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lERETT CLC41 IRIleHL rCKRf11I Hrr1u/ivl l <br />Exemptions: <br />sly owner, renter or lowered may purchase a permit to do an elecircal Installation on harbor man or differed leased property under Me <br />ms as deathbed In RCW 19.26.261. <br />rent capormon win current tax exempt sings or nonprofit realness organization may purchase an erectrical permit as described In RCW <br />1 am applying for the property owner exemption under the following conditions: <br />❑I am a registered general nonlinear who is Instant a temporary electrified service awned by mean a project where l am the general <br />customer <br />mn: <br />�✓ Thaawaerorrealpmpedyar <br />❑The renter or lessee of real property (You meet provke a signed after from the owner of the properly greMing permission heaven as%a <br />tenant to rename decked weak an the property); or <br />A nonproecommmfion that hake a anent tax exempt slalom es provided under29 U.S.C. Sec. 501(c)(3) "a Warner religious <br />organization, and fie total value of the elefdcal work does not exceed thirty mrsiserld dollars ($30,000.00h <br />AND <br />You must select the option that applies to your situation: <br />0 A single family reslderme TNAT IS NOT NIended for rent, sale, or lease AND l will toommonellyal Me electrical work AND 101 occupy <br />the noldenre for al least 24 monhs after completion of the fecVMal work; <br />❑ANEW 2,3, or 4 unit nomainlf proew that is Intended for rent, sale, or lease AND myaell boner a regularly scheduled and paid <br />amgoyae(s)will be doing the elecbical work AND 1 will occupy one of the units for at least 24 months she cOmplellon of Me deelwi work. <br />An <br />1, 2, 3, or unit residential property Mat IS intended for met, sale, or lease AND myself aadfora regularly schoduted and paid <br />❑ emplore(s) wall be doing the electrical work; <br />❑ Aform AND 1, personMly, andlor a regularly scheduled and gold employee(s) will be doing fits eleckkal work; <br />An EXISTING place f business AND 1. personally, borrow a naturally scheduled and paid emplifforn ) will be doing the fedricsl work; <br />❑A NEW place of business that is NOT Intended he rent, safe, or lease AND 1, memorably, and/a a regularly schnduled and paid employes(s) <br />will be doing Me sleddeal work; or <br />❑Other property Nat is NOT Intended for nenh sale, or laws AND 1, presently. andfor a regularly scheduled ant paid rarmoyee(s0 will be <br />doing the nova al work <br />I am a nonproR coryomllan that Rude a current tax enamel statue an povded under 26 U.S.C. See. 51 or a nonprofit religious <br />amanb n and Me blal makf value of the Overhead went does not exceed army thousand dollars($30,000.00),ark Ile elecllcal wont will <br />be performed by famarraWy eamined faolrlclana or canned and supervised lmirwes who are volunteering and net beingcompansstedfar <br />electrical wak per RCW 19.29.091(7). <br />❑✓ I AGREE and wish to purchase an electrical permit broker me considers described above. <br />T4 nose - <br />owner Name In Any mm <br />�V <br />OwnerSlg 7 <br />we Oa — .+r <br />PERMITtl ��-'Ib ee6a YAMtleN[ <br />