Date:-

To,
Electrical Inspector (Lift) Mumbai.
I.E. & L. Department, P.W.D. Construction,

Dear Sir,

Sub: SITC of Passenger Elevator at

We are enclosing here with a file containing form A and A1 along with a
certificate from the structural Engineer for Structural Stability, approved Xerox
copy of building plan duly signed and stamped by Architect & Architect
certificate certifying building height.

You are requested to process the 'A' Form and grant the permission at you
earliest.

Thanking you.

Yours faithfully,

ENCL: - FORM'A', FORM 'A1', ARCHITECT'S CERTIFICATE BMC, APPROVED TRUE COPY
OF BUILDING PLAN, DRAWING, STRUCTURAL ENGINEER'S CERTIFICATE.
 FORM 'A'
(SEE RULE 3)

Application for permission to install of elevators for making additions or alterations

to elevator installed.
(To be submitted to the Inspector of Elevators P.W.D. Bombay)

Name and address of the owner

Full Name and address of the Signatory

Address of the premises where Elevator

is to be installed or for making additions
or alterations
Whether a license has been previously NIL
granted (Details* to be given)
Name and address of the firm who will
install the elevator or make additions or
alterations.
Type and make of elevator proposed to
be erected
(Elevator erection planes should be
attached)
The rated maximum speed of the
elevator car
The maker's or designer's rated capacity
weight
The maximum number of passenger’s
additions to the elevator operator which
the elevator car carry.
The total weight of the elevator car
carrying the elevator maximum load.
Total weigh of counter weight
The number, description, weight and
size of the supporting cables
Bottom clearance
Top clearance
Details of the construction of the Please refer to drawing.
overhead
Arrangement with the weight and size of Meters
the beams height of the bldg. from
ground Level to terrace floor level.

DATED:- (SIGNTURE
OF THE APPLICANT)