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campbell exempt.pdfEXEMPTION FROM CONTRACTOR REGISTRATION VERIFICATION The undersigned property owner or authorized person as described below, has applied for a building permit from the City of Edmonds and claims that he/she/it are exempt from providing contractor registration in accordance with the provisions of RCW 18.27. The property owner or authorized person, by their signature below hereby verifies to the City of Edmonds that: ❑ Value of work under $500.00. The aggregate contract price of labor and materials and all other items required for the project is less than $500.00 and is not part of a larger operation to be undertaken on the property. The person employed to do this work has not advertised nor otherwise put himself/herself forward to the permittee to be a contractor or qualified to engage in the business of a contract. RCW 15.27.090(9). Work performed personally on oven property. The undersigned verifies that all work done under this permit will be done by the permittee personally on his/her own property and that the improvements constructed on the property are not being undertaken with the intention and purpose of selling the improved property. ❑ Commercial property exemption. The permittee is the owner of commercial property and the owner's own employees will perform all maintenance, repair and alteration work on the property. No work will be done by contract under the permit. RCW 18.27.090(13). ❑ Licensed architect, engineer, electrician or plumber. All work performed under this permit will be performed by an architect, civil or professional engineer, licensed electrician or licensed plumber operating within the scope of his or her license. RCW 18.27.090(14). ❑ General Contractor. The owner is the General Contractor for the project and is required to hire a minimum of two licensed subcontractors (unrelated building trades or crafts) to work on the permitted project. The general contractor is responsible to verify all State licenses of all subcontractors on the job. RCW 18.27.010 THE UNDERSIGNED PROPERTY OWNER OR AUTHORIZED PERSON HEREBY VERIFIES THAT ALL INFORMATION PROVIDED ON THIS FORM IS TRUE AND ACCURATE TO THE BEST OF HIS OR HER KNOWLEDGE AND ACKNOWLEDGES THAT IF ANY OF THE INFORMATION PROVIDED ON THIS FORM IS FALSE HE OR SHE UNDERSTANDS THAT THE BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED. Dated this day of , 20(9 PROPERTY /AUTHO PERSON. �W� ,k-wx ('4�yw Print LATEMPTUIL©INGTORMSIexemp contractor regis serif form.doc04/06107 �b&o 0e- ZJ J�J: Print