1999, 04-22 Notice of Unsatisfactory Condition ` �Y °1w iJ I I I
S P O K A N E 4,;' „'`, °..,r)IF: ! iu�`. C C) U N T Y
BUILDING AND PLANNING . A DIVISION OF THE PUBLIC WORKS DEPARTMENT
James L. Manson,C.B.O., Director Gary Oberg, Director
April 22, 1999
MARRISSA ENGLISH
324 SOUTH STEEN ROAD
SPOKANE, WA 99037
RE: Notice of Unsatisfactory Condition -324 SOUTH STEEN ROAD
Dear MS ENGLISH:
Our office has been informed that an unsatisfactory condition may exist with regard to the (hot water
heater, 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,
CSA'-;_ /(- ` L (`'.." 7
ANN DOUGLAS
OFFICE ASSISTANT 4
1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0050
PHONE: (509)477-3675 • FAX: (509)477-4703 • TDD: (509)324-3166
. '6d)s
ill-/l/1STaS-0308(1-99)
NOTICE OF UNSATISFACTORY CONDITIONS
Utilities
Phone Number l��d r
Customer Name
City
Address
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.
Location:
Equipment Type:
❑ Inoperative safety system
CONDITIONS ❑ Apparent cracked or restricted heat exchanger ❑ Inoperative safety
combustion/ventilation air
FOUND: ❑ Spillage of exhaust at the draft hood after a ❑ Gas leak at gas equipment
reasonable warm-up time ❑ Other
❑ Damaged appliance connector t
❑ Damaged or disconnected vent 16'`/. /1/ 1
❑ Defective limit control �,
❑ A gas leak in your house piping in the amount of CFH t 4.4
'A,0,410 with all known appliances off f
receipt of this notice. ❑ Owner ❑ Te nt r ❑'Age �1� ��
1 have read, understood and acknowledge0 Refused to Sign
4 '
Customer Signature " �'_am/pm
Date Time
Service Representative
Equipment Disconnected? ❑ Yes ❑ No Equipment Tag Left? ❑ Yes ❑ No Authority Notification Required? ❑ Yes ❑ No
Equipment Left ❑ On ❑ Off Meter Left ❑ Off U On
WhiteCopy—Customer Yellow Copy—Attach to Service Order Pink Copy—Authority Having Jurisdiction HardCopy—Appliance