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4��it�T<i <br /> � _ �9� 7 � <br /> � _ _ _ �a �� � <br /> ���< 1�!\��ynr <br /> �� �Lrn� �� b'y07/�- <br /> STATE OF WASHINGTC3N <br /> DEPARTMENT OF LABOR AND INDl1STRIES <br /> B&CSIS -ELEVATOR SECTfON <br /> 12806 Gatew�y Drirn, Soutfle WA 9BI68-3311 <br /> (206)248-6657 <br /> LOCATION: �a/�,�D I� 3 B I c , <br /> x.�i� P��,��:�c �v�, <br /> Eu�� jy/�, y� ��/- ys a� <br /> ATTENTION: BUILDING OWNER OR MANAGER <br /> Your conveyance(s) # 5 �z� Pr! nas been inspected and all <br /> acceptance tests performed. No apparent deficiencies were noted. At this time an <br /> OPERATING PERMIT, which MUST BE POSTED WHERE PERSONS USING THE <br /> CONVEYANCE CAN SEE IT, is required by RCW 70.87.090. <br /> A temporary 30 day permit expiring on / — �.l— 5 3 is hereby <br /> grar.ted to ALLOW YOU TfME TO APPLY FOR AND RECEIVE an annual operadng <br /> permit PRIOR to the temporary peanit expiration date. The fee for your first permit will be <br /> S 75;��/ (each,if more than one conveyance), pmrated to come due <br /> in nlnU (�4T_ (month/year) whai other conveyances in your area are next <br /> scheduled forinspection. <br /> FAILURE TO COMPLY with the above will subject you to a civil penalty of$150.00 per <br /> conveyance(WAC 296-81-991: "Operation of a conveyance without a peaniP'). <br /> RECEIVED FROM THE DEPARTMENf OF L�;BOR AND INDUSTRIES <br /> TO FORWARD TO OWNER/MANAGER OF BUILDING: <br /> NAME: 7`�l*tA o �_ <br /> DATE: /C .Za H-� Ci <br /> Inapectors Iniriab <br /> COMPANY: ��g�qAn�—C",�—. <br /> ac �— Ba8•-3ii0 <br /> F621-031-000 �coep�naletter 9-92 H'hite-Owncr C�nnry-Contnaor Pink•O(fia <br /> O��re <br />