1430 W CASINO RD BLDG 18 2016-01-01 MF Import

( � RCW 64.55 MULTI-FAMILY CERTIFICAI ION WORKSHEET CITY OF EVERETT PERMIT SERVICES 3200 CE�AR STREET,EVERETT,WA 98201 425-257�88t 0-FAX 425�257�8857-fvww evereliwa ora VALUATION MAXIMUM, RECORDED SALE PROHIBITION, CO IVERSION,OR FULL COMPLIANCE `� .152t.�+' �L 1 � . S i n.A ' Q� C� CHECK E V�t+ VJA..q824�-_ _ � � ��'J V-O� `. ONE Cpt'1d.Ornlllil)111�,,,�" --._ . . '._- _ __ ..� . _ _ _ .. ' _ _ .. BO% Property Name Address Building Number Permit Numher ❑ VALUATION oi°% or less of current assessed value (per building permit application) ' Per RCW 64.55.020(t�; reler to Everett Municipal Code for all olher permit requirements. Calculate percentage ol valuation divided by current assessed value (siructure only�. MULTIPLY CONTRACT PRICE OF WORK BY 100 DIVIDE BY ASSESSED VALUE RESULTING PEFCENTAGE ❑ RECORDED Snohomish County Sale Prohibitfon Covenenant for minimum 5 years ' Per RCW 64.55.010(10);refer lo Everett Municipal Code lor all other permit requirements. Submit covenant recorded in Ihe real property records of Snohomish Counly, Washington, in satislaction ol Ihe requirements of RCW 64.55.010 through 64.55.090. The covenant identilies the sole owner ol lhe property described on Exhibit A (the "Property). Until lermination ot the cove�ant, no dwelling unit in or on Ihe Property may be sold as a condominium unit except tor sales listed in RCW 64.34.400(2). ❑ CONVERSION to condominium (owner inspection aiternative) • No permit required per RCW 64.55.090 and RCW 64.34.400(2�;refer to Everett Municipal Code tor all other permit requiremen;s. Signature ol Owner or Authonzed Agem Pnmed name ol Owner or Authorized Agent Phone a Date __ . _. ._ .- _ . _ ____ _ . __ ..._ . Pnnted name ol Business Addiess City � Zip Code FULL COMPLIANCE with RCW 64.55.005 through 64.55.090 All buildmg enclosure design documents to be stamped and signed by a Washington State Architecl or Engir.eer, including modifications to the documents that become addenda or change orders to alter lhose documents, per RCW 64.55.010 (11). Building encloswe design docurrents are to contain a stamped statement by the architect or en,�ineer lhat"the undersigned has provided building enclosure documents that in my prolessional judgment are appropriate to salisfy the requirements or RCW 64.55.005 through 64.55.090", per RCW 64.55.020. Final inspection or Certificate ol Occupancy will not be issued wilhout a signed letter from an indepondent inspector certilying Ihat the building enclosure has been inspected during the course of conslruction and has been constructed in substantial compliance with the building enclosure design documenis,per RCW 64.55.060. FOR OFFICE USE ONLV Uptlaled 10'U3�07 —_— _--_"_'_. _—.___—__——_____— ___' 7 _�