404 14TH ST 2023-03-23 - Laserfiche WebLink

Department of Labor and Industries �.�F '`''`' , Owner Requested Red Elevator Section y' �� q yEµ; " '` Tag/Decommission Form PO Box 44480 �� : �� g Olympia WA 98504-4480 .4' rriP4� Phone: 360-902-6130 Email: ElevatorSect@a,Lni.wa.gov www.Lni.wa.gov/Elevators NOTE: You must provide the department with written approval from the building official, indicating that the conveyance is not required for building occupancy, when you apply to have the conveyance placed in voluntary red tag/decommissioned status. A conveyance may be put into red tag status at the owner's request. Once in red tag status, the conveyance may not be used until it is inspected and has come into full compliance. While the conveyance is in red tag status, the owner is required to renew their annual operating permit. See WAC 296-96-01035 for fee. Decommissioning of your conveyance needs to be done by a licensed elevator contractor and verified by an inspection performed by the department. See WAC 296-96-01035 for fee. Decommissioned status has no yearly fee. X❑ Red Tag (")E' c tc,a• j ❑ Decommission Owner Information: ^{-` L. e;, Owner Name Date Port of Everett 02/24/2022 Owner Address 1205 Craftsman Way, Suite 200 City State Zip Code Everett WA 98201 Phone Number Email Address 425-388-0614 tarah@portofeverett.com Building Information Building Name Conveyance Number Port of Everett - Conference Center 8608 Building Address 404 14th St City State Zip Code Everett WA 98201-1648 For copies of inspection reports, please visit: https://fortress.wa.qov/Lni/Lvtr To pay an invoice online, please visit: www.Lni.wa.gov/PayAnlnvoice L&I Internal Use Only Sent to Elevator Inspector Emailed By Date F621-063-000 Owner Requested Red Tag Form 10-2021 Index: ORTAG