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i <br /> FTT ELECTRICAL PERMIT AFFIDAVIT <br /> r-� <br /> P►amourv� ry b m 0rm eF pt�a paW a1 'Ji v opr W heart oma %.~ktaaed,mai 1,—Wm d�ctad n RC"W IS 2!26' <br /> p'1aa0W 0 aR era'UN er'Q It"v a croh w rEbg 3TCOD '"Wtf'ia W ahaQOJ1 PO Id S davY+atd ir 39• <br /> I am applytny for the property owner eaenpbon under the followirp condibons: <br /> You namt sekci the opbon em apph"to your srtwtlon: <br /> I anal u+o.r phrh�y d paary Nt <br /> rn a'ago" , cveacb'who s rsaanp•tV'ppaly alaetrcal Mvhpa prW bP mhe o■prgad athero her She 2e'val <br /> ❑ mrtaotor <br /> Dm <br /> I>�arch Pw on d pwmy w I mm <br /> TM per d ti vmat'or <br /> ❑ lye err v rM OF ray popery(You-M provide•r V d Oar form M owns OF the popery Qa+v+p pamsaovr fir You W the <br /> taloa w paAom aha�ol hhark an ti papery).v <br /> C] A hharhpoal corpmubw lW Poldh•Ghee tai merry crass:prwWed u dw 26 U S C Sec 501(x)(3)ora rorprdd reipois <br /> vprvyo tro k teal era d tti ekxscal hhrork Ones nor airssd trnY thotaa+0 doses(a30.000 001 <br /> AND <br /> You meet sekct the option that applies to your situabon: <br /> A wipe fancy nor oe TKA T I S fqT r+t s.W o lease Aro I wi0 be personally dog fie o..W.al work AND I wd <br /> mzq to rhardhhncw for a 4asr Is mhpr;ls a'e•-s,^4eam d Te electrral work <br /> r.". <br /> A IEVV 2.3.P 4 Via rerdaaa property N IS farideA for few(axle,or lease AND myself arhder i regularly SdheA/!d and gid <br /> Ejerrpibysa(s)wd oe dohrhp err al-vii!work AND I will oottpy one d the acts for el leer 24 mods after corrpebo d the elecincal <br /> wok <br /> OAn EXISTING 1,2.3 or 4 vat re90rnal property sty IS veerhded for reit sale,or lease AND myself ardor a regularly schedule,enc <br /> Pad rrpoyea(s)as be doing the electi work; <br /> EjA farm AND I.p—Ily,andim a regularly sdredled and pad employees)will be doing the electrical work <br /> 0 An EXJSTING pats of Mshess AND I,prsonaey,ardor a regularly scheduled and pad ethployee(s)will be doing the eernhca work <br /> ❑ A NEW plaa of Gsares fiat a NOT intended for relit sale,or lease AND I,personally,ardor a regularly scheduled and pad <br /> en{soyee(s)will be ming the electrical work or <br /> ❑ <br /> Other property shy a NOT mended for rent sae,or lease AND I,personally,and/or a regularty scheduled and pad emplW ee(s)will be <br /> doing ire elecak9 wok <br /> I rim a norlprott corporation the holm a varent to,exempt status as povided under 26 U S C Sec 501(x)(3)v a rorprofn religious <br /> ❑ organization and the total motet value of the electrical work does not exceed airy thousand dollars(SX.DOO 00),and the electrical wow t <br /> wid be performed Dy appropriately caroted elecinaans v certified and supervised tranees who we volunteenng and not Deng <br /> compensated fv.-trical work per RCW 19 28 D91f7) <br /> I AGREE and wish to purchase an elecincal perm under the conditions described above. <br /> i <br /> �.n�,rrrr�rFnrnr <br /> Date <br /> PERAI/r 0 Pala 1.41tdavt <br />