1430 W CASINO RD BLDG 19 2016-01-01 MF Import

RCW 64.55 MULTI-FAMILY CERTIFICAI ION WORKSHEET CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 425•257•BB10-FAX 425•257-8857-www everettwa.ora VALUATION MAXIMUM, RECORDED SALE PROHIBITION, CONVERSION,OR FULL COMPLIANCE �or1tD.�Sort. �'� 1 bo . ,s, in.� a 1 �U7�Yi-04U CHECK GV.�J1��_�_yyA—�vZ�.__ _. ._ ` � - ._. - '_.__.. _'_"_'_.—__ ONE CpY1 (11I/I IO(Y1S —�----------- -- - Building Number Permit Number BOX Property Name Address ❑ vALUATION of 5%or less oi current assessed value (per building permit appticatlon) ' Per RCW 64.55.020(1);reter to Everetl Municipal Cod_tor all other permit requirements. Calculate percentage of valuation divided by current assessed value (structure only). MULTIPLV CONTRACT PRICE OF WORK BY 100 DIVIDE BY ASSESSED VALUE RESULTING PERCENTAGE p RECOHDED Snohomish County Sale Prohibition Covenenant tar minimum 5 years ' Per RCW 64.55.010(10);reler to Everett Municipal Code lor all other pem��it reyuirements. Submit covenant recorded in the real property records of Snohomish County,Washington, in satislaction of lhe requiremenls o1 RGW 64.55.010 lhrough 64.55.090. The covenant identilies lhe sole owner o1 Ihe property described on Exhibil A phe "Property). Until termination of the covenant, no dwelling unit in or on lhe Property may be s� �d as a condominium unit except lor sales Iisted in RCW 64.34.400(2). ❑ CONVERSION to condominium (owner inspection alternative) ' No permit required per RCW 64.55.090 and FCW 64.34.400(2); reler to Everett Municipal Code lor all olher permit requirements. - --------- - — - - _ -- - --. __ _ Signature ol Owner or Authorized Agent Printed name ot Owner or Aulhorized Agent Phone N Date . ..---.._.._._..-----�-- -— -- ---------------- ---- --� --�---�---- - -- �- -�-- ---... .- .- -_._. Printed name ol Business Address City Zip ude FUI.L COMPLIAPlCE with RCW 64.55.005 through 64.55.090 All building enclosure design documents lo be stamped and signed by a Washing!on State Archilect or Engineer, including modilica�ions to the do:,�ments that become addenda or change orders to aller those documents, per RCW 64.55.010 (11). Building enclosuro design documents are to contain a stamped statement by the architect or engineer that"the undersigned has provided building enclosure documenis Ihat in my professional judgment are appropriate lo satisly the requirements or RCW 64.55.OG5 lhrough 64.55.090", per RCW 64.55.020. Final inspection or Certilicate ol Occupancy will not be issued without a signed letler Irom an independent inspector certifying that Ihe building enclosure has been inspected during Ihe course ol construction and has been constructed in substantial compliance with the building enclosure design documenls,per RCW 64.55.060. Uptlaled 10�09/07 FOR OFFICE USE ONI.Y --__---_-- — i- ( ,� �