1995, 06-22 Notice of Unsatisfactory ConditionS P <_> K A N
DEPARTMENT OF BUILDINGS •
JAMES L. MANSON, C.B.O., DIRECTOR DENNIS M. SCOTT, P.E., DIRECTOR
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
June 22, 1995
Jack Pring
2915 S Dishman Mica
Spokane, Washington 99206
Re: Notice of Unsatisfactory Condition - Furnace
Dear Mr. Pring:
Our office has been informed that an unsatisfactory condition may exist with regard to the
furnace located at the above address.
This notice is to inform you that should you install new equipment, you will need to
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., weekdays.
Sincerely,
7/7 2 J
Marcia McGarrigle
Office Assistant III
1026 WEST BROADWAY AVENUE • SPOKANE, WASHINGTON 99260 • (509) 456-3675
FAX (509) 456-4715 • TDD (509) 324-3166
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FORM FURNISHED BY INLAND NORTHWEST HVAC ASSOCIATION. f`/C.� /.7
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CUSTOMER NAME •
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PRINT NAME
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SIGNATURE
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ADDR65S
TYPE NOTIFICATION
❑ 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
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 (zit-,
WITHIN TNO WEEKS ISSUER'S PHONE NO 6 -.1
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CONDITION TO BE CORRECTED: ��//�
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TAGGED BY COMPANY
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REPAIRED BY COMPANY
INITIAL
TIME
DAT
CONDITION CORRECTED YES ❑ NO ❑
INTALLED HAZARD TAG YES 0 NO 0
COPIES SENT TO. (1) CUSTOMER (2) ISSUER (3) AUTHORITY HAVING JURISDICTION (4) EOUIPMENT TAG