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lt� : AFFIDAVIT FOR OWNl~11213 AC TING AS TfIV CONTRACTOR Its I.,15U F A oon-'RACTORiu LICENSE <br /> —.-.—=-•r---..o-...or�r.w�.w....r•r+.ncwy—.w..n+rs�,w.-.-:--...-.....ua.x.++e.xanrrw.. wvrawuw�a+.n.ww�.v um.e...H.-Tw.wrv+waynay..mwn.o.u..»+..T..wrawnu.......w <br /> A130t.1T CONTRACTOR LICENSING EXEMPTION <br /> ;. i.. .. .-.' ,liE1£ti Ic?I}!.}v€iif.+.I�lc>tr�c.l£ein tct ih£-t I?ul?Itt::(€itttt rtrtscrlittl?Ire,tratlelult:nt,Itnttnci;illy rrrrtsptntslhir'.aF lrlc:utnl3f�tF�ftt f:(,;rflfElf:Ictrs <br /> <;•i•t: t:ri.t+l+,vtcle�.tlx iichnElton of n t'catStrti:1(?f <br /> :IT 1'!tsrcttt'cl to:a corttratIol t.Ersles5 isf;uvd to ea prollcity ownar in accordonce vrillt P .j 11;/i!!;"t f:frn'•f:thin': ltio purprisf.rsf th", <br /> :tttrtlavit tti to dot'.t££ilont cofafoflwmt.o to the state requirvnlollts. <br /> I mill .applying for the property owner exemption under the following conditions: <br /> Must comply with all items below: <br /> tit^,t,;IT undo pr..n.aity of porjuty that: <br /> 0 1 understand that state law requires construction to be done by a licensed contractor unless I quality for an exemption- <br /> 0 Lana not a(Aing is a contractor on the property that I have owned for less than 12 months,for the purpose of selling,demolishing,or leas€nq <br /> a 1 fie ptoposod construction woik is not being done with the intention or for the purpose of selling file improved property within 12 months of <br /> completion of said work <br /> 0 City of Everett employees will not design,make recommendations,list out all code requirements,or perform work to meet cocle compliance <br /> I agree to schedule the applicable inspections for nay project so that the required inspections can be performed. I also understand I am <br /> tesponsible for resolving any failure to meet code requirements that may be found through inspections, <br /> 1 agree as the property owner I will make sure I have the skills to act as tray own general contractor,and the expertise,required to coordinate <br /> the work of both rough-in and finish trades. <br /> o t agree that I am legally and financially responsible for proposed construction activity. <br /> ID 1 will comply with all applicable laws,ordinances,budding 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 ail disciplines.. <br /> i <br /> t I agree as the property owner that I may be waiving certain rights that I might otherwise have under state law tivith Labor and Industries in any <br /> decision to engage an unregistered contractor to perform construction work. <br /> ® 1 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 nay homeowner's insurance may not provide <br /> coverage for those injuries. <br /> 1 understand that a building permit obtained by the properly 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 crirniiiaf penalties. <br />€ <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 UNDER THE CONDITIONS <br /> e DESCRIBED ABOVE, <br /> I' <br /> I <br /> Utv�u�r IJ;unr (F'rrn!) 1 <br /> i <br /> t>rr„+.r >t/rirtrl►r3 n.tte? PFRAllru_- <br /> I' <br /> 1 rl/1 i%/►i�1 <br />