820 CADY RD BLDG A 2018-01-01 MF Import

---� Qv &t��f-o3 � RCW 64.55 MULTI-FAMILY CERTIFICATION WORKSHEET CITY OF EVERETT PERMIT SERVICES 3200 Cedar Street, Everett, WA 98201 125-257-8810-FAX 425-257-8857-wwW evarettwa.ora REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION CONEK �n<<r�� r�tE �.rw� a� ��, �►� a�au a R �oaa4-o3a�- BOx Property Name Address Building Number Permit Number � REHABILITATIVE CONSTRUCTIQN equal to or less than 5% or less of current assessed market improvement value of specified building' 'NOTE: Applicant to provide entire cost of rehabilitative construction to the building enclosure tor a multiunit residential building or mixed use projecl per RCW 64.55.010, which may exceed the valuation tor building permit. (A)ENCLOSURE REIiAB CQST (B)MULTIPLY(A)BY 700 (CJ ASSESSED BUILDING VALUE (DJ DIVIDE (B)by((•) _% � �1 b L{�� nV ��1 b!c(>OC� ? i 7 �5��O c'n � , � '7 �� ❑ NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more than 5°/a of current assessed market improvement value of specified building" 'NOTE: Per RCW 64 55 010, RCW 64.55.020 and RCW 64.55 060 Each building enclosure design document is to be stamped and signed by a Washington State archilect. The documents should also contain a stamped signed statement by the same architect that"the undersigned has provided building enclosure documents that in my professional judgmeni are appropriate to satisfy the requirements or RCW 64.55.005 through 64.55.090". Final inspection or 'Certificate o( Occupancy' cannot be issued by the building department prior to receipt of a signed letter from an independent inspector certifying that the building enclosure has been inspected during the course of conslruction and has been constructed in substantial compliance with the building enclosure design documents. O RECORDED COVENANT OF SALE from Snohomish County' 'NOTE: Sale Prohibition Covenant per RCW 64.55.010 Submit site plan with location of building, permit wilh description of work and ce�tified copy of recorded covenant from lhe real property records of Snohomish County,Washington for specified bw!ding ❑ CONVERSION to condominium' 'NOTE: permits may be required by the City of Everett per lhe results of the independent inspeclion report. Undersigned will comply with owner mdependent inspection alternative per RCW G4.55.090 and RCW 64.34.400(2). Signalure ol Owner or Authorized Agenl Prinled name ol Owner or Authorized Agent Phone# Dale Printed name o(Business Address Cily Zip Code 4 chklst�new com and condo Irev 4121/OB) FOR OFFICE USE ONLY