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{ <br /> RCW 64.55 MULTI-FAMILY CERTIFICAI ION WORKSHEET <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAF STREET,EVERETT,WA 98201 <br /> 425•257•8810-FAX 425•257-8857-www everetwa.oro <br /> VALUATION MAXIMUM, RECORDED SALE PROHIBITION,CONVERSION,OR FULL COMPLIANCE <br /> .�'�V1D.152�. �3+�IL I � . S i n.A ' �U 7 d�i'02 <br /> CHECK /�� E v�+.��+ wA_qa?�-..-- - - z�- - --. <br /> ONE nd.orn�o�oms-�-- -------�--�-- - --�-�- -------- _. <br /> Box P perty Name Address B�ilding Number PerR.it Number <br /> ❑ VALUATION of 5°/a or less of current assessed value (per building permit applicatlon) <br /> ' Per RCW 64.55.020(1); reler to Everett Municipal Coae for all other permit requirements. <br /> Calculate percentage o1 valualion divided by current assessed value (s!ructure only). <br /> MULTIPLY CONTRACT PRICE OF WORK BY 100 OIVIDE BY ASSESSED VALUE RESULTING PERCENTAGE <br /> ❑ RECORDED Snohomish ��ounty Sale Proh(bition Covenenant for minimum 5 years <br /> ' Per RC'JJ 64.55.010(101, reler lo Everett Municipal Code for all other permil requirements. <br /> Sub�nit covenant recorded in the real propeAy records of Snohomish County, Washington, in satislaction of the <br /> requiremenls ol RCW 64.55.010 lhrough 64.�5.090. The covenant identilies Ihe sole owner o1 Ihe propeAy <br /> described on Exhibit A (the "Property). Until Iermination of the covenant, no dwelling unit in or on Ihe Property <br /> may be sold as a condominium unit except for sales listed in RCW 64.34.400(2}. <br /> ❑ CONVERSION to condominium (owner inspection alternative) <br /> ' No permit required per RCV�'64.55.090 anci RCW 64.34.d00(2�;refer to Everett Municipal Code for all other <br /> pormit requiremenis. <br /> _ -------- ------- - -- <br /> - - <br /> _- . _ . ___ _ ___.-- - <br /> Signawre ol Owner or Aulhorized Agnnt Primed name ol Owner or Authorized Agenl Phone k ate <br /> . _ _ _...--_. .. _- ��--.___---- -------- <br /> ._�--- ---�----��- - - <br /> —�--- ------ - - ----_. _ _ .. <br /> Printed name of Business Address City Zip o e <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 modilicatior.s ro the documents Ihat become addenda or change orders to aiter Ihose <br /> documents, per RCW 64.55.010 (11). Buildiny enclosure design documents are to contain a stamped <br /> statement by the architect or engineer Ihat"ihe undersigned has provided building enclosure documenis Ihat in <br /> my prolessional judgment are appropri,.�e to satisty the requirements or RCW 64.55.005 through 64.55.090", <br /> per RCW 64.55.020. <br /> Final inspection or Certilicate ol Occupancy will not be issued wilhoul a signed letter Irom an Independent <br /> inspector certilying that the building enclosure has been inspected during the course of construction and has <br /> been constructed in substantial compliance with the building enclosure design documents,per RCW 64.55.060. <br /> Updaied tO�OJ%07 <br /> FOR OFFICE USE ONLY <br /> ____—___--__— _ .— � � <br /> __ �? � �)� <br />