5101 BEAUMONT DR 2024-07-02 - Laserfiche WebLink

EVrt ELECTRICAL PERMIT FIQA 1 .E.r�rw AM Code Exemptions: A prriperty owner renter or lessee may purcrtase a permit to co an e=Sandal insTallatwn on htwher own or qualified leased property under the conditions as described in RCW 10 2a 261 rionpicrfLt corporation with current tax exempt status or a nonprofit religious orgammnon may purrhase an electrical perrr►R as destxlbed in RCW to 23 091(7) 1 am applying for the property owner exemption under the following conditions: You must select the option that applies to your situation: i wear undef penalty of perjury that I am a rogistcreo general contractor who is installing a temporary eiectncal service owned by me on a prole-rt where I am the general Elcontractor OR i twe:tr ►rrrrtkr pffnalty of penury 1"I I am fSThe ov>mar of real property rye The enter or lessen of real property IYou must provide a stgned letter from the owner of tt+e property granting permission for you as the tenant to.perform electrical work on the property), or A nonprofit corporation ilia►hc:ds a cunt tax evempt status as provided under 26 U S.0 Sec WI(c1(3)or a nonprofit religious ^_ruanizabon and the total value of tt*electrical work does no!exceed thirty thousand dollars IM 000 00) AND You must select the option that applies to your situation: A ;angle tarmy residence THAT IS NOT mlended 1a: rent sd'•r er)ease AND I will be personally doing the e!ectneaf work AND I vn;l rL xupy ft residence for at least 24 months after completion of the eiectncat work A NEW 2 3 or 4 unit residenuai property that IS intended for rent. sale or lease AND myself endlot a regularly scheduled and paid amployeefs)will by do.ny We eleancal work AND I wilt occupy one of the unifo for at Least 24 months atter compiPlinn of the etectrxal work ❑ An EXISTING 1 2 3 or 4 unit residentlai property that iS intended for rent sale cr tease AND myself and/or a regularly schodulej anO paid amployeetsl will be doing It* electrical wcrK A farm AND t personally andlor a regularly Scheduled and pad emplayeefsl will be domo It»elemical work An EXISTING place at business AND I personally andior a rerjulwly Scheduled and paid employee(tx)*111 tit dwrrg Bre eL-Onca'w:irk ❑ A NEW place of business!hat is NOT tnterided for rent sane,or tease AND 1 personally, andlor a regWarfy scheduled and pard enplove-eilsl Oil be doing Me eiectncal work or (7ttw property that m NOT intended for rent, sale-or tease AND I personalty and'or a regularly sovaulea aM paid►mplov4L--+ Ann h doing Me electrical worn I am a nortprafit ccrporaluut that hovels a current fax tloempt 5letur+a3 provide]undar 26 U S C SM_50itcK31 or a nonprofi religious Qorgant.allon and the total market value ut the electncal work does not excited thirty thousand dc4lars(530.000.001 and the elecincai worik will be performed by approprlalely cnrtl d eiectri iam or certified and supervrsea trainees who are volunteering and not be-rip comcw+sated for electrirat work per RCVV 19-26 091171 I AGREE and wish to purchase an electrical permit under the conditions described above. —A I-Ro N---,/6 y GLiner hrinte IPr/nt! /c/ t- r um L�ntn PERW t Pape 3•Afftdavit