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2003, 10-10 Notice of Hazardous ConditionsVISTAW Utilities NOTICE OF HAZARDOUS CONDITIONS Customer Name Address TYPE OF NOTIFICATION: Equipment Type: CONDITIONS FOUND: S-0308 (06-01) Phone Number City U 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 disconnected or left inoperable, 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. Location: ❑ Apparent cracked or restricted heat exchanger ❑ A gas leak in your house piping in the amount of ❑ Damaged appliance connector ❑ Damaged or disconnected vent ❑ Gas leak at gas equipment with all known appliances off ia Insufficient combustion/ventilation air IQ Other CFH f Meter Left ❑ Off ❑ On Meter Number Meter Read I have read, understood and acknowledge receipt of this notice. ❑OwnerJenant ❑ Agent Customer Signature ,�' ❑ Refused to Sign Service Representative y Date Time White Copy— Customer Yellow Copy— Attach to Service Order Pink Copy—Authority Having Jurisdiction Hard Copy—Appliance am/pm 0 PLUS - Permits Land Use System Edit View Insert Format Records Tools Window Help My Net Plac I:3 Projects Project It Search Project Name Search: Grow Name Search: 91006946 :J 1 Sge. 28246 Group. NO Name: INSTALL HEATING EQUIPMENT & PIPING Dist: F BOBBY STONE Invoice Status 1 Fees Actions Site Address Site Adthesses Payment History Contacts Team Billing Bonds Milestones 1 Lags 1 Inspections 1 Renewals Condition: 1 Characteristics Owner Name 1 Occupant Name Site Address 1 Address 1 Address Parcel Number City, State, Zip City -Stale -Zip City -State -Zip GIS 13210 E NCH AVE COUNCIL, STEVE & LORRAIUI SPOKANE, WA 99216 13210 [P101 AVE 0 SPOKANE, WA 99216 SPOKANE, WA 992 Phone (509) 9214483 DOB Record: Hi 1 'Hi I of 1 listarti I Thursday, Dec 11, 2003 1121 AM er, Inbox - Mrcrosoft 0., j WATS FACTRY C. „ M Ste Projects 4010 11:21AM