1995, 01-12 Notice of Unsatisfactory ConditionDEPARTMENT OF BUILDINGS
JAMES L. MANSON, C.B.O., DIRECTOR
R Weed
18925 E Nixon
Spokane, Washington 99223
•
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
DENNIS M. SCOTT, P.E., DIRECTOR
January 12, 1995
RE: Notice of Unsatisfactory Condition - G. E. Furnace
Dear Mr. Weed:
Our office has been informed that an unsatisfactory condition may exist with regards to the GE
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,
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41.
Marcia I. McGarrigle
Office Assistant III
1026 WEST BROADWAY AVENUE • SPOKANE, WASHINGTON 99260 • (509) 456-3675
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FORM FURNISHED BY INLAND NORTHWEST HVAC ASSOCIATION.
N2 014259
PHONE NO.
CUSTOMER NAME
CUSTOMER SIGNATURE
OWNER ❑
AGENT ❑
TYPE NOTIFICATION
PRINT NAME
ADD .
E 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
❑ WARNING
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 TOE CORRECTED•
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74.- .
TAGGED BY COMPANY
' U;
INAt
ID
TIME ,
/Z. r
DATE
/ -/ -2 Y
REPAIRED BY COMPANY
INITIAL
TIME
DATE
CONDITION CORRECTED
YES ❑ NO ❑
INTALLED HAZARD TAG YES ❑ NO C
COPIES SENT TO: (1) CUSTOMER (2) ISSUER (3) AUTHORITY HAVING JURISDICTION (4) EQUIPMENT TAG