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RCW 64.55�MULTI-FAMILY CERTIFICAI ION WORKSHEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> 425-257-BB10-FAX 425�257-8857- vLww ever0tlwa ara <br /> VALUATION MAXIMUM, RECORDED SALE PROHIBITION, CONVERSION,OR FULL COMPLIANCE <br /> �n.o,�s�.t �+� � 3o �,L s�� Q � b oa �0 •038 <br /> CMECK E Vl��.��T q V Z�.,__. � � <br /> ONE CpY1d.0(111(]IOfYIS�_ -_ ' ____—_' __. _i'wA__ _' . _ __.. ._. . .. ._.. . .. _ <br /> BOX Propehy Name Address Building Number Permit Number <br /> ❑ VALUATION ot 5%or less of current assessed value (per building permit application) <br /> ' Per RCW 64.55.020(1); refer to Everett Municipal Code for all other permit requirements. <br /> Calculate percentage of valuation divided by current assessed value(structure only). <br /> MULTIPLY CONTRACT PRICE Of WORK BY 100 DIVIJE BY ASSESSED VALUE RESULTING PEFCENTAGE <br /> O RECORDED Snohomish County Sals Prohibition Covenenant for minimum 5 years <br /> ' Per FCW 64.55.010(10);refer lo Everett Municipal Code lor all other permit requirements. <br /> Submit covenant recorded in the real property records of Snohomish County, Washington, In satisfaction ol the <br /> requirements ol RCW 64.55.010 through 64.55.090. The covenanl identifies the sole owner of Ihe property <br /> described on Exhibil A (the "Property). Until termination of the covenant, no dwelling unit in or on the Property <br /> may be sold as a condominium unit excepl for sales listed in RCW 64.34.400(2). <br /> ❑ CONVERSION to condominium (owner inspection alternative) <br /> 'No permit required per RCW 64.55.090 and RCW 64.34.400(2); reler to Everett Municipal Code lor all other <br /> permit rPquirements. <br /> - — - __ .. _ _ _ _ <br /> Signature ol Owner or Authorized Agent Printed name ol Owner or Authorized Agent Phone�t Dale <br /> __----- --�—��- � - - - _.._.. ---- -- . . _ _ . .. <br /> -- _ __ __. _..-- — ------ Cil Zip Code <br /> Printed name of Business Address 1' <br /> FULL COMPLIANCE with RCW 64.55.005 through 64.55.090 <br /> All building enclosure design documenls to be stamped and signed by a Washington State Architect or <br /> Engineer, including modifications to lhe documents lhat become addenda or change orders to aller lhose <br /> documents, per RCW 64.55.010 (11). Building encloaure design documents are to contain a stamped <br /> statement by lhe architect or engineer that"the undersigned has provided building enclosure documents that in <br /> my protessional judgmenl a�e appropriate to satisty Ihe requirements or RCW 64.55.005 Ihrough 64.55.090", <br /> per RCW 64.55.020. <br /> Final inspection or Certilicate o1 Occupancy will not be issued without a signed letter Irom an independent <br /> inspector certifying Ihal the building enclosure has been inspected during the course ot construction and has <br /> been constructed in substantial compliance with the building enclosure design documents,per RCW 64.55.060. <br /> Updated t0�03'07 FOR OFFICE USE ONLV <br /> I------------ ��------- <br /> � �/�� <br /> � <br />