1993, 12-02 Unsatisfactory Condition Re: FurnaceDEPARTMENT OF BUILDINGS
JAMES L. MANSON, C.B.O., DIRECTOR
December 2, 1993
Mr. Mariett Mikos
4207 N Burns Road
Spokane, Washington 99216
•
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
DENNIS M. SCOTT, P.E., DIRECTOR
RE: Notice of Unsatisfactory Condition - Sandberg Furnace
Dear Mr. Mikos:
Our office has been informed that an unsatisfactory condition may exist with regard to the
Sandberg furnace located at the above -referenced address. This notice is to inform you that
should you install new equipment, a permit will be required to be obtained.
Should you have any questions, please contact this office between the hours of 8:00 a.m. and
4:00., weekdays.
Sincerely,
740
Marcia I. McGarrigle
Office Assistant
mim
WEST 1026 BROADWAY • SPOKANE, WASHINGTON 99260 • (509) 456-3675
FAX (509) 456-4703
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FORM FURNISHED BY INLAND NORTHWEST HVAC ASSOCIATION.
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PHONE NO.
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CUSTOMER SIGNATURE
PRINT NAME
ADDRESS
TYPE NOTIFICATION
a HAZARD
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.
El WARNING
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
CONDITION cT�O BE CORRECT 6 se
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TIME
DATE
REPAIRED BY COMPANY
INITIAL
TIME
DATE
CONDITION CORRECTED YES 0
NO 0
INTALLED HAZARD TAG
YES 0
NO 0
COPIES SENT TO: (1) CUSTOMER (2) ISSUER (3) AUTHORITY HAVING JURISDICTION
(4) EQUIPMENT TAG