Contractor ExemptionEXEMPTION FROM
CONTRACTOR REGISTRATION
VERIFICATION FORM D
The undersigned property owner or authorized person as described
below, has applied for a building permit from the City of Edmonds
and claims that lie/she/it is exempt from providing contractor
registration in accordance with the provisions of RCW 18.27. The
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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 b e
undertaken on the property. This exemption does not apply to a
person who advertises or puts out any sign or card or other
device which might indicate to the public that he/she is a
contractor or that he/she is qualified to engage in the business of
contractor. RCW 18027*0908(9)o
� Owner who contracts for a project. Property owner contracting
with registered contractors for the project, and who him/herself
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is not performing any activity of a contractor for the purpose of
leasing or selling improved property that he/she has owned for
less than twelve months. RCW 1827*090(l I)*
"Work performed personally on own property. Anyone personally
vorkieng on property he/she owns, or at which he/she resides, as
long as the property owner,, or resident, does not perform any
activity of a contractor on his/her property for the purpose of
selling, demolishing, or leasing the property,, RCW
18,027,9090(12)o
� Use of own employees. Property owner using him/herself or
his/her own employees to perform maintenance, repair,
alteration work in or upon his/her own property.
RCW18*27,o090 13 a
and
0 Licensed Architect, Engineer, Electrician or Plumber. All work
performed under this permit will be performed by an architect,
civil or professional engineer,
plumber operating within the
RCW 18o72a090 14 0
certified electrician or certified
scope of his/her certification.
U utner, �pcciiy wnicn provision ot Kuw lzs,.L-/.u9u applies,
THE UNDERSIGNED PROPERTY OWNER OR
AUTHORIZED PERSON HEREBY VERIFIES THAT ALL
INFORMATION PROVIDE __ D 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 RF t IN I E VOKED AND ALL FEES
PAID FORFEITED,
DATED this
PROPERTY OWNER/AUTHORIZED PERSON
Signature
&gnaftire _
Print Name
4
,day of
'l I
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