Fillable F621-005-000 installation application - lni wa

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Department of Labor and Industries Elevator Section PO Box 44810 Olympia WA 98504-4810 Phone 360 902-6130 FAX 360 902-6132 www. Lni. wa*gov/TradesLicensing/Elevators INSTALLATION APPLICATION Permit Conveyance number and type Location car etc* Permit valid for one year only Each installation or alternation requires a separate permit. Please make check payable to the Department of Labor and Industries....
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