1999, 04-09 Unsatisfactory ConditionBUILDING AND PLANNING
James L. Manson, C.B.O., Director
April 9, 1999
Scott Kurpgeweit
1024 N Progress Road
Veradale, WA 99037
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
Gary Oberg, Director
RE: Notice of Unsatisfactory Condition - 1024 North Progress Road
Dear Mr Kurpgeweit:
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
..-11111S i1®
NOTICE OF UNSATISFACTORY CONDITIONS
Utilities
S
Customer Name
Address
TYPE OF
NOTIFICATION:
Equipment Type:
CONDITIONS
FOUND:
Phone Number ' f7 t.3
q toY7
'l cr/ut-:112, D City VcRr4i)A-CA.--
HAZARD The conditions noted below constitute an immediate hazard and may result in property damage, personal injury, or loss
f fe. The equipment has been turned off pending further inspection and repairs, and shall not be turned back on 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, or service • . ncy to perform further insptions or to bring the equipment up to current safety standards.
Location: '.e4 »7e?r'--
S-0308 (1-99)
t
Apparent cracked or restricted heat exchanger
❑ 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
with all known appliances off
I have read, understood and acknowledge receipt of this notice. ❑ Owner
Customer Signature
Service Representative
Equipment Disconnected? ❑ Yes ❑ No Equipment Tag Left? ❑
Equipment Left ❑ On ❑ Off Meter Left ❑ Off ❑ On
White Copy — Customer yellow Copy— Attach to Service Order Pink Copy— Authority Having Jurisdiction Hard Copy — Appliance
❑ Inoperative safety system
❑ Insufficient combustion/ventilation air
❑ Gas leak at gas equipment
❑ Other
i I OAC
CFH �+ .i~ 1i'ii
❑ Tenant ❑ Agent
Y
Date 3'Ab • 9 Time
❑ Refused to Sign
Yes ❑ No Authority Notification Required? ❑ Yes
am/pm
❑ No