2001, 05-03 Unsatisfactory ConditionBUILDING AND CODE ENFORCEMENT
James L. Manson, C.B.O., Director
May 3, 2001
Janet Alberti
N 1305 Dick Rd
Spokane, WA 99212
RE: Notice of Unsatisfactory Condition — Hot Water Tank
Dear Janet:
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
Gary Oberg, Director
Our office has been informed that an unsatisfactory condition may exist with regard to the hot water tank in the
basement 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.
det
S' erely,
Diane Truax
Office Assistant IV
1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0050
PHONE: (509) 477-3675 • FAX: (509) 477-4703 • TDD: (509) 477-7133
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Utilities
Customer Name
NOTICE OF UNSATISFACTORY CONDITIONS
Phone Number
Address City _ - t= y��►
TYPE OF
NOTIFICATION:
Equipment Type:
S-0308 (1-99)
❑ 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 fife 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.
°NDITIONS ❑ Apparent cracked or restricted heat exchanger
UND: ❑ Spillage of exhaust at the draft hood after a
reasonable warm-up time
❑ Damaged appliance connector
❑ Damaged or disconnected vent
❑ Defective limit control
❑ A gas leak in your house piping in the amount of
with all known appliances off
I have read, understood and acknowledge receipt of this notice.
Customer Signature
Service Representative
Location:
❑ Owner
CFH
iv 0 El
❑ Inoperative safety system
O Insufficient combustion/ventilation air
O Gas leak at gas equipment
0 Other -,
r • 'i ;T
`' Ai- 4 ';cam
fe
.1 —'.n A/fIra
e;5
❑ Tenant 0 Agent
Equipment Disconnected? 0 Yes
Equipment Left ❑ On ❑ Off
eAeil
No Equipment Tag Left? ❑ Yes 0 No
Meter Left 0 Off 0 On
WhiteCopy— Customer Yellow Copy— Attach roService Order
Date
0 Refused to Sign
Time am/pm
Authority Notification Required? ❑ Yes 0 No
Pink Copy— Authority Having Jurisdiction Hard Copy—Appliance