2920 TERMINAL AVE 2023-06-23 - Laserfiche WebLink

• Code Exemptions: A property owner,renter or lessee may purchase a permit to do an electrical installation on his/her own or qualified teased property under the conditions as described in RCW 19.28.261. A nonprofit corporation with current tax exempt status or a nonprofit religious organization may purchase an electrical permit as described In RCW 19.28.091(7). i am applying for the property owner exemption under the following conditions: You must select the option that applies to your situation: I swear under penalty of perjury that fl I am a registered general contractor who is installing a temporary electrical service owned by me on a project where I am the general contractor OR t swear under penalty of perjury that I am: The owner of real property;or The renter or lessee of real property.(You must provide a signed letter from the owner of the property granting pef nlssion for you as the I tenant to perform electrical work on the property);or CA nonprofit corporation that holds a current tax exempt status as provided under 26 U.S.C.Sec.501(0(3)or a nonprofit religious organization,and the total value of the electrical work does not exceed thirty thousand dollars($30,000.00). AND You must select the option that applies to your situation: CA single family residence THAT iS NOT intended for rent,sale,or lease AND I will be personally doing the electrical work AND I will occupy the residence for at least 24 months after completion of the electrical work; ❑ A NEW 2,3,or 4 unit residential property that IS intended for rent,sale,or lease AND myself and/or a regularly scheduled and paid employee(s)will be doing the electrical work AND I will occupy one of the units for at least 24 months after completion of the electrical work. ❑ An EXISTING 1,2,3,or 4 unit residential property that IS intended for rent,sale,or lease AND myself and/or a regularly scheduled and paid employee(s)will be doing the electrical work; LIA farm AND I,personally,and/or a regularly scheduled and paid employee(s)will be doing the electrical work; Q An EXISTING place of business AND I,personally,and/or a regularly scheduled and paid employee(s)will be doing the electrical work; CA NEW place of business that is NOT intended for rent,sale,or lease AND I,personally,and/or a regularly scheduled and paid employee(s) will be doing the electrical work;or r- Other property that is NOT intended for rent,sale,or lease AND I,personally,and/or a regularly scheduled and paid employee(s0 will be doing the electrical work. I am a nonprofit corporation that holds a current tax ecempt status as provided under 26 U.S.C.Sec.501(c)(3)or a nonprofit religious Corganization and the total market value of the electrical work does not exceed thirty thousand dollars($30,000.00),and th electrical work will be performed by appropriately certified electricians or certified and supervised trainees who are volunteering and not being compensated for electrical work per RCW 19.28.091(7). ✓ I AGREE and wish to purchase an electrical permit under the conditions dew above. a44" Owner Name(Print) Owner • atu Da PERMIT# Page 3-Affidavit