2002, 01-02 Notice of Unsatisfactory ConditionBUILDING AND CODE ENFORCEMENT
James L. Manson, C.B.O., Director
Joyce Patzer
E 13324 Cataldo Ave
Spokane, WA 99216
A DIVISION 01' THE PUBLIC WORKS DEPARTMENT
February 6, 2002
RE: Notice of Unsatisfactory Condition - Furnace
Dear Mrs Patzer:
Our office has been informed that an unsatisfactory condition may exist with regard to the fumace 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 8:30 a.m. and 5:00 p.m. Our phone
number is: (509) 477-3675.
det
Sincerer
.0
Diane Truax �j'
Office Assistant P/
1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0220
PHONE: (509) 477-7200 • FAX: (509) 477-2243 • TDD: (509) 477-7133
. IfISTA
-1 Utilities
NOTICE OF UNSATISFACTORY CONDITIONS
Phone Number 7 /� z/l
City L_514)0 •
Customer Namelei Q i"if
HAZARD The conditions noted below constitute an immediate hazard and may result in property damage, personal injury, or loss
of life. The equipment has been turned off pending further inspection and repairs, and shall not be turned back on until such repairs have
been completed by a qualified HVAC dealer, contractor, or service agency, and the equipment has been brought up to current safety
standards. Do not attempt to use this eouipment until it has been repaired.
❑ WARNING The conditions noted below constitute a potential hazard. Although the condition does not present an immediate
threat to life or property, failure to correct the condition may lead to a hazardous condition. Please contact a qualified HVAC dealer,
contractor, or service agency to perform further inspections or to bring the equipment up to current safety standards.
� I JI'
SAS r� _ "�
Ji��: � rbC1 �.(,cl1�i� Location:
Address
TYPE OF
NOTIFICATION:
Equipment Type:
COUND:
ONDITIONS
r c1 cic:;;)
S-0308 (1-99)
p. Apparent cracked or restricted heat
❑ Spillage of exhaust at the draft hood
reasonable warm-up time
❑ Damaged appliance connector
❑ Damaged or disconnected vent
❑ Defective limit control
❑ A gas leak in your house piping in
with all known appliances off
exchanger ❑ Inoperative safety system
after a ❑ Insufficient combustion/ventilation air
O Gas leak at gas equipment
❑ Other
v wc 'V /0,400 -1/`
�VY7 O• ,..�f� 1T .
the amount of CFH !J r •
' ++USC
l,t/
SwtCH
'??,. 5r (1. .(-71 p, f/vSPc s ,/u 7� '' ��c f c./...;At
I have read, understood and acknowledge receipt of this notice. Owner ❑ Tenant u Agent
Customer Signature
Service Representative
Equipment Disconnected? CI Yes bi Na
U. Yes ❑ No
Meter Left ❑ Off
k%L4,4/ Cil/
Equipment Lett ❑ On Off
White Copy - Customer Yellow Copy - Attach to Service Order
Equipment Tag Left?
,EZ] On
D ate
❑ Refused to Sign
Time 2. to
Authority Notification Required? ❑ Yes
Pink Copy -Authority Having Jurisdiction
Hard Copy - Appliance
am/pm
p No