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Expiration Date: 2/1/2014
Family Tree
3805 Marshall St.
Wheat Ridge, CO 801 33
Inspected by C 6 1 1 6* o Code Consulting LLC
City • Wheat Ridge Building Division
7500 W. 29 Ave. Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
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Address 3805 Marshall St.
Elevator ID: 1
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Expiration Date: 211/2013
Family Tree
3805 Marshall St.
Wheat Ridge, CO 0 033
Inspected by C6 6 Code Consulting LLC
City of
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C OMMUNiTy DEVELOPMEN
wwn.d.wheatridge.co.us
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City of Wheat Ridge Building Divon
7500 W. 29thAVe. Wheat Ridge, CO 80033
Office: » ^£: Fax: 303-237-8929
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Location #: 29
Address: 3805 Marshall St.
Elevator ID: 1
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Building Dapartment
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RISE
This is to certify'%pt the A' tor
icated on this certificate has been
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inspected on the hown below and m w
�Wund safe to carry 1500 lbs.
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Expiration Date: 211/2012
Family Tree
3805 Marshall St
Wheat Ridge, CO 80033
Inspected by egional Council of GovernmeAQDRCOG)
City of Wheat Ridge Building Division
7500 W. 291h AVe. Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
To: Family Tree
3805 Marshall t.
Wheat Ridge, 011 0033
Your annual i
Ideated at 38
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Location #: 29
Address: 3805 Marshall St.
Elevator
Certificate of Elevator Inspection
City of Wheat Ridge
7500 W. 29 Ave.
Wheat Ridge, CO 80033
Building Department
fi•
This is to certify t the elevator as indicate¢in this certificate has been
inspected on the T11, hown below and wa found safe to carry 1500 lbs.
_. -.:.,.
_.
Inspected by De u: = Regional Council of GovernmeA RCOG)
Location Number:
Building Name:
Location:
ID Number:
Elevator7vr)e: HP
Safety Inspection Date: 4/23/2010
Elevator Inspection Date: 4123/2010
Certificate Issue Date: 3/1/2010
Expiration Date: 2/1/2011
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
Certificate of Elevator Inspection
City of Wheat Ridge
7500 W. 29 Ave.
Wheat Ridge, CO 80033
Building Department
This is to the eM �ator as iridicat certify'thp _j 50, n this certificate has been
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inspected on the dbkPshown below and w found safe to carry 1500 lbs.
Safety Inspection Date: 110/6/2009
Elevator Inspection Date: 10/612009
Certificate Issue Date: 3/1/2010
Expiration Date: 2/1/2011
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
Inspected by De Regional egional Council of Governme—ftf(DRCOG)
INVOICE
City of Wheat Ridge Building Division
7500 W. 29 Ave. Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
invoice.
Thank you,
FWYW05y
Date: 12/4/2009
A.
To: Family Tree BE
3805 Marshall.St. Flw
Wheat Ridge, IMP esv
�30033
-aw
Your annual elev"inspection fee of $210 is q
p ation # 29 elevator ID: 1
located at 3805 Marshall St. in Wheat
oP
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Please remit payment r
ary 1, 2011(0 EN
ME
.fllp e9tions regarding your w
g
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ig -" 999MEMN90
A.H.
lava 4u
Please feel free to co I I yq -41��
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Please detach and send this stub in with your payment.
Location #: 29
Address: 3805 Marshall St.
Elevator ID: 1
Amount due: $21
Certificate of Elevator Inspection
City of Wheat Ridge
7500 W. 29 Ave.
Wheat Ridge, CO 80033
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
INVOICE
City of Wheat Ridge Building Division
7500 W. 29 Ave. Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 235 -2857
Date: 12/1512008
# 29 elevator ID: 1
Please remit
Please feel free to
invoice.
Thank you,
if
1,
regarding your
C �
Please detach and send this stub in with your payment.
Location #: 29
Address: 3805 Marshall St.
Elevator ID: 1
Amount due: $210
�`
City id e
COMMUNITY DEVELOPMENT
July 9, 2008
Family Tree
Attn: Elevator /Escalator Owner or Managing Agent
3805 Marshall St.
Wheat Ridge, CO 80033
Re: Elevator and Escalator Registration
Dear Elevator /Escalator Owner or Managing Agent:
The Division of Oil and Public Safety (OPS) is the implementing agency for The Elevator and
Escalator Certification Act (Title 9, Article 5.5, Sections 101 through 120 Colorado Revised Statutes
[CRS]) ( "the Act'). Pursuant to this Act ( §9 -5.5 -111 (1) CRS), all existing and newly installed
conveyances must be registered with the OPS by August 1, 2008. Conveyances that are
regulated by the Act include any commercial conveyance, accessible to the public, that is an
elevator, escalator, moving walk, dumbwaiter, platform lift, personnel hoist, or stairway chair lift, and
excluding those listed under §9 -5.5 -104 (2) CRS. The OPS is requesting that you complete this
one -time registration for regulated conveyances located in Colorado that you own or operate by one
of the following methods:
1) Access the website at http: / /oil.cdle.state.co.us and select the Conveyance Section link, then the
Conveyance Registration Procedures link. Follow the instructions provided to register the
conveyance. Submit the completed registration form and registration fee payment ($200.00 per
conveyance, payable to CDLE, Division of Oil and Public Safety) to the address listed below:
CDLE, Division of Oil and Public Safety
Conveyance Section
633 Street, Suite 500
Denver, CO 80202 -3660
2) If you do not have internet access, contact Michael Stewart or Greg Johnson with OPS. A
Registration Notice form will be faxed or mailed to you. The completed form and registration fee
payment must be submitted to the address in 1) above. The OPS conveyance identification
number or the facility address must be included on the fee payment check.
The City of Wheat Ridge appreciates your cooperation in registering your conveyances. Please
address correspondence to the OPS Conveyance Section contacts listed below.
Michael Stewart
Conveyance Technical Specialist
303 - 318 -8530 michael.stewart(a)state.co.us
Greg Johnson
Conveyance Program Manager
303 - 318 -8536 greg.johnson(a)state.co.us
Sincerely,
City of Wheat Ridge Building Division
7500 W. 29 Ave.
Wheat Ridge, CO 80033
303 - 235 -2855
Certificate of Elevator Inspection
City of Wheat Ridge
7500 W. 29 Ave.
Wheat Ridge, CO 80033
Building Department
This is to certify tat the elevator as indicated on this certificate has been
inspected on the dale shown below and was found safe to carry 1500 lbs.
Inspected by Denver'Regional Council of Government (DRCOG)
Location Number:
Building Name: Family
Location: 3
ID Number:
ElevatorTvne: HP
Safety Inspection Date: 916/2006
Elevator Inspection Date: 4/24/2008
Certificate Issue Date: 21112008
Expiration Date: 2/1/2009
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
S
BUILDING DEPARTMENT
.j
(303) 235 -2855
CITY OF WHEAT RIDGE
Correction" Notice
Job Located at �A A., s
I have this day inspected this structure and thes6 remises and
have found the following violations of City and/or State laws gov-
ern ing same:
A O . ?°i ✓! G. ... hie ij" (' .f .f G.i< tip' 62e, 'e x p `r ✓/
i
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
F. ,t
Date
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
FORM WR6 -22
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BUILDING ADDRESS
I- _ \ 1._I
CITY OF WHEATRIDGE
ELEVATOR INSPECTION
CITY ZIP CODE
BUILDING NAME
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CITY ZIP CODE
MANUFACTURE
UNIT NUMBER
E"'° ULIC
FRT
CABLE h�
PASS 1 1 FRT
ESCALATOR
ry�
DUMBWAITER
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PASS
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LAST SAFETY TEST
NEXT DUE DATE
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„ j MATERIAL LIFT DATE INSTALLED CAPACITY
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CITY OF
y
BUILDING
DEPT
ELEVATOR INSPECTIONS
Qu- -6W1N4j ADDRESS CITY
ZI CODE
• -noun cS3 Dll
ZIP CODES
4 h�' f �'
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j MANUUFA
UNNITNUM$ER. HYDR�AUUC
CA8Ll
WASUNGER
❑FREIGHT
❑PASSENGER ❑GEARE
cl FR EI GHT ❑GRAM
LAST SAFETY. TEST _ NEXT DUE GATE _.
CONDITION
RE
CITY OF WA16#r&A66E
BUILDING INSPECTION
ELEVATOR INSPECTIONS
BUILD[%G ADDRESS CITY' LIP WUE
01 , 0,5- 4 91
1st Colorado Bank & Trust, 2696 S. C (P.O. Box 22355),
- CITY 21P Cnnc
MANUFACTURE (UNIT NUMBER fHY{7HAULIC I CABLE
PASSENGER
❑ FREIGHT
LA,$T SAFETY TEST
w
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NEXT DUE DATE
�SENG LJGEP
T ❑ GEP
CONDITION
ellea(
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CITY OF WA16#r&A66E
BUILDING INSPECTION
ELEVATOR INSPECTIONS
BUILD[%G ADDRESS CITY' LIP WUE
01 , 0,5- 4 91
1st Colorado Bank & Trust, 2696 S. C (P.O. Box 22355),
- CITY 21P Cnnc
MANUFACTURE (UNIT NUMBER fHY{7HAULIC I CABLE
PASSENGER
❑ FREIGHT
LA,$T SAFETY TEST
w
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NEXT DUE DATE
�SENG LJGEP
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CONDITION
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Certificate of Inspection
City of Wheat Ridge, Colorado
BUILDING DEPARTMENT
This is to certify that the elevator as indicated on this certificate has been
inspected on the date shown below and was found safe to carry 1500 lbs
Inspector : Bill Gardner
LOCATION ID NUMBER TYPE SAFETY
Marshall St. 1 HP 916106
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
Inspection
Issue
Expiration
Date
Date
Date
10/24/06
2/1/07
2/1/08
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
Certificate of Inspection
City of Wheat Ridge, Colorado
BUILDING DEPARTMENT
This is to certify that the elevator as indicated on this certificate has been
inspected on the date shown below and was found safe to carry 1500 lbs
Inspector : Bill Gardner
LOCATION ID NUMBER TYPE SAFETY
INSPECTION
3805 Marshall St. 1 HP 9/6/05
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
Inspection Issue Expiration
Date Date Date
10/19/05 2/1/06 2/1/07
�-q
Certificate of Inspection
City of Wheat Ridge, Colorado
BUILDING DEPARTMENT
This is to certify that the elevator as indicated on this certificate has been
inspected on the date shown below and was found safe to carry 1500 lbs
Inspector : Bill Gardner
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
Inspection Issue Expiration
Date Date Date
10/21/04 2/1/05 2/1/06
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
CITY OF WHEAT RIDGE
7500 West 29th Avenue
Wheat Ridge, CO 80033
Phone: 303-235-2855
INVOICE
November 19, 2004
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
Elevator ID #
1
Total Cost Due:
$132.00
Elevator Inspection For:
3805 Marshall St.
Pronerty /Elevator Location #
29
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
Certificate of Inspection
City of Wheat Ridge, Colorado
BUILDING DEPARTMENT
This is to certify that the elevator as indicated on this certificate has been
inspected on the date shown below and was found safe to carry 1500 lbs
Inspector : Bill Gardner
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
Inspection Issue Expiration
Date Date Date
10/28/03 2/1/04 2/1/05
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
Certificate of Inspection
City of Wheat Ridge, Colorado
BUILDING DEPARTMENT
This is to certify that the elevator as indicated on this certificate has been
inspected on the date shown below and was found safe to carry 1500 lbs
Inspector : Bill Gardner
LOCATION ID NUMBER TYPE SAFETY
INSPECTION
3805 Marshall St. 1 HP 9/6101
Family Tree
3805 Marshall St.
Wheat Ridge, CO 80033
Inspection Issue Expiration
Date Date Date
10124101 1/15/02 1115/03
Family Tree
3805 Marshall St.
Wheat Ridge, CO
Certificate of Inspection
City of Wheat Ridge, Colorado
BUILDING DEPARTMENT
This is to certify that the elevator as indicated on this certificate has been
inspected on the date shown below and was found safe to carry 1500 lbs
Inspector : Bill Gardner
LOCATION ID NUMBER TYPE SAFETY
INSPECTION DATE
3805 Marshall St. 1 HP 916101
Family Tree —
3805 Marshall St. Inspection Issue Expiration
Wheat Ridge, CO 80033 Date Date Date
10125/00 4119/01 2/1/02
I
OMER ELEI
ANNUAL TEST
z�
ELEVATORS
OR COMPANY
❑ ACCEPTANCE TEST
HYDRAULIC INSPECTION& TEST
:,(FILL OUT SEPARATE REPORT FOR EACH ELEVATOR)
DATE I
OFFICE t
NAME OF BUILDING Aeea ys e? r V 7 a LOCATION -2 fv 3 IE%- C a q
ELEVATOR SERIAL NO. t CITY & STATE 1A .9 ° Ifs - t'�
(IF NONE, USE MOTOR OR CONTROL SERIAL NO.) DOVER SERVICE CONTRACT NO. - 03 '�T glo
B ELEVAT NO. .l .CUSTOMER P.O. N O. JOB NO.
MAKE OF ELEVATOR RATED CAR SPEED /0 F.P.M. RATED CAPACITY rig """°! LBS.
TYPE OF ELEVATOR
RATED CAPACITY TEST
TO COMPLY WITH AMERICAN NATIONAL SAFETY CODE ANSI A17.1 RULE 303 AND RULES 1005 & 1006. FLEX HOSE REPLACEMENT
REQUIRED NOT MORE THAN 6 YEAR INTERVAL. _
Flex Hose and Fittings Tested at Relief pressure For 30 Se . l Hose Replacement Date
Hose Tagged With Replacement Date & SAE Type ( Condition of Reservoir Oil ? �"
Physical Dimensions of Reservoir
Make (3) Round Trips Before Setting Relief Valve ❑
Test the relief valve setting by firstrin„chingthe empty car up to engage the plunger stop ring, and then by applying additional pamp pressure as
required to check the setting. The maximum setting must be no greater than 125% of working pressure to comply with the American National Safety
Code ANSI Al 7.1 Rule 1005 & 33,Q3.
Relief Valve Setting P.S.I. (Should Be 125% of Heavy Load Up Working Pressure) -
Corrected Relief Valve Setting P.S.I. (If Required)
No Load Working Pressure: Up P.S.I.
No Load Car Speed' Up 1 1 w d F.P.M. Down F.P.M. -
Relief Valve Sealed: NOTE: Code Requires Relief Valve Setting Be Sealed...
See Rule 1005 and locate car at any convenient level. Open the disconnect switch and locate the elevation of the platform with respect to a
convenient reference. Do not shut off any valves in the line. Provide adequate timbers or pipe as well as safety slings support car and load if
entering the pit
Tank Oil Level At Start of Standing Test C_'�!') Tank Oil Temperature At Start of Standing Test (-64
After a minimum of 15 minutes, note the position oche platform with respect to the chosen reference
Length of Time Car Standing - Empty. Amount Car Settled During. Standing Period 1
-Oil Temperature At End of Standing Period CL 6 I- Tank Oil Level At End of Standing Period
Amount of Leakage At Packing During Test �. Condition of Piston Packing 4z e
NOTE: A CHANGE IN CAR POSITION WHICH CANNOT BE ACCOUNTED FOR BY VISIBLE OIL LEAKAGE OR TEMPERATURE CHANGE OF
THE OIL INDICATES A LEAK IN THE CYLINDER OR IN THE UNDERGROUND PIPING, AND NEED FOR FURTHER INSPECTION
TESTS OR REPAIRS.
Pres. Switch Rule 306.14 Tested
*Heavy toad Working Pressure: Up PSI
.
Heavy. Load Car Speed: Up _� F.P� Down /* —F.P.M.
Normal and Final Terminal Stopping Devices Tested
Standby (Emergency Battery Lowering) r Operation Tested.
Power Door. System. Tested: Torque # Kineti Ft. #
Emergency Terminal Speed Limiting .Device Tested F-1 Was The Test: Satisfactory:. Yes No ❑ If not explain.
Representatives of the Insurance Company, City or State Inspector or Owner, Present at test:
(Indicate Name and Title) .
MECHANIC'S SIGNATURE SUPT. SIGNATURE
Copy of this Report . Given to Customer: Yes No ❑ CUSTOMER'S SIGNATURE
*Acceptance Test Only /
oc -so -cs WHITE -. BRANCH COPY - YELLOW CUSTOMER COPY PINK - ..ZONE�COPY
Certificate of Inspection
City of Wheat Ridge, Colorado
BUILDING DEPARTMENT
This is to certify that the elevator as indicated on this certificate has been
inspected on the date shown below and was found safe to carry 1500 lbs.
Inspector: Randy Pabst
LOCATION ID NUMBER TYPE SAFETY
INSPECTION DATE
3805 Marshall Street ONE HP 4/20/2000
Family Tree Inspection Issue Expiration
3805 Marshall Street Date Date Date
Wheat Ridge, CO 80033 4/20/2000 7/17/2000 4/30/2001
Family Tree
3805 Marshall Street
Wheat Ridge, CO 80033
Date: 5/15/00
Family Tree
3805 Marshall Street
Wheat Ridge, CO 80033
Quantity
1
Description
Elevator inspection for:
3805 Marshall Street
Total Cost
$90.00
Family Tree
3805 Marshall Street
Wheat Ridge, CO 80033
Fami Tree To: CITY OF WHEAT RIDGE- Elevator Insp 6/S/01)
J ID: WR Elev p
,. :oundatioIn Contact: 103486
INVOICE NUMBER
DATE
DESCRIPTION
AMOUNT
DISCOUNT
NETAMOUNT
ELEVATOR
5115100
INSPECTION - HQ
$90.00
$0.00
$90.00
Totals
$90.00
$0.00
$90.00
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Family Tree .
3805 Marshall Street
Wheat Ridge, CO 80033
Certificate of Inspection
City of Wheat Ridge, Colorado
BUILDING DEPARTMENT
This is to certify that the elevator as indicated on this certificate has been
inspected on the date shown below and was found safe to carry 50 lbs.
Inspector: Jack Bultman
LOCATION ID NUMBER TYPE SAFETY
INSPECTION DATE
3805 Marshall Street ONE HP 9/24/97
Family Tree Inspection Issue Expiration
3805 Marshall Street Date. Date Date
Wheat Ridge, CO 80033 4/23/98 4/23/98 4/30/99
Family Tree
3805 Marshall Street
Wheat Ridge, CO 80033
BUILDING DEPARTMENT
(303) 235 -2855
CITY OF WHEAT RIDGE
orrection Notice
Job Located at C? G J j '
have this day inspected this st s and
have found the following violations of City and/or State laws gov-
erning same:
44
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
� ePt 5/ I ✓ 9
Date
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
FORM WR6.22
i
k BUILDING DEPARTMENT
(303) 235 -2855
CITY OF WHEAT RIDGE
Correction Notice
Job Located at
I have this day inspected this stw ..Ygese emises and
have found the following violations of City and/or State laws gov-
ern Ing same
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date.
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
�. FORM WR6 -22 -
a
AP
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date.
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
�. FORM WR6 -22 -
a
Certificate of Inspection
TYPE SAFETY
INSPECTION DATE
City of Wheat Ridge, Colorado
HP 9/27/96
BUILDING DEPARTMENT
This is to certify thatthe elevator as indicated on this certificate has been
Date
inspected on the date shown below and was found safe to carry 1500
lbs.
Inspector : Jack Bultman
LOCATION ID NUMBER TYPE SAFETY ;
INSPECTION DATE
3805 Marshall Street ONE HP
9/24/97
Family Tree Inspection Issue
Expiration
3805 Marshall Street Date Date
Date
Wheat Ridge, CO 80033 4/28/97 5121197
4/30/98
Certificate of Inspection
City of Wheat Ridge, Colorado
BUILDING DEPARTMENT
This is to certify thatthe elevator as indicated on this certificate has been
inspected on the date shown below and was found safe to carry 1500 lbs.
Inspector: Jack Bultman
LOCATION
3805 Marshall Street
Family Tree
3805 Marshall Street
Wheat Ridge, CO 80033
ID NUMBER
TYPE SAFETY
INSPECTION DATE
ONE
HP 9/27/96
Inspection
Issue Expiration
Date
Date Date
3/26/96
3/28/96 3/31/97
Cnertifimte of (lnoper
e y
RAW Vie, U
BUILDING DEPARTMEh
This is to certify that the Elevator
has been inspected on the date shown below and wasfoun<
Inspector
z
LOCAnoN ID NUMI
r— 3805 Marshall Street
1 Family Tree
3805 Marshall Street 3/22/95
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Tatifirate of �'1rtsvrrtwi
' BUILDING DEPARTMENT,,
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b
This is to certify that the,�evator as
I�t has been inspected on therdate shown below an - ,was fdundsaf
n
u
Inspector'
/ u
LOCATION - ID- NUMBER
3805 Mars]ialI
Street
- ,
/n„ I Family Tree
0- er#ifira e of
n
This is to certify that the =E]
has been inspected on tlie
Inspector a
VG DEPT
ti
below and'
NT„
as
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LOCATIOND
NUMBER
f,
3 (35 J 1ars31aI P Street 7--
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MV
(ner #ifictt #e of nsec#ia
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BUILDING DEPARTNIENL
,� ` This is to certify that then Elevator
RP
has been ins ectedon the�.date shown below and,Has found`saf
Inspector 4
w
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Locnrloia
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3805 Marshall Street�t
J Fist Colorado Sank & Trust `.
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Cler#ifira of �'Inspertia
eq ° Allied id9e, C;olo2ac
BUILDING DEPARTMENT,` ,
This is to certify that the as
has been inspected on the date shown below a4was found "safe
Ins
� I '`Se s.,�"."i :: s.8Ci0 c.,Tiic. L. A i15 i< � !..
LOCATION
IID NUMBER
1 32'05 Marshall Szreet
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%urrtifiratr of ;Wusyrr io
.City o� Wkeat. �idye, Co�iu�
BUILDING D
v
,u This is to certify that the
Al ' has been inspected on the date shown below
l Inspector
as
LOCATION '''•ID
NUMBER
'Qu of �Juspettio
City o� G�lkeat �idye; �ilo�
=BUILDING DEPARTMENT
This is to certify that the g . was
has been inspected on tl7e, to shown below and`was 66ndsal
Inspector
LOCATION
ID, NUMBER
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If �
-
ij
n