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RCW 64.55 MULTI-FAIJIILY CERTIFICA I�ION WORKSHEET <br /> CITY OF EVEREIT PERMIT SERVICES <br /> 3200 CEDAR STFiEET,EVEfiETT,WA 98201 <br /> 425�257-881 U-FAX 425-257-8857-www everettwa.ora <br /> VALUATION MAXIMUM, RECORDED SALE PROHIBITION, CONVERSION, OR FULL COMPLIANCE <br /> �111p.152�. �+'IL I ?�O . S i� �j 3 <br /> CMECN 1_ EVIIJI.�� , ,I Q �JU� O�I O" � <br /> ONE CQP�O.�/rnlnlQl�'��'J' ---- - ..� ..1LVA_-aV2�__ _ . . .I . . . . . .. __. .. " __ ._._. . <br /> BO% Property Name Address Building Number Permit Number <br /> ❑ VALUATION of 5% or less of current assessed value (per building permit application) <br /> ' Per RCW 64.55.020(1);reler to Everelt Municipal Code for all other permit requirements. <br /> Calculale percentage of valuation divided by current assessed value (strucNre oniy). <br /> MULTIPLY CONTRACT PRICE OF WORK BV 100 DIVIDE BY ASSESSED VAI.UE 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 reyuirements. <br /> Submit covenant recorded in the real property records ol Snohomish County,Washington, in satislaclion of the <br /> requirements ol RCVI 64.55.010 lhrough 64.55.090. The covenanl identilies the scle owner ol the property <br /> described on Exhibit A (the "Property). Until terminalion ol the covenant, no dwelling unit in or on the PropeAy <br /> may be sold as a condominium unit except lor 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 Everelt Municipal Code lor all other <br /> permit requirements. <br /> ---- -- - - -- - - _ <br /> SignaWre ol Owner or Authorized Agem Printed name ol Owner or Authorized Agent Phone N Date <br /> _ --- _---- - -- _ _ <br /> ------ - - - _ _ _ <br /> ._ . _.. -- ---._ . _ .... __ .._ Z� Code <br /> Prin�ed name ol Busine,s nddress City P <br /> FULL COMPLIANCE with RCW 64.55.005 through 64.55.090 <br /> All buildiny enclosure design documents to be stamped and signed by a Washington State Architect or <br /> Engineer, including modi�ications to lhe documents that become addenda or change orders to alter lhose <br /> documents, per RCW 64.55.010 (11). Building enclosure design documents are to contain a stamped <br /> stalement by the architect or engineer tha� "the undersigned has provided building encloswe documenls thal in <br /> my prolessional judgment are appropriate to satisty Ihe requirements or RCW 64.55.005 through 64.55.090", <br /> per RCW 64.55.020. <br /> Final inspection or Certificate ol Occupancy will not be issued without a signed letler Irom an independent <br /> inspedor certilying that the building enclosure has been inspected during the course of construction and has <br /> been constructed in substantial compliance wilh the building enclosure ddsign documeNs,per RCW 64.55.060. <br /> FOR OFFICE USE ONLV <br /> Updated 10;07�07 <br /> _____—_.__..._—.._—____—_--- \ <br /> � � <br /> � <br />