1430 W CASINO RD 21 BLDG 2 2018-01-02 MF Import

RCW 64.55�MULTI-FAMILY CERTIFICQ710N WORKSHEET CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 90201 425�257�8B10-FAX 425�257-BB57-www eve�attwa.ora VALUATION MAXIMUM, RECORDED SALE PROHIBITION, CONVERSION,OR FULL COMPLIANCE `�-.�YYLQ.IS�t. �IG 1 30 . S i n.c7 e .L CHECK �V.R�.�� /� 9 Q�., � � JvD- �� ONE G'p/1d.D(Y1�(110fY1�',..�' _'_—_'_—______"__'�_wY_i_82_ ____ . . . .....� _ ".__'._.__.._ BOX f"operty Name Address Building Number Pormit Numbor ❑ VALUAnoN of 5% or less ot current assessed value (per buildfng permit applicatfon) ' Per RCW 64.55.020 (1); reler to Everett Municipal Code for all other permit requirements. Calculate percentage o1 valuation divided by currenl assessed value (structure only). MULTIPLY CONTRACT PRICE OF WORK BY 100 DIVIDE BY ASSESSED VALUE RESULTING PERCENTAGE ❑ RECORDED Snohomish County Sale Prohibition Covenenant for minimum 5 years ' Per RCW 64.55.010(10);reler to Everett Municipal Code lor aU other permit requirements. Submil covenant recorded in the real property records ol Snohomish County, Washington, in satisfaction of Ihe requirements o1 RGW 64.55 010 Ihrough 64.55.090. The covenant identilies lhe sole owner ol lhe property described on Exhibit A (the "Property). Until termination ol the covenant, no dwelling unit in or on ihe Properry may be sold as a condominiun: ��it except lor sales listed in RCW 64.34.400(2). ❑ CONVERSION to condominfum (owner inspection alternative) ' No permit required per RCW 64.55.090 and RCW 64.34.400(21;reler to Everep Municipal Code tor all o�her permit requirements. -- . _. _ - - Signature of Owner or Authorized Agen� Prin�ed name ol0wnar or Aulhorized Agent� Phone k Date � ----- .._ .. ---_ _ .. _.... . _._ . .._.----- ---- �-- ------------_..--- -- - �- -------.-. ' Pnnted name ol Business Address Ci�y Zip Code FULL COMPLIAt�CE with RCW 64.55.005 through 64.55.090 Ail building enclosure design documents to be slamped and signed by a Washington State Architect or E�igineer, including modilications to Ihe documents that become addenda or change orders lo alter those documen�s, per RCW 64.55.010 (11). Building enclosu�e design documents are to contain a stamped statemenl by the architecl or engineer that'Yhe undersigned has provided building enc�osure documents Ihat in my prolessional judgment are appropriate to sa;isly lhe requirements c, RCW 64.55.005 through 64.55.090", per RCW 64.55.020. Final inapeclion or Certilicate ol Occupancy will not be issued without e signed letter irom an Independent inspector certilying that lhe building enclosure has been inspected during Ihe cnurse ol construction and has been constructed in subslantial compliance with the building enclosure design documents, r=r RCW 64.55.060. Updaled t0iO3;07 FOF OFPICE USE ONIY ------- ----- .— I.�; �;