Installation Permit Letter of Application Form

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BC Safety Authority
Engineering And Standards Department
Mailing Address: th #400 – 88 6 Street New Westminster, BC V3L 5B3
Passenger Ropeways Installation Permit Letter of Application Form
A. Contractor (please print clearly)
Date of Application: Name of Licensed Contractor: Company Officer’s Name & Phone No.: Company Officer’s Signature: New or Relocated Installation Reversible Double Fixed Gondola Tube Tow Unit Name: Horizontal Length: Vertical Rise: Major Alteration* Reversible Self Powered Fixed Chairlift Rope Tow Minor Alteration* Reversible Single T-Bar *Note: Please include a letter of intent to describe proposed alteration Detachable Gondola Platter Other Fee Remitted: $ Detachable Chairlift Handle Tow
The device will conform to the Safety Standards Act and Regulations:
Passenger Conveyor Manufacturer:
New or Relocated Installation Documents
The following documents must be included with this application. (See EDSR Section 31) Please check the appropriate boxes to indicate the document is attached. Location Plan & Profile Proof of Ownership of, or permission to use, the land that a passenger ropeway will operate on is attached. Route Map
B.
File #:
Engineering And Standards Department Use Only
Registration #: $ Cheque Cash NEWS # Data Entry Date: Remarks:
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Amount Received: Payment: Office: Tran Type: E610 Transaction Date
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MM
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