1994, 04-20 Notice of Unsatisfactory ConditionDEPARTMENT OF BUILDINGS
JAMES L. MANSON, C.B.O., DIRECTOR
April 20, 1994
Fleury Construction
S 3402 Loretta Drive
Spokane, Washington 99206
s
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
DENNIS M. SCOTT, P.E., DIRECTOR
RE: Notice of Unsatisfactory Condition - Real Fyer Fireplace Log
Dear Mr, Fuller:
Our office has been informed that an unsatisfactory condition may exist with regard to the
fireplace log located at the above -referenced address.
This notice is to inform you that should new equipment be required, you will need to
obtain a permit. If new equipment is not required, please disregard this notice.
Should you have any questions, please contact this office between the hours of 8:00 a.m. and
4:00 p.m., weekdays.
Sincerely,
MARCIA I. MCGARRIGLE
Office Assistant
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WEST 1026 BROADWAY • SPOKANE, WASHINGTON 99260 • (509) 456-3675
FAX (509) 456-4703
FORM FURNISHED BY INLAND NORTHWEST HVAC ASSOCIATION.
301 (6/92)
ADDRESS
rzat
N9 008504
PHONE NO.
CUSTOMER NAME
e
CUSTOMER SIGNATURE
OWNER 0 PRINT NA
AGENT De. 7 4
TYPE NOTIFICATION
YHAZARD
0 WARNING
ADDySS
CONDITION T 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. g84 y94 4
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
WITHIN TWO WEEKS. ISSUER'S PHONE NO.
CON IT ON TO BE CORRECTED:
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TMED BY COM NY
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IN ITJAL
7• V, 3o4�
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REPAIRED BY COMPANY
INITIAL
TIMETIIfME
DATE
CONDITION CORRECTED 'YES 0 NO ❑
INTALLED HAZARD TAG
YES NO ❑
COPIES SENT TO: (1) CUSTOMER (2) ISSUER (3) AUTHORITY HAVING JURISDICTION (4) EQUIPMENT TAG
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