1995, 01-19 Notice of Unsatisfactory ConditionDEPARTMENT OF BUILDINGS
JAMES L. MANSON, C.B.O., DIRECTOR
Perry A Quigg
6926 E Marietta
Spokane, Washington 99212.
•
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
DENNIS M. SCOTT, P.E., DIRECTOR
January 19, 1995
RE: Notice of Unsatisfactory Condition - Water Heater
Dear Mr. Quigg:
Our office has been informed that an unsatisfactory condition may exist with regards to the
furnace 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 a.m. and 4
p.m., weekdays.
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Sincerely,
Marcia I. 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.
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PHONE NO.
C TOMER NAME
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OWNER ❑ PRINT NAME
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CUSTOMER SIGNAT RE
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ADDRESS
TYPE NOTIFICATION
HAZARD
❑ WARNING
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
WITHIN TWO WEEKS. ISSUER'S PHONE NO
CONDITION TO BE CORFIECTED:
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CONDITION CORRECTED
YES C NO ❑
INTALLED HAZARD TAG YES ❑ NO ❑
COPIES SENT TO: (1) CUSTOMER (2) ISSUER (3) AUTHORITY HAVING JURISDICTION (4) EQUIPMENT TAG