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<br /> s & 1. , AFFIDAV1IT FO xOW E! S ACI ING ,S THE,CONT `CTORINI EU OF�A,CONTRAC,�TOR'S LICfE,NS' s;
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<br /> ABOUT CONTRACTOR LICENSING EXEMPTION
<br /> RCW 18.27.140 aims to provide protection to the public from unreliable,fraudulent,financially irresponsible,or incompetent contractors
<br /> RCW 18.27.010 provides the definition of a contractor.
<br /> Permits are issued to a licensed contractor unless issued to a property owner in accordance with RCW 18.27.090 exemptions.The purpose of this
<br /> affidavit is to document conformance to the state requirements.
<br /> I am applying for the property owner exemption under the following conditions:
<br /> Must comply with all items below:
<br /> I swear under penalty of perjury that:
<br /> • I understand that state law requires construction to be done by a licensed contractor unless I qualify for an exemption.
<br /> • I am not acting as a contractor on the property that I have owned for less than 12 months,for the purpose of selling,demolishing,or leasing.
<br /> • The proposed construction work is not being done with the intention or for the purpose of selling the improved property within 12 months of
<br /> completion of said work.
<br /> • City of Everett employees will not design, make recommendations,list out all code requirements,or perform work to meet code compliance.
<br /> • I agree to schedule the applicable inspections for my project so that the required inspections can be performed. I also understand I am
<br /> responsible for resolving any failure to meet code requirements that may be found through inspections.
<br /> • I agree as the property owner I will make sure I have the skills to act as my own general contractor,and the expertise required to coordinate
<br /> the work of both rough-in and finish trades.
<br /> • I agree that I am legally and financially responsible for proposed construction activity.
<br /> • I will comply with all applicable laws,ordinances,building codes,and zoning regulations.
<br /> • I am responsible for verifying whether the contractor is properly licensed with the State of Washington and has a City of Everett business
<br /> license and obtains all required"work"permits for all disciplines.
<br /> • I agree as the property owner that I may be waiving certain rights that I might otherwise have under state law with Labor and Industries in any
<br /> decision to engage an unregistered contractor to perform construction work.
<br /> • I agree that I may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person or their employees
<br /> while working on my property.I am willfully acting as an owner-contractor and am aware that my homeowner's insurance may not provide
<br /> coverage for those injuries.
<br /> • I understand that a building permit obtained by the property owner who falsifies information to obtain an exemption provided under RCW
<br /> 18.27.090 will be forfeited and I may be subject to civil and criminal penalties.
<br /> ACKNOWLEDGEMENT: I HAVE READ THE ENTIRETY OF THIS DOCUMENT AND CERTIFY THAT I UNDERSTAND,
<br /> AGREE TO THE CONDITIONS,AND WISH TO PURCHASE A BUILDING PERMIT UN
<br /> DESCRIBED ABOVE. Dtlatlr,
<br /> EB
<br /> PY) vv 0 1176/77-- NOV 2 7 2023
<br /> Owner Name(Print) CITY OF EVERETT
<br /> Permit Services
<br /> 9 C//9/201 3
<br /> Ow Signature Date PERMIT# E � �� ©�7
<br /> 10/27/2021
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