1999, 03-09 Notice of Unsatisfactory Condition _G Y.'
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S P O K A N E , i ,,.1 r is ',,,,Fir,,
C O U N T Y
BUILDING AND PLANNING . A DIVISION OF THE PUBLIC WORKS DEPARTMENT
James L.Manson,C.B.O., Director Gary Oberg,Director
March 9, 1999
Oscar Covarrubias
11411 E. Springfield
Spokane, WA 99202
RE: Notice of Unsatisfactory Condition - 11411 E. Springfield
Dear Mr Covarrubias:
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,
(7—e--,<C1-2-7,_ ,e4e-f--r-7-ei-- ---j
Ann Douglas
Office Assistant 4
1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0050
PHONE: (509) 477-3675 • FAX: (509) 477-4703 • TDD: (509)324-3166
IPuVISTA
NOTICE OF UNSATISFACTORY CONDITIONS S-0308(1-99)
Utilities /' .
Customer Name 14 !1 '�7j7(I✓IC1 C'/�!-C +r . Phone Number ? /— &0/ 3
Address ` /71//42/1 City 5%o/2kA x �" q cl << D z,
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TYPE OF ❑ HAZARD The conditions noted below constitute an immediate hazard and may result in property damage,personal injury,or loss
NOTIFICATION: of life.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.
U 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 agency to perform further inspections or to bring the equipment up to current safety standards.
i
Equipment Type: /404 (44] `5TA,ti 4g/> Location: ,/,>11-5C l•ed'
1 CONDITIONS ❑ Apparent cracked or restricted heat exchanger ❑ Inoperative safety system
` FOUND: ❑ Spillage of exhaust at the draft hood after a ❑ Insufficient combustion/ventilation air
reasonable warm-up time ❑ Gas leak at gas equipment
❑ Damaged appliance connector ❑ Other
❑ Damaged or disconnected vent
❑ Defective limit control 7 £
❑ A gas leak in your house piping in the amount of CFH .",
with all known appliances off V
I have read, understood and a„ nowledge ript of this notice. ❑ Owner ❑ Tenant ❑ Agent
Customer Signature L 22 141 ❑ Refused to Sign
/�
Service Representative c�/-2-- Date Time am/pm
Equipment Disconnected? i Yes ❑ No Equipment Tag Left? U Yes ❑ No Authority Notification Required? ❑ Yes ❑ No
Equipment Left ❑ On 1 Off Meter Left ❑ Off ❑ On
White Copy—Customer Yellow Copy—Attach to Service Order Pink Copy—Authority Having Jurisdiction Hard Copy—Appliance
RECEtVED
SPOKANE COUNTY
MAR 0 9 1999
)MSbON OP SOLOING AND PUINNiNG
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