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Get Construction Elevator Installation Application ... - Labor & Industries - Lni Wa

A REPORT One application per car Car # CALL THE ELEVATOR SECTION FOR THE MOST CURRENT FEES (360) 902-6130 Permission is hereby given to install the following described elevator: GENERAL Address of elevator location Make checks payable to Dept of Labor and Industries City Name of building/Location of Lift State UBI Number General Contractor/Responsible Party Owner of elevator City Address ZIP + 4 ZIP+4 Name of installer Elevator Contractor's license number License expiration da.

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