CITY OF ALBUQUERQUE
Planning Department
Building Safety
ELEVATOR PERMIT
Date: ________________ Permit No.: ________________
Project Information:
Name ___________________________________________
Address ___________________________________________
___________________________________________
Owner Information ___________________________________________
Owner’s Phone No. ___________________________________________
Elevator Contractor (GS9 Required) Information:
Name ___________________________________________
Telephone Number ___________________________________________
Address ___________________________________________
___________________________________________
NM Contractor Lic. No. ___________________________________________
Contractor State Tax No. ___________________________________________
Contractor City Tax No. ___________________________________________
Equipment Information:
Equipment No. ___________________________________________
Number of Landings ___________________________________________
Valuation ___________________________________________
Permit Cost ___________________________________________
Approved by ___________________________________________
City of Albuquerque, Elevator
Inspector
X:\PLAN\SHARES\PL-Building Safety\Handouts\Current Handouts\PDFs\Commercial & Residential\Elevator Permit.doc\msm-10-08-2013
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