FORM-‘B’

[See Rule 4 (1)]

Notice intimating the inspection of the work of errection of a Lift and
application for a license to work the lift.

To,
The Inspector of Lifts,
Bangalore.

Subject: Errection of Lift at the …………………………………………………

.. ……………………..……………………………………………………
…………………………………………………………………………….
…………………………………………………………………………….

Sir,

With reference to your letter No. ……………………………………………….

dated ………………by which permission has been granted to erect a lift at the

above mentioned premises. I/We have to state that the work of errection of the Lift

was completed on by……………………………………………………

I/We further request that a license for working the Lift may be granted. The

work of errection of the Lift has been carried out in accordance with the Karnataka

Lift Rules; 1976. A fee of …………………rupees has been paid into the state

Bank/Govt. Treasury ……………and Challan No. …………. dated………….. for

that amount is enclosed.

Date:
Yours faithfully,

Signature of the owner of the premises.

N.B:- The form should also accompany the work completion report of erector.