—____— ��7 � /