10132 DAKOTA WAY 2025-03-27 - Laserfiche WebLink

EVERETT _ ELECTRICAL PERMIT AFFIDAVIT ,ode Exemptions: %properly owner, renter or leasee may purchase a permit o do an electrical installation on his/her own or qualifwd leased property under the wndiions as descrmod In RCW 19.28.261. nonprofit corporation with current tar exempt status or a nonprofit religims organization may purchase an electrical permit as abnormal in RCW 19.28 091p). I am applying for the property owner exemption under the following conditions: ❑1 am a registered general contractor who is Installing a temporary electrical service owned by me on a mail where I am the general contractor OR I sxsar under penalty of pOrjurythat l and The owner of real property, or The rear or lessee of real property. (You must provide a signed letter from the owner of the property granting permission for you as the tenant t0 pMorm electrical wark Cn Me prglerty); or ❑A nongrotil corporal that holds a current tax exempt status as provided under 26 U.S.C. Sec. 5U11cX3) or a nonprofit religious organization, and the total value mthe electrical work deals not exceed thirty thousand dollars (USI) .00). AND ❑ASingle Yamlly M$iae Ce IXAI IS NO I Inten0eatorrenl.sale, please AND leall Wpardonally U9ng me electrode val AND I well occupy the residence for at least 24 months after mnplation of the elecmcal wark; A NEW 2, 3, or unit residential property that IS intended far rent, sale, or lease AND myself appear a regdary scheduled and paid employees) will m doing the electrical well AND l will occupy one of the units far at least 24 months after completion of the electrical work. oAn EXISTING 1, 2, 3, or unit residential property that IS Intended for rent, sale, or lease AND myself Sol a regularly scheduled and paw employeelel At be doing the electrical work; ❑ Afmm AND 1, persorWy, antllor a regularly scheduietl arm Wid emplowal rill ba doing me electrical work; ❑ An EXISTING place of business AND 1,personally, lumbar a regularly scheduled and paid employees) will be doing the elecrcal work; ❑ANEW piece of business met is NOT intenrletl for rent. sale. or lease AND 1. personally, arxpa a regularly scheduled and paw employees) will be doing the electrical work: or ❑Order property that is NOT intended for rent, sale, or lease AND I, personally, antllor a regularly scheduled and paid employees) wall be doing the electrical work. I am a nompront corporation that holds a current tax exempt status as assembled under 26 U.S.C. Sec. 501(c)(3) or a nonprofit religious organization and the total market value of me shelf work does not exceed thirty thousand dollars ($30.000.0%antl the electrical work will be performed by approprialely centred elacmcrans or cartified and aupxvisetl Vainess who are simunta ii and not being compensated for electoral work per RCW 19.28.01 ® I AGREE and wish to purchase an electrical permit under the conditions described above. Pape seamen