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.^ 1 <br /> RCW 64.55 MULTI-FAMILY CERTIFICA110N WORKSH�ET <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> 425-257-AB10-FAX 425�257-8857-�vww everBttwa.Ora <br /> VALUATION M!U(IMUM, RECORDED SALE PROHIBITION, CONVERSION,OR FULL COMPLIANCE <br /> �ArYlO.lsa� �''IG 1 30 . s'i n.� Q� <br /> CHECK 1 � " • ��� <br /> ONE �ad.ocn►nioms--------EV�t+_,_�/A_q8zo9----- . _ .1z. _ . .._------`�--'-'--"__. <br /> 80% Property Name Address Building Number Permit Num6er <br /> ❑ VALUAT�ON of 5% or less oi current assessed value (per building permit applicatfon) <br /> ' PP�HCW 64.55.020 (1�;reler lo Everett Municipal Code for all other permit requirements. <br /> Calculate percentage of valuation divi�ed by current assessed value (structure only). <br /> MULTIPLY CONTFACT PRICE OF WORK 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 requirements. <br /> Submit covenant recorded in Ihe real property records ol Snohomish County, Washington, in satislaction o�the <br /> requirements of RCW 64.55.010 through 64.55.090. The covenanl identities the sole owner of Ihe property <br /> described on Exhibit A (Ihe"PropeAy). Until termination ol the covenant, no dwelling unit in or on lhe Property <br /> may be sold as a condominium unil except for sa�es listed in RCW 64.34.400(2). <br /> ❑ CONVERSION to condomfnium (owner inspection alternative) <br /> ' No permit required per RCW 64.55.090 and RCW 64.34.400(2);refer lo Everett Municipal Code for all other <br /> permit requiremerits. <br /> ___ ___ _ _ _ -------- --- - - - <br /> Signature ol M+ner or Authorized Agent Printed name ol Owner or Authorized Agent Phone# Dale <br /> ... ---- ----------- --.__--- -- <br /> ---. .. _ . _ ._...._ ... _. .. <br /> - ---- ------------- -- - <br /> Printed name ol Business Address Ciry Zip ode <br /> FULL COMPLIAI�CE with RCW 64.55.005 through 64.55.090 <br /> All building enclosure design documents to be stamped and signed by a Washington Slate Architect or <br /> Engineer, ircluding modilicalions to Ihe documenls thal become addenda or change orders to alter ihose <br /> documents, per PCW 64.55.010 (11). Building enclosure design documenls are to contain a stamped <br /> statement by Ihe architect or engineer that "the undersigned has provided building enclosure documents that in <br /> my proiessional judgm�nt are appropriate to satisty the requirements or RCW 64.55.005 through 64.55.090", <br /> per RCW 64.55.020. <br /> Final inspection or Certificate ol Occupancy will rot be issued without a signed letter trom an independent <br /> inspedor certilying that the building enclosure has been inspected during the course ol conslruction and has <br /> been consUucted in substantial compliance with the building enclosure design documents, per RCW 64.55.060. <br /> I Upaated 10�03'07 <br /> FOR OFFICE USE ONLY <br /> �_.—_—— --_ � <br /> �/ � <br />