3208 21ST ST 2024-06-25 - Laserfiche WebLink

VEit T ` v nAv1 tog otos ACtIN#Ass irtiE CONTRACTOR IN LIEU•CONTRACTOR'S LICENSE ABAUT CONTRACTOR LICENSING EXEMPTION s+4rnA w to ide t+mieron In'n new plot heist u wens ale,fraudulent.financially Irresponsible,or i*/impotent contractors ;irrigates the definition of a nontreccfor. Tier/nits ere tart tart in a licensed rxtiserrerkx uniess issued In*t eti11tM i11 actor to ire wlth wit:°¢t I ri I i l.11t exemptions. The Purpose of this arrinevit is in ennernent conform trim to the Male rpgtsrerronis l am applying for the propetty°weer exemption under the following conditions: .. Mint comply with nil Itottrttt below: i pavoar under penaity ant perjury that: — --��....��..r. ....�... • 1 uricerstana that strife taw requires Consirucsion to be done by a licensed contractor unless I qualify for an ernmption. • I an nod ii t«n4 ws.a txwtireetce►on the Property that i have ov eed for less Irian 12 months.for the purpose of selling.demolishing.or leasing. • The t +uteri construction work is not bising within 12 mantas of 'lmple�tion of salt work done Willi the inientspn or for the purpose of selling the Improved Prey • City of Everett employees will not design,make recommendations,list out alI code requirements,or perform work to meet code compliance. • I agree to sc7eedule the applicable inspections for my project so utat the required Inspections can be performed.I also understand I am rerlttrnsible for resolving any failure to meet code requirements that may found through Inspections. • I agree as the property owner I wig make sure I have the skills to act as my own general contractor,and the expertise required to coordinate the wtark of both roughlin and finish trades. • I agree that I am legally and financially responsblee for proposed construction activity. • I will oornpty with all appticaUe laws.ordinances.building codes.and zoning regulations. • I am responsible for verifying whether the contractor is properly licensed with the State of Washington and has a City of Everett business license and obtains all required"wort*permits for all disdplines. • I agree as the property owner that I may be waiving certain rights that I might otherwise have under state law with Labor and Industriies in any decision to engage an unregistered contractor to perform construction work. • t agree that I may be held liable and subject to serious frnanclai risk for any injuries sustained by an unlicensed person or their employees white working on my property.I am willfully acting as an owner-contractor and am aware that my homeowner's insurance may not provide coverage for those injuries. • I understand that a building permit obtained by the property owner who falsifies Information to obtain en exemption provided under.RCW 18.27.090 will be forfeited and I may be subject to civil and criminal penalties. ACKNOWLEDGEMENT:I HAVE READ THE ENTIRETY OF THIS DOCUMENT AND CERTIFY THAT I UNDERSTAND, c -AGREE TO THE CONDITIONS,AND WISH TO PURCHASE A BUILDING PERMIT UNDER THE CONDITIONS DESCRIBED ABOVE. A LLC; C4 741r Owner Name(Print) Dote PERM/T M --3 1'0 Owar Signefure (�-- 10/17/2021 133 CamScanner