1721 70TH PL SE 2023-06-14 - Laserfiche WebLink

ELECTRICAL PERMIT AFFIDAVIT Exemptions: arty owner renter or lessee may purchase a permit to do an electrical Installation on Ms/her own or quell leased property under Me ons as desc iba] In RCW 19.28381. with current tax exempt status or a nonprofit religious organization may purchase an electrical permit as descrlbed in RCW I am applying for the property owner exemption under the following conditions: ❑I am a registered general contra b rwho is installing a temporary electrical servi owned by me on a projectwhere I am the gene2l connector OR I swear under penalty of pnjory Met l am: ❑ The owner of real property; or ❑The renter or leases of real property. (You must provide a signed letter from Me owner of the progeny granting permission fair red as the tenant to perform electrical wok on the property); or A nonprofit coryora8on that holds a current tax exempt states as provided under 28 LLGG Sec. 501(c)(3) or a nonprofit religiousEl organization, and the total value of Me electrical work does not exceed Minty thousand cases ($30,00000). AND vYneu umr aYYnaa us Yvur a ❑A single family reaidence THAT IS NOT intended for rent, sale, or lease AND I will be personally doing the electrical work AND I will occupy to residence for at least 24 months after completion M Me decti work: ❑A Ni 2, 3, or 4 unit resldental property Mal IS Inkraed for reel, sall or lea" AND myself andor a regularly scheduled and paid employeela) will be doing the electrical work AND I will occupy one aides units for at least 24 months after completion of Me electrical work. ❑An EXISTING 1, 2, 3, or 4 unit residentialproperty Mal IS intended for rent, sale, or lease AND myself and/or a regularly scheduled and paid empmyeels) wll be doing the eiscbiwl woM1; ❑ A%in AND I. personally, andror a regularly scheduled and and employeels) ll be doing the electrical work: ❑ An EXISTING place of business AND I, personally, anWar a regularly schedued and paid employea(s) will be doing the electrical work: ❑ANEW Nam of business Mat is NOT intended for rent, sale, or lease AND I, personally, and/or a reees)gularly scheduled and paid employ will be doing Me electrical were: or ❑Other progeny that is NOT loterde] tw rent, sale, or lease AND 1,personally, exact a regularly scheduled and pad employealsO will be doing the electrical work. Iamanonpro$dcorporation Malholdsocu"Mtaxexempt M1 usasprovideduntler28USC.Sec. 501(c)(3)oranonproftraigious ❑organization add the halal market value of the eleGoes rlcal weak dnot exceed army thousand dollars ($30,000.00), and M electrical workw11 be perlormetl by appropriately cartel Nactril or wrlified and supervised tminees who are volunteering and not being Weasesalatlfor eleMnral work par RCW 19,2801 ❑ I AGREE and wish to purchase an electrical permit under the conditions described above. Owner Name (Popp) Paps Mllltlavlt