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Department of Labor and Industries CONVEYANCE <br /> Elevator Section <br /> PO Box 44480 INST A T,T,A TION <br /> Olympia WA 98504-4480 40,srAe04 <br /> Phone:(360)902-6130 <br /> AP pit r <br /> o BY <br /> FAX(360)902-6132y' ` `°y BUILDIN I AL <br /> t iris T' <br /> www.Lni.wa.gov/TradesLicensing/Elevators <br /> D This form brings to your department's attention that the conveyance listed below is <br /> proposed for installation in an existing building within your jurisdiction. <br /> D Your approval of this form is required and must accompany the installer's Installation <br /> Application. <br /> D Notify the installer if you have any regulations that would prohibit this installation. <br /> Do not approve this form. <br /> *Note To Building Officials: The elevator section will approve LULA (Limited Use <br /> Limited Application Elevators) for existing buildings, on a case by case basis. <br /> A LULA elevator does meet the minimum cab size requirements for new construction <br /> required to be accessible,per WAC 296-96. <br /> If you have any questions,please contact us at the address or telephone number above. <br /> Indicate the equipment being installed. <br /> ❑ Inclined Wheelchair Lift <br /> Vertical Wheelchair Lift The travel shall not exceed 14 ft. ASME A18.1 Rule 2.7.1. <br /> El Inclined Chair Lift <br /> ❑ <br /> Limited use/limited application (LULA) elevator *Does NOT meet accessibility <br /> requirements for new construction. <br /> All conveyances must be installed per code. Any deviation from the code shall require a <br /> variance from the Department of Labor and Industries Elevator Section prior to a permit being <br /> issued. <br /> Name and License#of Installer of Conveyance Telephone Number <br /> Moore Elevator Company,LLC MOOREEC895NA (253)861-7911 <br /> Building name where conveyance is located Telephone Number/Location Contact <br /> vu(TY CSR FoK Lt✓irvG L{Z5— 258— 20-41-1 <br /> Street Address City, State, Zip code <br /> 3231 COLISY Ov EvEwETr td 14t- 78'Z0 j <br /> 21 Approved El Not approved <br /> ACKNOWLEDGED BY: <br /> Title u d d i, �, done Number <br /> � � 025-7 el CI <br /> Date Pri ame of building official Signature uildin. official <br /> /$JQi' ! 7 k+ : -- <br /> F621-056-000 conveyance installation approval by building official 05-2010 <br />