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1412 23RD ST 2026-03-16
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1412 23RD ST 2026-03-16
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Last modified
3/16/2026 10:55:48 AM
Creation date
2/19/2026 2:22:11 PM
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Address Document
Street Name
23RD ST
Street Number
1412
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EVERETT AFFIDAVIT FOR OWNERS ACTING AS THE CONTRACTOR IN LIEU OF A CONTRACTOR'S LICENSE <br /> ABOUT CONTRACTOR LICENSING EXEMPTION <br /> aims to provide protection to the public from unreliable,fraudulent financially irresponsible,or incompetent contractors <br /> i provides the definition of a contractor. <br /> Permits are issued to a licensed contractor unless issued to a property owner in accordance with 111 2 exemptions.The purpose a cos <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 /> • 1 understand that state law requires construction to be done by a licensed contractor unless I qualify for an exemption. <br /> • 1 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 /> 0 City of Everett employees will not design.make recommendations,list out all code requirements.or perform work to meet code comp lance. <br /> 1 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 /> 1 agree as the property owner i will make sure I have the calls to act as my own general contractor,and the expertise regtared to coordinate <br /> the work of both rough-in and finish trades. <br /> 0 1 agree that I am legally and financially response for proposed construction activity. <br /> • 1 will comply with all applicable laws,ordinances,building codes,and zoning regulations. <br /> I am responsible for verifying whetter the contractor is property licensed with the State of Washington and has a City of Everett business <br /> license and obtains all required'wW permits for all disciplines. <br /> 1 agree as the property owner that I may be waiving certain rights that I might otherwise have under state law with tabor and Industries in any <br /> decision to engage an unregistered contractor to perform construction work <br /> 1 agree that I may be held(cable and subject to serious financial risk for any injuries sustained by an unlicensed person or their employees <br /> white fvorlang 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 /> 1827.090 will be forfeited and I may be subject to civil and criminal penalties. <br /> CKNOWLEDGEMENT.1 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 /> DESCRIBED ABOVE <br /> �oyru� '��. h tires r <br /> OwnerNarnia(Pont) <br /> O+wnerSrgnature Date PERYlrs f�23 I O — O`� <br /> x0/27/20= <br />
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