7910 W GLEN DR 2023-06-15 - Laserfiche WebLink

EVERETT ELECTRICAL PERMIT AFFIDAVIT :ode Exemptions: 4 property owner, renter or lessee may purchase a permit to do an electrical installation on his/her own or qualified leased property under Me sondi4ma as prompted In RCW 19.28381. 4 nonprofit corporation with current tax exempt status or a nonprofit religious organization may purchase an eleMriral permit as described in RCW 19.2E 091(7). I am applying for the property owner exemption under the following conditions: ❑I am a registered general contra a rwho is installing a temporary electrical service owned by me on a pmjedwit I am the gon l contractor OR I swear under penalty of pogury that l am: ❑ The owner of real properly; or ❑The renter a lease of real property. (You must provide a signed letter from Me owner of the instantly granting permission for you as the tenant to perform electrical wark on the property): or A nonprofit coryore8on that holds a current tax exempt status as pleaded under 28 LLGG Sec. Wt(c)(3) or a nonprofit religious El organization, and the all value of Me electrical work does not exceed thirty thousand dears ($3D,00000). AND vYnwr wmr aYYnaa w 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 M least 24 moMM after completion M Me decdcal work: ❑A Ni 2, 3, or 4 unit resldental properly Mal IS Intended for rent, sall or lea" AND myself and/car a regularly scheduled and paid employaela) will be doing the electrical work AND I will occupy one of the units for at least 24 months after completion of Me electrical work. ❑An EXISTING 1, 2, 3, or 4 unit residential property Met IS intended for rent, sale, or lease AND myself anchor a regularly scheduled and paid employeels) wll be doing the electrical woM1; ❑ A%in AND I. personally, well a regularly scheduled and paid employeels) ll be doing the electrical work; ❑ An EXISTING place of business AND I, personally, appear a regularly scheduled and paid employees) will be doing the electrical work: ❑ANEW Nam of business gat is NOT intended for rent, sale, a lease AND I, personal and/or a regularly scheduled and paid employees) will be doing Me electrical were or ❑Other progeny that is NOT horde] for rent, sale, or lease AND 1,personally, exact a regularly scheduled and pad employealsO will be doing the electrical work. Iamanonprofitcorp ion Malholdsocu"Mtaxexempt M1 usasprovideduntler28USC.Sec. 501(c)(3)aanonprofitreigious ❑organization add the total market value of the eleGrlcal work does not exceed Marty thousand dollars ($30,000.00), and thelectrcal woA call be pericrri by appropriately cwtified electricuns a wdafied and supervised tminees who are volunteering and not being compensated for electrical work per RCW 19,28091(T). ❑ I AGREE and wish to purchase an electrical permit under the conditions described above. Owner Name (Prep) Papa 34di1 awit