2001, 05-03 Notice of Unsatifactory ConditionsBUILDING AND CODE ENFORCEMENT
James L. Manson, C.B.O., Director
May 3, 2001
Mike Schneider
2010 N Ely Rd
Spokane, WA 99212
RE: Notice of Unsatisfactory Condition - Hot Water Tank
Dear Mike:
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 8:30 a.m. and 5:00 p.m. Our phone
number is: (509) 477-3675.
det
S erely,
Diane Truax
Office Assistant 4
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
Address ---2e"-5
TYPE OF
I\OTIFICATIOId:
Equipment. Type:
pNDITIONS
FOUfgD:
NOUN OF UNSAIDSFACTORY CONDI-DONS
I'HAZARD The conditions not d below constitute an immediate hazard and may result in property damage, personal-injury, or loss
/oflife. The equipment has been turned off pending further inspection and repairs, and shall not be turned back on until such repairs have
beencompleted by a qualified HVAC dealer, contractor, or service agency, andthe equipment has been brought up to current safety
standards. Do not attempt to use this equipment 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 ';
Location: 72 ,71-ce 4-
S-0308 (1-99)
Phone Number
City " "`�, 4r 3 t-tki ''
❑ Apparent cracked or, restricted heat exchanger
�❑ Spillageof exhaust at the draft hood after a
.� reasonable warm=up time
,043,Damaged appliance .connector .
CI Damaged or disconnected: vent
❑ Defective hmitcontrol .
❑ A gas leak in yourfiouse piping in the amount,of
with all known appliances oft
1 have read, understood and acknowledge' receipt of this notice.
Customer Signature
Service Representative -
CFH
❑ Owner
❑ Inoperative safety system
❑ Insufficient combustion/ventilation air
❑ Gas leak at gas equipment
®fOther
/:1 it
i t,
❑ .Tenant •U Agent•'
Date / I" Time
Refused tdSign .
' a,m/P
Equipment Disconnected? CI.Yes o EquipmenfTag Left?.. -.d Yes. '❑"No . Authority Notification Required? ❑:'Yes
Equipment Left ❑ On : o Off-^, Meter Left 0 .Off ❑On
White Copy Customer Yellow Copy Attach to Service Order Pink Copy Authority Having Jurisdiction Hard Copy Appliance
a, _ --.. .. `�-
0 No