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RCW 64.55 MULTI-FAMILY CERTIFICATION WORKSHEET <br /> CfTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,W�98201 <br /> 425-257-8810-FAX 425a57-8B57-www.e,'erettwa.Orp <br /> VALUATION MAXIMUM, RECORDED SALE PROHIBITION, CONVERSION,OR FULL COMPLIANCE <br /> CNECN y� /� a <br /> �—..OYYl.0,15� �+'IG 1 ?A . sin.� • 6o? U 'J -u`�'� <br /> ONE CQ17�rn�/�IVInS'____.'_���J1'�T���_�t^-qV2�___ . � . . _ . _._.'__'- __'_"_.,_' -_ <br /> BOX Pmperty Name Address Building Number Permit Numter <br /> ❑ VALUATION of 5% or less oi current assessed value (per building permit applicatfon) <br /> ' Per RCW 64.55.020 (1);reler to Everett Municipal Code tor all other permit rrquirements. <br /> Calcul:�te percentage ol valuation divided by current assessed value (structure anly). <br /> MULTIPLY CONTRACT PRICE OF WORK BY 100 [11VIDE BY ASSESSED VALUE RESULTING PERCENTAGE <br /> ❑ RECORDED Snohomish County Sale Prohibition Covenenant for minimum 5 years <br /> ' Per RCW 64.55.010 (10); reler to Everett Municipal Code for all other permit requirements. <br /> Submit covenant recorded in the real pro�erty records ol Snohomish Counly,Washington, in satisfaclion of lhe <br /> requirements o1 RCW 64.55.010 through 64.55.090. The covenant identilies the sole owner of tha property <br /> described on Exhibit A (the "Property). Until terminalion of the covenanl, no dwelling unit in or on the Property <br /> may be sold as a condominium unit ezcept lor sales listed In RCW 64.34.400(2). <br /> ❑ CONVERSION lo condominfum (owner inspection alternative) <br /> ' No permit required per RCW 64.55.090 and RCW 64.34.400(2); reler to Everelt Municipal Code lor all other <br /> permit requiremenis. <br /> -- - <br /> - _ <br /> Signawre of Owner or Authoiized Agem Primed name ol Owner or Autharized Agent Phone A Date <br /> ._. _ . . .. _ ._ .. . - -- - . .. . _ _. <br /> --- -�----._ _.._ <br /> .. .------- -- -- �-- -- -- <br /> ._----- - ---__� - ---.. <br /> Pnmed name ol Business Address Ciry ip o e <br /> FULL COMPLIANCE with RCW 64.55.005 through 64.55.090 <br /> All building enclosure design documents to be stamped and signed by a Washington State Architect or <br /> Engineer, including modifications lo the documenis lhal become addenda or changa orders to alter those <br /> documents, per RCW 64.55.010 (11). Building enclosure design documents are to contain a slamped <br /> statemenl by ihe architect or engineer that "the undersigned has provided building enclosure documents that in <br /> my prolessional judgment are appropriate b s�.tisty the requiremenls or RCW 64.55.005 through 64.55.090", <br /> per RCW 64.55.020. <br /> Final inspection or Certilicate ol Occupancy will not be issued without a signed letter Irom an independent <br /> � inspector certifying Ihat the buildi��g enclosure has been inspected during Ihe course ol conslruction and has <br /> i <br /> been constructed in substanlial compliance with the buildi�g enclosure design documents,per RCW 64.55.060. <br /> Updatec tOr03r07 FOH OfFICE USE ONLY <br /> —------ . � I 2. <br /> � <br />