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RCW 64.55 MULTI-FAMILY CERTIFICA i�ION WORKSHEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> 425-257�8810-FAX 425-257-8857-www everettwa.ara <br /> VALUATION MAXIMUM, RECORDED SALE PROHIBITION, CONVERSION,OR FULL COMPLIANCE <br /> CHECK ^ p, <br /> �-...�OrYIL,I�a�. �+'IG 1 3C . s i n.7 0 ,o '1� <br /> ONE Condorntn�oms_ EV.��1+� WYL�V2�.--- � . �. '.. - - --... --��� --".—�-- <br /> BOx Property Name Address Building Number Permit Number <br /> ❑ VALUAnoN ot 5% or Iess oi current assessed value (per building permit applicatlon) <br /> ' Per RCW 64.55.020 (��;refer to Everett Municipal Code lor all other permit requirements. <br /> Calculate percenlage ol valuation divided by current assessed value (structure only�. <br /> MULTIPLV CUNTRACT PRICE OF WORK BY 100 DIVIDE BV ASSESSED VALUE AESULTING PERCENTAGE <br /> ❑ RECORDED Snohomish Counly Sale Prohibition Covenenant for minimum 5 years <br /> ' Per RCW 64.55.010 (10); refer to Everelt Muni�ipal Code lor all olher permit requirements. <br /> Submil covenant recorded in Ihe real property records ol Snohomish County,Washi�gton, in satislaction of the <br /> requirements ol RCW 64.55.010 Ihrough 64,55.090. The covenant idenlilies the ;ole owner of Ihe property <br /> describe� on Exhibit A (Ihe "Property). Until termination ol the covenanl, no dwelling unit in or on the Property <br /> may be sold as a condominium unil except for sales listed in RCW 64.34.400(2). <br /> ❑ CONVERSION to condominium (owner inspection alternative) <br /> ' No permil required por RCW 64.55.090 and FCW 64.34.400(2);refer Io Everett Municipal Code for all other <br /> permit requirements. <br /> - - - - --_____ <br /> ------ -- -- - <br /> __ <br /> Signature ol Owner or Authorized Agent Printed name of Owner or Authorized Agent Phone M ate <br /> - - --------- ------- <br /> - .-.-,- .. _ . . . ---- --�- -- <br /> -- - ��-----.._ _.------ �--�------------- -- - Cit ZipCode <br /> Printed name ol Business Address Y <br /> FULL COMPLIANCE with RCW 64.55.005 through 64.55.090 <br /> All building enclosure design documents to be stamped and signed by a Washington State Architect or <br /> Engineer, including moditicalions lo Ihe documents lhat become addenda or change orders lo elter Ihose <br /> documents, per RCW 64.55.010 (11). Buiiding enclosure design documents are to contain a stamped <br /> statemenl bv the archilect or engineer ihat "ihe undersigned has provided building enclosure documents Ihal in <br /> my prolessional judgment are 2ppropriate to satisly the requirements or RCW 64.55.005 through 64.55.090", <br /> per RCW 64.55.020. <br /> Final ir spection or Certilicate of Occupancy will not be issued without a signed letler irom an independent <br /> im;pectx certitying that ihe building enclosure has Seen inspected during the course nf consiruction and has <br /> been const'ucted in substantial compliance with Ihe buitding enclosure design doc�ments, per FCW 64.55.060. <br /> UpAaled 10%03;0% <br /> FOF7 OFFICE USE ONLV <br /> �___—_--__—____--_ ._—_— <br /> 7 <br /> � � � <br />