1405 HEWITT AVE 2025-01-06 - Laserfiche WebLink

II EVERCTT ELECTRICAL PERMIT AFFIDAVIT Codo Exemption%: A pnyrrty m i)or,unlit or b sseo may purchase n iwrmd to do an electrical Installation on histhor own or qunliflod leased properly under the i as dt-srrrtkxl in I?C11' 19 211 2(11. A nonpf011 rinlr latron w1h cunenl lim exempt status or a nonprofit rellgiars organization rruay purchase an etectrlcul permit as described In RCW 19-B 0s)1()) I am applying for the property owner exemption under the following conditions: You must select tho option that appllos to your situation: I swear under IxNnally of IK41ury that L-1 I am a(L'1115lerctii tlenefal ca1tractor ssho Is Installing a tompwcny electrical service owned by me on a project where t am the general contractor OR I swear under prnally of Iwrirny that I nim D✓ lho O%s1)er of real Ewolxnly;or ❑ The 101)10+a lessee of real prolwlly.(You nwsl provide a signed letter from the owner of the property granting permission for you as the tenant to perform electrical nvoik on the properly);or ❑ A nonprofit co4pomtiorn that holds a current tax exempt status as provided under 26 U.S.C.Sec.501(c)(3)or a nonprofit religious organization,and ilia total value of Ilia electrical work does not exceed thirty thousand dollars($30,000.00). AND You must select the option that applies to your situation: ❑ A single family residence THAT IS NOT Intended for rent,sale,or lease AND I will be personally doing the electrical work AND I will occupy the residence for at least 24 months after completion of the electrical work; A NEW 2,3,or 4 unit residential property that IS intended for rent,sale,or lease AND myself and/or a regularly scheduled and paid EJ employee(s)will be doing the electrical work AND I will occupy one of the units for at least 24 months after completion of the electrical work. An EXISTING 1,2,3,or 4 unit residential property that IS intended for rent,sale,or lease AND myself and/or a regularly scheduled and paid employee(s)will be doing the electrical work; A farm AND I,personally,and/or a regularly scheduled and paid employee(s)will be doing the electrical work; �✓ An EXISTING place of business AND I,personally,and/or a regularly scheduled and paid employee(s)will be doing the electrical work; ❑ A NEW place of business that is NOT intended for rent,sale,or lease AND I,personally,and/or a regularly scheduled and paid employee(s)will be doing the electrical work;or ❑ Other property that is NOT intended for rent,sale,or lease AND I,personally,and/or a regularly scheduled and paid employee(s)will be doing the electrical work. I am a nonprofit corporation that holds a current tax exempt status as provided under 26 U.S.C.Sec.501(c)(3)or a nonprofit religious Elorganization and the total market value of the electrical work does not exceed thirty thousand dollars($30,000.00),and the electrical work will be performed by appropriately certified electricians or certified and supervised trainees who are volunteering and not being compensated for electrical work per RCW 19.28.091(7). Q✓ I AGREE and wish to purchase an electrical permit under the conditions described above. Exequiel Soltero Owner Name(Print) 16'e'luiel�oltero 08iO3/24 Owner Signature Date PERMIT ��ago 3-Affidavit