HomeMy WebLinkAbout2002, 02-05 Notic of Hazardous Conditionsp
BUILDING AND CODE ENFORCEMENT
James L. Manson, C.B.O., Director
Trina Helmberger
7813 Glass
Spokane, WA 99212
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
February 5, 2002
RE: Notice of Unsatisfactory Condition - Hot Water Tank
Dear Mrs Helmberger:
Our office has been informed that an unsatisfactory condition may exist with regard to the hot water tank 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
Diane Truax
Office Assistant W
1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0220
PHONE: (509) 477-7200 • FAX: (509) 477-2243 • TDD: (509) 477-7133
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NOTICE OF HAZARDOUS CONDITIONS
Address % l_3
TYPE OF
NOTIFICATION:
Equipment Type:
CONDITIONS
FOUND:
Phone Number '9 3-- 2,,v? Z'7
Citytgyt,c�,
HAZARD The conditions noted below constitute an imm'bdiate hazard and may result in property damage, personal injury, or loss
of iii'o. The equipment has been disconnected or left inoperable, 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 eauioment until it has been repaired.
7" Cl y fes'/ • —
s-0308(06-01)
❑ Apparent cracked or restricted heat exchanger
❑ Damaged appliance connector
❑ Damaged or disconnected vent
❑ Gas leak at gas equipment
.cr,>
Location.
❑ A gas leak in your house piping in the amount of
with all known appliances off
❑ Insufficient combustion/ventilation air
Other
1
CFH
Meter Left ❑ Off On Meter Number
I have read, understood and acknowledge receipt of this notice.
Customer Signature ?. t'- A" %c f.as:,
Service Representative
/I
Meter Read
Owner ❑ Tenant ❑ Agent
❑ Refused to Sign
White Copy—Customer Yellow Copy— Attach to Service Order
Date
/G) 4'2-- Time
Pink Copy—Authority Having Jurisdiction Hard Copy— Appliance