HomeMy WebLinkAboutDOC-1999-Final Acceptance Conveyance - Department of Labor&Industries --�, r7NAL ACCEPTANCE
Specialty Compliance Services
Elevator Section
PO Box 44480
Olympia WA 985044480 (360)902-6130 onveyance(s)#
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Conveyance Location
Le r.J N o i Fee due(each)
lii......ii'spect liiitiels
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Attention: Building Owner or Manager
The above conveyance(s) has been inspected and all acceptance tests performed with no apparent deficiencies. Therefore,it
has been issued a 30 DAY TEMPORARY PERMIT.
IMPORTANT: You must PURCHASE and POST an ANNUAL OPERATING PERMIT BEFORE
the 30 Day Permit EXPIRES! This first annual fee has been prorated to ........................................................ (month/year)
when other conveyances in your area are next scheduled for inspection. ,
Failure to make this timely payment will subject you to a civil penalty of$150.00, or more,per conveyance
(WAC 296-81-991).
Operating permit must be posted where persons using the conveyance can see it. (RCW 70.87.090).
.................................................................................................................................................................:..............
/Installing Company : Phone Number
White-Owner i - ' ` {/� �/
Canary-Contractor i...... ............J._....._.........._......_.............._.......E-�.�LU....�.Q..✓0...... . _3�1.._�........_.....i
Pink-L&I i Date (Print Name) Company Representative (Signature)
ALL,,,
NOTE: Company Representative to forward to Building Owner/Manager with the Application for Operating Pe t.
F621-034-000 final acceptance 8-98 ® 'e
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