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<br /> I�CW 64.55 �UILDING ENVELOPE SUBMITTAL WORKSHEET
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> - 3200 Cedar Street, Everett,WA 98201
<br /> 425-257-8810 email:everetteps�everettwa.gov website:www.evereftwa.c�o�/permit
<br /> REHABILITATIVE C�NSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION
<br /> CHECK
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<br /> BOX Property Name � Address Building Number Permit Number
<br /> ❑ REHABILITATNE CONSTRUCTION equal to or less than 5% or less of current assessed
<br /> market improvement value of specified building*
<br /> *NOTE: Applicant to provide entire cost of rehabilitative construction to the building enclosure for a multiunit
<br /> residential building or mixed use project per RCW 64.55.010,which may exceed the valuation for building permit.
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<br /> (A)ENCLOSURE REHAB COST (B)MULTIPLY(A)BY 1a0�(C)ASSESSED BUILDING VALUE (D)DIVIDE(B)by(C) =%a
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<br /> ❑ NEW CONSTRUCTION OR REHABILITATNE CONSTRUCTION equal to more than 5°1a of
<br /> current assessed market improvement value of specified building*
<br /> *NOTE: Per RCW 64.55.010, RCW 64.55.020 and RCW 64.55.060
<br /> Each building enciosure design document is to be stamped and signed by a Washington State architect.The
<br /> documents should also contain a stamped signed statement by the same architect that"the undersigned has
<br /> provided building enclosure documents that in my professional judgment are appropriate to satisfy the requirements
<br /> or RCW 64.55.005 through 64.55.090".
<br /> Final inspection or `Certificate of Occupancy' cannot be issued by the building department prior to receipt of a
<br /> signed letter from an independent inspector certifying that the building enclosure has been inspected during the
<br /> course of construction and has been constructed in substantial compliance with the building enclosure design
<br /> documents.
<br /> ❑ RECORDED COVENANT OF SALE from Snohomish County (Sale Prohibition Covenant)64.55.010
<br /> Submit site plan with location of building, permit with description of work and certified copy of recorded covenant
<br /> from the real property records of Snohomish County,Washington for specified building.
<br /> ❑ TOWNHOUSES ON SINGLE PLATTED LOTS (Unit�ot Subdivision)
<br /> Can submit for building permit while concurrently seeking to obtain unit lot subdivision for each townhome. This `
<br /> exemption is an alternate to providing building enclosure design documents for the townhome building, if the unit lot _
<br /> subdivision is not approved. Certificate of Occupancy.will not be issued without approved subdivision. The
<br /> applicant accepts the risk involved to obtain a single platted lot exemption to RCW 64.55 for each unit of building.
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<br /> m Signature of Owner or A�thorized Agent Printed name of wner or Authorized Agent Phone# Date
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<br /> Printed name of Busin�i��.,.��Y�.,W,�mm.� Address City Zip Code
<br /> SIGNATURE REQU/RED FOR EACH BUILD/NG PERMIT APPLICAT/ON
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