6909 HIGHLAND DR 2023-06-16 - Laserfiche WebLink

EVERETT ELECTRICAL PERMIT AFFIDAVIT Code Exemptions: A property owner, renter or lasses may purchase a permit to do an electrical Installation on histher awn or Mention leased property under the conditions as described in RCW 19.28.261. A nonprofit wrporai wend cunent as exempt status or a nonprofit religious organization may purchase an electrical permit as compribed in RCW 19.28081pi. I am applying for the property owner exemption under the following conditions: ❑I am a registered general contractor who is Installing a temporary, electrical service owned by me on a Impact where I am the general contractor OR swear under penalty of pe0ury Met l am: ❑ The owner of real pmperly; or ❑The renter or lessee of real property. (You must provide a signed letter from the owner of the property, granting permission per you as the tenant to perform elecbical work on Me property); or ❑A nonprofit corporation that holds a anent fax exempt Status of provided under 26 U.$ C. Sec. 501 (c)(3) or 8 nonprofit religious organization, and me beef value of the electiral work does not exceed MIM thousand dollars ($30,000.0% AND ❑A single merely raSitlenpe fXAI IS NU I internalsertarrand. sal. Mlimis U I Will be pOBaally aObB tnB BIBGMWI WJM1ANU I will occupy the defensive for al 1 124 months after completion of Me sleclncal work; A NEW 2, 3, or unit residential property that IS intended for rent, sale, or lease AND myself andlar a regularly scheduled and paid ❑ employee(s) will nd doing the electrical work AND l will occupy one of the units for at least 24 months after completer a Me southeast work. An EXISTING 1, 2, 3, or Unit resbeMlal property that IS Intended Mr rent, Sale, or lease AND myself and/or a regularly scheduled and pale employeele) will be doing the elMrical w di A Mnn AND 1, personally, author a mgularly scheduled add paid employees) will thers doing the elecbidal work; An EXISTING place of business AND 1, personally, and/or a regularly scheduled and paid amployae(s) will be doing the electrical work; ❑A NEW piece a business Mal is NOT intended for rent, sale, or lease AND 1, personally, anthor a regularly scheduled and paid employees) will be ddng the electrical marki or ❑Other property that'a NOT intended for rent, was. or lease AND 1, personally. and/or a regularly Scheduled and paid employee(s)"it be doing the electrical work. I am a nonprofit corporation that holds a current tax exempt stalls as provided under 26 U.S.C. Sec. W 1(c)(3) or a nonprofit religious ❑organization and the total market value of the skeptical work does nor exceed Midy thousand Orders($30.000.00). and Me depncal wars will he perlodmed by appropriately cenRed electricians or csNfied and supervised trainees who are vdunteenng and not being compensaWJ far electrical work per RCW 19.28.091(7). ❑ I AGREE and wish to purchase an electrical permit under the conditions described above. Paps]-Aad"K