Section 1 of 7 in this document

Application for Elevator Installation or Alteration Permit

No installation or alteration shall begin until a permit has been issued.
Submit a separate form for each conveyance.
Submit a complete application package in order to prevent delays
Alterations require drawings and specifications for all planned changes.
Submit a single electronic plan with sufficient resolution so no detail is lost when enlarged.
Submit a building code analysis document.

Submitter Information

Company Name

First Name

Last Name

Submitter Email

Phone Number

Current State ID Number

Fee Schedule

How Will You Make Payment?

Online

Check

Application Type

Section 2 of 7 in this document

Owner Information

Company Name

Owner's Email

Owner's Phone Number

Address 1

Address 2

City

State

Zip Code

Section 3 of 7 in this document

Conveyance Location Information

Building Name

Address 1

Address 2

City

State

Zip Code

County

Section 4 of 7 in this document

Conveyance Contractor Information

Business Name

Address 1

Address 2

City

State

Zip Code

Country

Contractor Email

Phone Number

General Building Contractor Information

General Contractor Business Name

Address 1

Address 2

City

State

Zip Code

Country

Building Contractor Email

Phone Number

Section 5 of 7 in this document

Contractual Information

Manufacturer

Model

Serial Number

Owner ID

Installation Code Year

Date Conveyance Contract Signed (click twice on the month and year at top of calendar to change year)

Alteration Code Year

General Information

Number of Landings

Number of Front Openings

Number of Rear Openings

Rated Load (pounds)

Rated Speed (ftm)

MRL

Yes

Contractor Job Number

Type of Equipment

Type of Drive Unit

Section 6 of 7 in this document

Additional Information and Attachments

Comments

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