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RCW 64.55 MIII.TI-FAMILY CERTIFICA710N WORKSHEET <br /> GITY dF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> 425-257�8810-FAX 425-257-8857-www everettwa.oro <br /> VALUATION MAXIMUM, RECORDED SALE PROHIBITION, CONVERSION, OH FULL COMPLIANCE <br /> �� �S o ,o <br /> CHECI( ��- Ev�,.��+� _wA°182�-_- -- 1 �- . � �° � '��' <br /> ONE �n�ornin�oms ._.-� -------� . _..- --. . ___.. _- �- <br /> BO% Property Name Address Building Number Permit Numbei <br /> ❑ VALUATION of 5%or less of current assessed value (per building permit application) <br /> • Per RCW 6A.55.020 (1); reler lo Everetl Municipal Code lor all other permil requirements. <br /> Calculate percentagc ol valuation divided by cwrent assessed value (struclure only). <br /> MULTIPLY CONTRACT PRICE OF WOfiK BV 100 DIVIDE BY ASSESSED VALUE 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 lor all other permit requiremenls. <br /> Submit covenant recorded in the real property records ol Snuhom;sh County, Washington, in satislaction ol the <br /> requirements o1 RCW 64.55.010 through 64.55.090. The covenant iden!ilies the sole owner ol lhe propeAy <br /> described on Exhibit A (the "PropeAy). Until termination of Ihe covenanl, no dwelling unit in or on the PropeAy <br /> may be sold as a cnndominium unit except lor sales licted in RCW 64.34.400(2). <br /> ❑ CONVERSION to condominium (owner inspection alternative) <br /> 'No permit required per FCW 64.55.090 and RCW 64.34.400(2); reler to Everett Municipal Code for all olher <br /> permit requirements. <br /> - --- <br /> -- ..._ .__---- - _ <br /> S�gnature ol Owner or Authorized Agenl�� Prm�ed name of Owner or Authorixed Agent Phone k Date <br /> ___._.._ . _ ._ _._ _ .._------ --------- <br /> .._._.---- <br /> .. - - - ---- -- --.._ _. . .- -- . . _.... <br /> Printed name ol Business Address City Zip ode <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 modificatior,,; to the documents Ihat become addenda or change orders to alter ihose <br /> documenls, per RCW 64.55.010 (11). Building enclosure design documents are lo conlain a stamped <br /> statement by the architect or engineer Ihat "the undersigned has provided building enclosure documenls that in <br /> m� protessionat judgment arc appropriale lo satisfy the requirements or RCW 64.55.005 Ihrough 64.55.090", <br /> per RCW 64.55.020. <br /> Final inspection or Certilicale of Occupancy will not be issued wilhout a eigned letter Irom an independent <br /> inspector certifying thal the building enclosure has been inspecte� during the course ol construction and has <br /> been conslructed in substanlial compliance with ihe building enclosure design documents,per fiCW 64.55.060. <br /> Updated tO�oJ%07 FOR OFFICE USE ONIv <br /> ------- <br /> �--- � �l��l <br />