Laserfiche WebLink
I am applying for the property owner exemption under the following conditions: <br />You must select the option that applies to your situation: <br />I swear under penalty of perjury that: <br />❑I am a registered general contractor who is installing a temporary electrical service owned by me on a project where I am the general <br />contractor <br />OR <br />I swear under penalty of perjury that I am: <br />The owner of real property; or <br />The renter or lessee of real property. (You must provide a signed letter from the owner of the property granting permission for you as the <br />tenant to perform electrical work on the property); or <br />❑A nonprofit corporation that holds a current tax exempt status as provided under 26 U.S.C. Sec. 501(c)(3) or a nonprofit religious <br />organization, and the total value of the electrical work does not exceed thirty thousand dollars ($30,000.00). <br />AND <br />TOU muse select ine option tnat appues io your srtuauvn. <br />❑A 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 <br />the residence for at least 24 months after completion of the electrical work; <br />❑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 <br />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. <br />❑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 <br />employee(s) will be doing the electrical work; <br />A farm AND I, personally, and/or a regularly scheduled and paid employee(s) will be doing the electrical work; <br />❑ An EXISTING place of business AND I, personally, and/or a regularly scheduled and paid employee(s) will be doing the electrical work; <br />❑A 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) <br />will be doing the electrical work; or <br />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 <br />Eldoing the electrical work. <br />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 <br />❑organization and the total market value of the electrical work does not exceed thirty thousand dollars ($30,000.00), and th electrical work will <br />be performed by appropriately certified electricians or certified and supervised trainees who are volunteering and not being compensated for <br />electrical work per RCW 19.28.091(7). <br />I AGREE and wish to purchase an electrical permit under the conditions described above. <br />Owner Name (Print) <br />Owner Signature Date <br />PERMIT # Page 3-Affidavit j <br />f <br />