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Title Type Number
Account Deposit for Contractor's or Miscellaneous Account Holder's

Used to deposit money into your L&I account (Electrical).

Form F500-080-000
Application for Licensure as an Elevator Mechanic

This is an application for certification as an Elevator Mechanic and is NOT a license to perform work. A contractor's license is still required by L&I.

Form F621-067-000
APPLICATION TO ACCESS L& I’S ELECTRONIC PERMIT & INSPECTION SYSTEM (EPIS) FROM SECUREACCESS WASHINGTON AND UTILIZE CONTRACTOR DEPOSIT ACCOUNT VIA THE INTERNET

Form F621-094-000
Change Assignment of Primary Point of Contact

Change Assignment of Primary Point of Contact

Form F621-095-000
Change/Update Elevator Company Primary Point of Contact

Used by the Elevator Section only to Change and/or Update the Primary Point of Contact for Elevator Companies

Form F621-086-000
Construction Elevator Installation Application and Inpection Data Report

Used by companies to apply for an Construction Elevator (Hoist) at a job site. One application per car and companies need to contact the Elevator Section for the appropriate installation and operating fee.

Form F621-001-000
Conveyance Installation Approval by Building Official

Used by the installer to notify L&I that a conveyance is proposed for installation in a buildiing.

Form F621-056-000
ELEVATOR ACCOUNT DEPOSIT FOR CONTRACTOR’S OR MISCELLANEOUS ACCOUNT HOLDER’S

ELEVATOR ACCOUNT DEPOSIT FOR CONTRACTOR’S OR MISCELLANEOUS ACCOUNT HOLDER’S

Form F621-098-000
Elevator Continuing Education Course Application

This is used to apply for approval of elevator related continuing education courses.

Form F621-077-000
Elevator Continuing Education Instructor Application

Application to become an instructor for elevator related courses.

Form F621-078-000
Elevator Five-Year Safety Test Report

This report is used by L&I for its five-year safety inspection of an elevator.

Form F621-051-000
Elevator Information Update

This form is required by L&I before they can process any changes to the ownership, physical or mailing address.

Form F621-050-000
Elevator Installation Variance Application

Property owner or elevator company can apply for a variance to install an elevator. 4 pages.

Form F621-048-000
Elevator Mechanic and Elevator Temporary Mechanic Address/Mailing Information Update

Elevator Mechanic and Elevator Temporary Mechanic Address/Mailing Information Update

Form F621-100-000
Elevator Refund Request

To request a refund of the fee paid for an elevator permit.

Form F621-066-000
Elevator/General/Specialty Contractor Responsibility on New Installations

Checklist for the elevator company/contractor to complete before the call L&I for an elevator inspection.

Form F621-057-000
Extension Request

This form is to request a time extension from an unforeseen circumstances for overdue corrections for conveyances.

Form F621-053-000
How to Ride Safely on Elevators, Escalators and Moving Walks

Pamphlet/booklet: Provides safety tips and interesting facts to promote safe use of elevators, escalators and moving walks.

Publication F621-084-000
Hydraulic Overpressure Test

To be submitted when a valve is changed or a seal is broken.

Form F621-052-000
Installation Application for Elevators

Used for installation application for elevators (new, renewals, and alterations)

Form F621-005-000
License Requirements for Elevator Mechanics and Contractors

Fact sheet: Explains licensing and testing requirements for mechanics who work on elevators and for contractors who install, repair or maintain elevators.

Publication F621-070-000
Licensed Elevator Contractor (LC) Operation

Contractors who install, construct, repair, alter or maintain elevators need to be licensed by the Elevator Program through L&I and with L&I's contractor registration program.

Form F621-069-000
Owner Requested Red Tag Form

Used by the owner for red tagging a unit that is to be placed or to remain out of service.

Form F621-063-000
Renewal of Contractor Elevator License

Used by Elevator Companies to renew their Contractor License.

Form F621-082-000
Renewal of Elevator Mechanic License

Used by elevator mechanics to renew their license if they do not want to use the on-line "Get or Renew a License".

Form F621-080-000
Request for Duplicate Elevator Certificate

Used to request a duplicate elevator license or a duplicate operating permit for a conveyance.

Form F621-065-000
Request for Duplicate Elevator Mechanic License

Request for Duplicate Elevator Mechanic License

Form F621-099-000
Request for Public Records

To request public records from Washington State Dept. of Labor and Industries.

Form F101-009-000
Temporary Licensed Elevator Mechanic

This temporary license is limited to the mechanical and electrical operation, construction, installation, alteration, maintenance, inspection, relocation and repair of conveyances.

Form F621-068-000
Test Log for Periodic Inspections & Tests for Hydraulic Elevators

ASME A17.1 requires periodic tests on various types of elevator equipment. This form is used as documentation to test hydraulic elevators.

Form F621-046-000
Test Log for Periodic Inspections & Tests for Traction Elevators

ASME A17.1 requires periodic tests on various types of elevator equipment. This form is used as doucmentation to test traction elevators.

Form F621-047-000
Test of Escalator Safety Devices

A licensed elevator mechanic shall perform this test once a year and mail a copy to L&I.

Form F621-055-000
Your search for "elevator" returned 32 documents.



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