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er <br /> V�f�ET 1 AFFIDAVIT FOR OWNERS ACTING AS THE CONTRACTOR IN LICU of A CONTRACTOWS.LICENSE <br /> ABOUT,CONTRACTOR LICENSING EXEMPTION <br /> i:r w- tt.S"r_,lt <br /> .rt aims to provide protection to thu public front unreliable,fraudulent,financially irrosponsiblq,or incompetent contractors. <br /> 1 provides Ilia.defini►io;i nt a contrdcliir. <br /> Permits are issued in'rr Nrxtisod'eohtroctor unties issued to aproporiy nvlitar in ncucirdanca vihh i_rt`•' i!r. 't.+.�'1_�.eremptinhs.,Thn purpose of this <br /> affidavit is.lo.dacuiitaiit conformance to'thn state requiramonti, <br /> Lam applying for the property owner exemption under the following conditions: <br /> i <br /> Must comply With all Items below: <br /> I swntir under penally of pequeyttnt, <br /> a L undaistand that stale lyw requires construction to be done by a license&contractor unloss l qualify for rin exemption, <br /> O 1 am not acting ris a wntractor on the property lfiatI have owned for less uian 12 months,far the pu", deitioltshing,orlfming, <br /> o Tho proposed construrtion work to not tieing done with the intention or for the purpose of selling tale improved-properly 0111in i2-months of <br /> completion or said work, <br /> o City of Fveratl employees will not design,make recommendations,list out all coda requirements;orpedorm vrark to.nicat cede.canptance. <br /> e I agree to Wiodule the applicable inspr:etionsfor my:projeri so that the required ihspcdGpns c-an be performed, l alsp urdorstand-I arri <br /> responsible for rasofving any failure to,meat.cade requirements that maybe found lhtaugh inspections. <br /> O 1 agree as the:ptopprty oivnor l will make-wtoIhpve.tho skills to tact as my own.geeierel contractor,and tho oxportise,required to",ordleate <br /> the work of,halt murdhmitt and:finish trades: <br /> o I acdroo-that I am legally and flnaticialfyresponsible for ptopo6ed.runGtruction.activity. <br /> • 1 WiE comply.vlith all applicable laws,ordinances,building codes,and:zoning regulations. <br /> .. .I am respnnsihle torvvrif)ing whether the aanirFlrlorts properly licensed With tfrrt State of Washingtnit and has a City of E'rereti t usin>ss <br /> licenso and`oblains all required"work'perrelits;for nll.idinciplinor., <br /> •: i Ogren as the property owner that I niay be wakving ceetain rights that I might othenvise'havo under state law sd,th Labor.end Ihdustrirs in any <br /> i decision,to engage an unregistered contractor to perform cotisirur tlon work. <br /> i <br /> G t agree thni I awy be held liable and subject to sialous financial risk for anyinjullecii sustninad by an-unlicensed person or u:adrampioye* <br /> t while ywiliing on rriy property,Tam willfully acting as an owner-contractorand am_aware that my homoowners insurance may not provide <br /> 1 covo*&for those.Injuries, <br /> l s I under5tand that a building permit obtained by(lie,property owner Who talsifiesinformation to obloliran exemption provided.under RCW <br /> O <br /> 1.a 27.0E0 will be forfeitr,d and 1 may be subject to 00'and cPoainat penaliir.s. <br /> j <br /> ACKNOWLEDGEMENT: I HAVE RE AD THE ENTIRETY OF THIS DOCUMENT AND.CE " T P� <br /> I AGREE TO THE CONDITIONS, AND WISH TO PURCHASE A DUIl.D1NG PERMIT ONLIE r �E.S � <br /> DESCRIBED ABOVE, <br /> i OCT 10 2023 <br /> 'I7i�dnl /�Jtl�{lC CITY OF EVERETT <br /> bvmorNpv)(Pthif) A --- — Permit Services <br /> , J <br />