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Depanrnenl of Labor&]ndustria � FINAL ACCEPTANCE <br /> Specialry Compliancc Services -�- . <br /> Elcvalor Section Submit onc conveyance per fortn. <br /> PO Dox 44480 <br /> OlympiaWA 98504-t4R0 Conveyanc/ca <br /> (360)902•6130 ���0 � <br /> v���v.ni.wa.gov/fradesl.icensing/Elevawrs Locaiion(car a,�c.) <br /> Con�•q'�nct Lo[�tlan <br /> i`�V"�'— ��"�'(t�lV !/`� "` � . <br /> �� � ` ` r ' � �� ❑ A-13 Rcinspection <br /> 3�5 � , M�� v «�� <br /> Numb<r of reinspcction houcs Inspecmi s Initials <br /> ��� f`,`,14' ���2� � t <br /> Bullding Owncr or Managcr � Private Residence Owner <br /> A temporary 30 d�y pernut has been issued. <br /> You are not requircd to purchase an annual <br /> Owncr must purch�.sc and post an annunl operat'v�g ����������5�emiit. <br /> penull beforc thc 30 day tcmpor;uy pertnit expires. . <br /> you a•ill receive an npplication�o lm compleled and �(you would like an annual safety inspection;you <br /> rctumcd to Lfil wiih p�Y�»����� may purcliase nn annual operating pertnit& <br /> Operating pcmiii musi bc conspicuusly posicd in <br /> recci�•e an inspection. <br /> �hc convcyance(RCW 70.87.090). . <br /> Licwin M <br /> Insullin�Cum an� Pnm Nune(Insullen�wnurc^)`- 1 B <br /> \Vhite•Owncr � � IZi2121C.�- �WKL�'�/" ✓�QD�-9L7p� <br /> Canary•Comractur T (L, (�� <br /> 1'ink•LRI �p1e � Ins�allei t0+�we <br /> -Z(o - lC) <br /> Pcv1�07d�0U0 6nalacccptancc Ua-:�1UR ' <br />