6017 W BEECH ST 2021-11-01 - Laserfiche WebLink

„, , • ilLs*-4'0? vi Atv 41.4. di• .7777/.*.644 •"?' 1,,t? pi ,4,, n V', :1 Code Exemptions: A property owner,renter or lessee may purchase a permit to do an electrical installation on his/her own or qualified leased property under the conditions as described in RCW 19.28.261. A nonprofit corporation with current tax exempt status or a nonprofit religious organization may purchase an electrical permit as described in RCW 19,28.091(7). i am applying for the property owner exemption under the following conditions: You must select the option that applies to your situation: I swear under penalty of perjury that: I am a registered general contractor who is installing a temporary electrical service owned by me on a project where I am the general contractor OR I swear under penalty of perjury that I am: E The owner of real property;or r--1 The renter or lessee of real property.(You must provide a signed letter from the owner of the property granting permission for you as the I-1 tenant to perform electrical work on the property):or A nonprofit corporation that holds a current tax exempt status as provided under 26 U.S.C.Sec.501(c)(3)or a nonprofit religious —3 organization,and the total value of the electrical work does not exceed thirty thousand dollars($30,000,00). AND You must select the option that applies to your situation: A single family residence THAT IS NOT intended for rent,sale,or lease AND I will be personally doing the electrical work AND I will occupy --I the residence for at least 24 months after completion of the electrical work; El A NEW 2,3,or 4 unit residential property that IS intended for rent,sale,or lease AND myself and/or a regularly scheduled and paid employee(s)will be doing the electrical work AND I will occupy one of the units for at least 24 months after completion of the electrical work. ri An EXISTING 1,2,3,or 4 unit residential property that IS intended for rent,sale,or lease AND myself and/or a regularly scheduled and paid employee(s)will be doing the electrical work; ri A farm AND I, personally,and/or a regularly scheduled and paid employee(s)will be doing the electrical work; U An EXISTING place of business AND I,personally,and/or a regularly scheduled and paid employee(s)will be doing the electrical work; — A NEW place of business that is NOT intended for rent,sale,or lease AND I,personally,and/or a regularly scheduled and paid employee(s) — will be doing the electrical work;or Other property that is NOT intended for rent,sale,or lease AND I,personally,and/or a regularly scheduled and paid employee(s0 will be doing the electrical work. I am a nonprofit corporation that holds a current tax ecempt status as provided under 26 U.S.C.Sec.501(c)(3)or a nonprofit religious organization and the total market value of the electrical work does not exceed thirty thousand dollars($30,000.00),and th electrical work will L-3 be performed by appropriately certified electricians or certified and supervised trainees who are volunteering and not being compensated for electrical work per RCW 19.28.091(7), • I AGREE and wish to purchase an electrical permit under the conditions described above. 0wnerame(Print) CN) 0 Stgnature Dalt. PERMIT It Page 3-Affidavit