1993, 03-29 Notice of Unsatisfactory ConditionS P O K A N E
DEPARTMENT OF BUILDINGS
March 29, 1993
Sarder Residence
8708 E. Mansfield
Spokane, WA 99212
C O U N T Y
JAMES L. MANSON, C.B.O., DIRECTOR
RE: Notice of Unsatisfactory Condition — 8708 E. Mansfield
Dear Sarder Residents:
Our office has been informed that an unsatisfactory condition may exist with regards to the
main burner located at the above—referenced address. This notice is to inform you that
should you install new equipment, a permit will be required to be obtained.
Should you have any questions, please contact this office between the hours of 8:00 a.m. and
4:00 p.m., weekdays.
Sincerely,
tvC
Sherrie T. Takeda
Office Assistant
st
CODE ENIORC.IAIENF DIVISION
WEST 1303 BROADWAY • SPOKANE, WASHINGTON 99260-0050 • (509) 456-3675
FAX (509) 4564703
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301 (6/92)
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CUSTOMER NAME
FORM FURNISHED BY INLAND NORTHWEST HVAC ASSOCIATION.
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PHONE NO.
CUSTOMER SIGNATURE
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ADDRESS
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
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
WARNING WITHIN TWO WEEKS ISSUER'S PHONE NO
)NDITION TO BE CORRECTED:
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CONDITION CORRECTED YES ❑ NO ❑
I NTALLED HAZARD TAG YES 0 NO ❑
COPIES SENT TO: (1) CUSTOMER (2) ISSUER (3) fCUTHORITY HAVING JURISDICTION (4) EQUIPMENT TAG