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

� � RCW 64.55 MULTI-FAMILY CERTIFICATION WORKSHEET CITY OF EVERETT PEf2MIT SERVICES � 3200 Ced�i Streel FveretL WA 98201 �/� I I `O �� i 425-J57-�B10 �� FN(425�257-8657 -wvnv everMtwa org �/ � �2 .. .,�Y REHABILITATIVE CONSTRUCTION, NEW CONSTRUCTION, RECORDED COVENANT OR CONVERSION CHECK 1I L �Z� //��d ��-�-1 v--_—_—� �L -GL�— ONE /IIIAg�V��__ I�e —_.—_'_l/'-i-N—___'___ �,_ ' .l IBOX Property Ne'ne �ddress Bwldmg Number ermit Number I ❑ REHABILITATIVE CONSTRUCTION equal to or less than 5% or less of current assessed � market improvement value ot specitied building' �� 'NOTE Appiicant to provide enhre cost of rehab�l�tative construct�on to the bwldmg enclosure for a multiund residential bwlding or mixed use pro�ect per RCW G4 55 070, which may ezceed Ihe valuation for budding permd . A [NClOSURE REHAO COST�--- ---- -� ----�._. _—'-_. _—_---------.__-- --- --".—_----. -'_' �_) I(BJ MULIIPLY�A) BY 100 j(CJ�SSFSSf D�UILUING V�I UF I(DJ DIVIDC (81 by(CI__°� _ - -i - - --- 1 � — - ---'-- ' -- '— - - .. I .__. . . � , � NEW CONSTRUCTION OR REHABILITATIVE CONSTRUCTION equal to more than 5% of i current assessed market improvement value oi specified building' �i 'NOTE Per RCW 64 55 010, RCW 64 55 020 and RCW G4 55 060 �II Each bwld�ng erUosure design document is to be stamped and signed by a Washington State archdect The ' documents should a!so cootain a stamped signed statement by ihe same arch�tect that��the unde�s�gned has 'i prov�ded buildmg enclosure documen�s Ihat in my profess�onal�udgment are appropriate lo s�tisfy ihe requuemenls or RCW 64 55A05 Ihrough 64 55 090' Finat mspedion or 'CerL6cale of Occupancy' cannot be issued by the building department pnoi to receipt of a � signed telter Irom an inc'ependent inspector certAying Ihat Ihe hu��lding enclosuie has been inspected during �he course of consiruchon ai�d has been constructed in substantial comphance wdh Ihe bu�tdmg enclosure design dotuments ❑ RECORDED COVENANT OF SALE from Snohomish County' 'NOTG Salc Prohibihon Covenant per RCW 64 55 010 Submd s�te plan wdh locat�on ol budding, permd wilh descnplion of woik and certif�ed copy of recorded covenant Irom Ihe real property records ol Snohomish County, Washmgton for specfied bwlding I ❑ CONVERSION to co�dominium' 'N07E peimits may bc reqwred by Ihe CAy of Fvcrett per Ihe resu'ts of Ihe independent inspeclion report Undersigned will comply w�th owner independent inspedion alternalrve per RCW G4 55 090 and RCW 64 34 400(2) S�gnaW�e ol Owner or Authontetl Agent Pnnled name ol Owner o�Autho�¢e0 A9en1 Phone a V Date Pnnled name ol Ausmess . Address Cdy Z�p Code 2 chAlsbnew com and condo(rev 7/131 PON OfIICIC USP ONI.Y �-- �— — - -- . .. . . -- - - ._. .. ----_ —. . -- — — -- � �a