1994, 12-13 Notice of Unsatisfactory ConditionS P O K A NI E k �' "� -, C O LI r T' Y
DEPARTMENT OF BUILDINGS
JAMES L. MANSON, C.B.O., DIRECTOR
Roger Whitlock
1815 S Blake
Spokane, Washington 99216
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
DENNIS M. SCOTT, P.E., DIRECTOR
December 13, 1994
RE: Notice of Unsatisfactory Condition - Space Heater Safety Device
Dear Mr. Whitlock:
Our office has been informed that an unsatisfactory condition may exist with regard to the
safety device located at the above -referenced address.
This notice is to inform you that should new equipment be required, you will need to
obtain a permit. If new equipment is not required, please disregard this notice.
Should you have any questions, please contact this office between the hours of 8:00 a.m. and
4:00 p.m., weekdays.
mim
Sincerely,
Marcia I. McGarrigle
Office Assistant
WEST 1026 BROADWAY • SPOKANE, WASHINGTON 99260 • (509) 456-3675
FAX (509)456-4703
301 (6/92)
ADDRES
OUST
OWNER
AGENT 0
FORM FURNISHED BY INLAND NORTHWEST HVAC ASSOCIATION.
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1GNATURE�
TYPE NOTIFICATION
❑ HAZARD
❑ WARNING
CONDITION TO BE CORRECTED AS SHOWN BELOW CREATES AN IMMEDIATE HAZARD. THIS EQUIPMENT
MUST NOT BE PUT BACK IN SERVICE UNTIL REPAIRS AND A THOROUGH INSPECTION HAVE BEEN
MADE. ISSUER'S PHONE NO
CONDITION TO BE CORRECTED AS SHOWN BELOW IS NOT IN ACCORDANCE WITH SAFETY STANDARDS
AND COULD CREATE A HAZARD. CORRECTIONS AND A THOROUGH INSPECTION MUST BE MADE
WITHIN TWO WEEKS. ISSUER'S PHONE NO
CONDIT IN TO BE CORRECTED:
7GGED"EY.COMPANY�.
,REPAIRED
INITIAL
L
TIME
1E 17/1917/19E!
D7/1
4
BY COMPANY
`�
INAL
T
JEJ.
D
CONDITION CORRECTED
YES 0
NO ❑
INTALLED HAZARD TAG YES 0 NO 0
COPIES SENT TO. (1) CUSTOMER (2) ISSUER (3) AUTHORITY HAVING JURISDICTION
(4) EQUIPMENT TAG