2001, 05-23 Unsatisfactory ConditionBUILDING AND CODE ENFORCEMENT
James L. Manson, C.B.O., Director
May 23, 2001
Norman Samish
N 3213 Ella Rd
Spokane, WA 99212
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
Gary Oberg, Director
RE: Notice of Unsatisfactory Condition - Basement Furnace
Dear Norman:
Our office has been informed that an unsatisfactory condition may exist with regard to the basement furnace
located at the referenced address.
This notice is to inform you that should you install new equipment, you must obtain a permit.
Should you have any questions, please contact this office between the hours of 8:00 a.m. and 4:00 p.m. Our phone
number is: (509) 477-3675.
der
Office Assistant N
1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0050
PHONE: (509) 477-3675 • FAX: (509) 477-4703 • TDD: (509) 477-7133
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CUSTOMER SIGNATURE ( ' f l
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TYPE NOTIFICATION
Caf HAZARD
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PRINT NAME
ADDRESS
CONDITION TO BE CORRECTED AS SHOWN BELOW CREATES AN IMMEDIATE HAZARD. THIS EQUIPMENT
MUST NOT BE PUT BACK IN SERVICE UNTIL REPAIRS AND A THOROUGHI SPECTION HAVE BEEN
MADE. ISSUER'S PHONE NO. ra% 4 ".
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 1WOWEEKS. ISSUER'S PHONE NO.
NDITI TO BE CORRECTED:
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NO 0
INTALLED HAZARD TAG
YES 0
NO 0
COPIES SENT TO: (1) CUSTOMER (2) ISSUER (3) AUTHORITY HAVING JURISDICTION (4) EQUIPMENT TAG