732 93RD ST SE 2025-09-29 - Laserfiche WebLink

Category 2:Sensitive information EVERa ELECTRICAL PERMIT AFFIDAVIT Code Exemptions: A grope iy o vner,remer or lasses may purchanm a pe m l to do an efec!,ical ins!aitat�un on his'Mhr own V rvai'-ed leased prop"~the cond!ions as described in RCW 19 28 261 nonprofit corporattin w!h current'a■e•eripi status nr d nnnprofd iogous orpo•r:3',7)n may mird 3Se 3n efe-'ncal permt as described in RCW 1928 091(7) I am applying for the property owner exemption under the following conditions: You must select the option that applies to your situation: I swear under pen31t)of perjury that aI am a registered general contractor who K rn:tall.ng a Irrmpryary rlectr.cal wvirn owned by me on a project wNiwe I am the general contractor OR I swear udder penally of perqury that I am The owner of real property,or ❑ The renter or lessee of red property (You must provide a signed letter from the owner of the property gramrig pa—u on for you as the tenant to perform electrical work on the properly).or i aA n^,rof.1 corporation that holds a current tax exempt staius as provided under 26 U.S C Sec. 501(cH3)at a npr4w&A religious organizytwn.and the total value of the electncal work does not exceed ttnrty thousand doaars(S30,000.00). AND You must select the option that applies to your situation: r7 A single family residence THAT IS NOT intended for rem.sale,or base AND I w o be personally doing the electrical work AND I will �I occupy the residence for at least 24 months after completion of the electrical work. A NEW 2 3 or a unit residential property that IS intended V rem.sale.or lease AND myself and,or a"Aarty scheduled and paid employeers)will be doing the electrical work AND I will occupy one of the units for all least 24 moans after cornpteuon of the electrical work. ❑ An EXISTING 1 2 3,of a unit residential property that IS intended for ren, sale a lease AND myself and'or a regularly sctiedtA@d and paid employee(s)wall be doing the electncal work, A ta'm AND I personally,and,or a regularly scheduled and paiC emplaree(s)wit be do"the elect'ical work. An t LISTING place of business AND 1.personally, andbr a regularly scheduled and pad employee(s)wA be going the electr al work; DA NEW place of business that rs NOT intended for rent_sale.or lease AND 1,personaly_and�or a regularly scheduled and pad errployee4s)will be doing me electrical work,or Oother property that is NOT intended for rent,sale.or lease AND I,personally,andlor a regu+arty scheduled and paid emptpyfels)will be doing the ellecbxal work 1 am a nonprobt corporation that holds a current tax exampl status as provided under 26 U-S-C.Sec 501(cx3)or a nonprofit rebgous 0 organuat on and the total market value of the electrical work does not exceed they Iricnisand bdlars I5,30.000 00).and the electrical work wig be peeforriWd by appropriately eerlfied electhcians or certified and supervised tra.-lees who are volunteerr►q and not being compensated for electrical work per RCW 19,28.09 1(7), 1 AGREE and wish to purchase an eleetr{cal permit under the conditions described above Owrwr Nance(PryK) pone+ q+.st Ila ied with CamScanner p%lurr ems__ .age 3 Arlids-1 Category 2: For official use only/disclosure permissible by law.