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<br /> Code Exemptions.
<br /> 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
<br /> conditions as described in RCW 19.28.261.
<br /> A nonprofit corporation with current tax exempt status or a nonprofit religious organization may purchase an electrical permit as described in RCW
<br /> 19.28,001(7).
<br /> I am applying for the property owner exemption under the following conditions:
<br /> You must select the option that applies to your situation:
<br /> I swear under penalty of perjury that,
<br /> I am a registered general contractor who is installing a temporary electrical service owned by me on a project where I am the general
<br /> L�J contractor
<br /> OR
<br /> 1 swear under penalty of perjury that I am:
<br /> oThe owner of real property; or
<br /> pJ 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
<br /> tenant to perform electrical work on the property);or
<br /> A nonprofit corporation that holds a current tax exempt status as provided under 23 U,S.C.Sec. 501(c)(3)or a nonprofit religious
<br /> organization, and the total value of the electrical work does not exceed thirty thousand dollars($30,000.00),
<br /> AND
<br /> You must select the option that applies to your situation:
<br /> I 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
<br /> I-1 the residence for at least 24 months after completion of the electrical work;
<br /> 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
<br /> 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.
<br /> r-� 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
<br /> U employee(s)will be doing the electrical work;
<br /> A farm AND I, personally,and/or a regularly scheduled and paid employee(s)will be doing the electrical work;
<br /> An EXISTING place of business AND I, personally, and/or a regularly scheduled and paid employee(s)will be doing the electrical work;
<br /> n 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)
<br /> will be doing the electrical work; or
<br /> I 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
<br /> doing the electrical work,
<br /> 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
<br /> norganization and the total market value of the electrical work does not exceed thirty thousand dollars ($30,000,00), and th electrical Work will
<br /> be performed by appropriately certified electricians or certified and supervised trainees who are volunteering and not being compensated for
<br /> electrical work per i3CW 19,28.091(7),
<br /> UI AGREE and wish to purchase an electrical permit under the conditions described above.
<br /> RIr� (
<br /> Owtfer Name(Print
<br /> Lc f/zal 7
<br /> r Sf
<br /> Date Q
<br /> PERMIT#� \ \OS— kR e 3•Affidavlt
<br />
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