1711 125TH PL SE 2024-11-15 - Laserfiche WebLink

Bill EVERETT ELECTRICAL PERMIT AFFIDAVIT ode Exemptions: prrxiory owne . rrrtee or Mutt may prcnJrw a pce"'! to iy) .xn it '-oiti.w io%' in rr, n on hNher (rwn or ei,,.s!'wl bawd properly order Nw• ondboris as described n" 19 26.261, norprofe corporation werh cu reet tax exemp statue Of a monprdd religious or"Wation may purchase an etai<xal permit as dosclibed in RC W 9 28 09t I7t I am applying for the property owner exemption under the following conditions: You must select the option that applies to your situation: I swoN under per vJ r :d (vrj.y tea• ❑I am a rN2s' vr.! �y,�..x cr!'r.th:i M'�n .0 I'V.w:mg hemo A pary electrical aervwe WAV4 try me on a protect where I am the gtneral contractor OR I %weer under penalty of per{uy mat 1 ann ❑ The owner of real property, or ❑The renter or lessee of real property. (You must provide a weed letter from the ow!w Of the property gaming permission 10 you as tow tenant to Worm electrical wore on the propery). or ❑A nonprdra oorporafnn [Kai hobs a current tax exempt stares as provided under 26 V.S.0 Sec 501(cA3) of a norprorit retyiws org9nZatnn, and the teal value of the electrical work does not exceed thOy thousand dollars 1SX 000 00). AND ❑A single family nisideme THAT IS NOT nnteneM for rent, sa'e. or lease AND I will be personalty dorg the eleclir wok AND I VM oca,py the ros,donce for at Ievt 24 months after completion of the electrical work, A NEW 2. 3, or 4 unit residential property that IS nterded fa rent, sale, of lease AND myself ent':or a regularty uJ ei&h �! i ' ❑ wroloyee(s) w,e be doing the electnral work AND I w it occupy one of the units for at least 24 montris ahor comptenon of Ire work ❑AnEXISTING 1, 2. 3. of 4 unit residential property that IS intended (of rent, sale, or lease AND myself andor a reguliety scheduled aru paid employee(s) will be doing the electrical wok. ❑ A farm AND 1, personally, i nd'or a requarly scheduled and paid employ 'S) will be doing the electrical wok. QM EXISTING dace of business AND 1. personally. an6'or a regularly sUxCubd and paid empbyr e(s) will be doing the e4xpical wok. ❑A NEW place of business that is NOT intended for rentsale, or lease AND 1. personaly. and'or a regularly scheduled and pad ernployce(s) will be dpng the electrical work. or ❑Other popery that is NOT intended for rent, sale, or lease AND 1, personally. ands a reg Aady scheduled and paid er ploy ee(s) wit tr doing the electrical work. I am a nonpro!it corporation that holds a current tax exempt status as provided under 26 U.S.C. Sec. 501(cX3) w a nonprofit relgkws ❑oganiralrori and the total market value of the etecmwal work does not exceed thirty ihosserid dollars (530,000.00). and the electrical won; w1a be performed by appropriately cerurrd electricians or certified and super'W trairees who am volunteering and not being compere !M fa oteclncal work per RCW 19.26.091(71. ❑✓ I AGREE and wish to purchase an electrical permit under the conditions described above. I PERMIT 0 Gape 34mi eit