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1999, 04-22 Notice of Unsatisfactory Condition
BUILDING AND PLANNING James L. Manson, C.B.O., Director Fitzgerald Realtors 11008 East Mission Spokane, WA 99206 April 22, 1999 A DIVISION OF THE PUBLIC WORKS DEPARTMENT Gary Oberg, Director RE: Notice of Unsatisfactory Condition - 11008 East Mission To Whom It May Concern: Our office has been informed that an unsatisfactory condition may exist with regard to the (furnace etc.) 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 8:00 a.m. and 4:00 p.m. Our phone number is: (509) 477-3675. Sincerely, Ann Douglas Office Assistant 4 1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0050 PHONE: (509) 477-3675 • FAX: (509) 477-4703 • TDD: (509) 324-3166 • ioiYISTA' NOTICE QF UNSATISFACTORY CONDITIONS Utilities S-0308 (1-99) Customer Name , /flSc CZ. -1 c d 'rSC_'i$ LT'd+L Phone Number r Z - %/ Address a. /VD V /5' S Seen; . City, .1.r7fJ � l 9;7-0 4 - TYPE OF ' NOTIFICATION: ❑ HAZARD The conditions noted below constitute an immediate hazard and may result in property damage, personal injury, or loss of life The equipment has been turned off pending further inspection and repairs, and shall not be turned back an 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 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,qor service agency to perform furtherinspections or to bring the equipment up to current safety standards. Equipment Type: 645 nA2Li!%?') Kill /▪ U/L/!• Location. 441011/.'z�.: jip:CONDITIONS ❑ Apparent cracked or restricted heat exchanger w- FOUND: ❑ Spillage of exhaust at the draft hood after a • reasonable warm-up time ❑ Damaged appliance connector - ❑ Damaged or disconnected vent ❑ Defective limit control ❑ A gas leak in your house piping in the amount of CFH with all known appliances off I have read, understood and acknowledge receipt of this nonce.. ❑ Owner .n Customer Signature • -f ---,kite ei itt) t f Lr _;, / Service Representative-=✓�✓�-,•----- Equipment Disconnected? ❑,Yes ❑ No Equipment Tag Left?/IB Yes Equipment Left ❑ On ©OffMeter Left ❑ Off Al On it. -0 White Copy -Customer - Yellow Copy- Attach to Service Order ❑ Inoperative safety system ❑ Insufficient combustion/ventilation air ❑ Gas leak at gas equipment ❑ Other Hoz, e iiv r.a..o..cilr a9 h' Alerd r Pit" r N,^t AI a: ,rn-r. eV; Mina a Coe 4 < N ,S/ $ ra^ -' l C., n -,✓!I ref rfir..4A/ACV '0 raavr.2 o, der; ,c , in?... • ❑ Tenant ❑ Agent ❑ Refusedto Sign ' Date 3 • /Z • 9 `/ Time :01.:e am/pm Authority Notification Required? ❑ Yes ❑ No ❑ No Pink Copy -Authority Having Jurisdiction Hard Copy -Appliance