2005, 04-07 Notice of Unsatisfactory Condition Sn7
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04/11/2005
11707 E.Sprague Ave.,Suite 106
Spokane Valley, WA 99206 f 3`?ed Fro rt
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Owner
1 i 03 N. Woodward Road
Spokane Vaiiev. WA Y9206-5024
NIXIE 2022 1 02 04/1.4/05
RETURN TO SENDER
VACANT
UNABLE TO FORWARD
RETURN TO SENDER
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Utilities NOTICE OF HAZARDOUS CONDITIONS S-0308(08-01)
Customer Name Phone Number
Address City
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 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 ha been repaired.
Equipment Type: � - '"� Location: -'`s! !' f ,'l,*4."'4'�
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CONDITIONS ❑ Apparent cracked or restricted heat exchanger ❑ A gas leak in your house piping in the amount of CFH
FOUND: ❑ Damaged appliance connector with all known appliances off
❑ Damaged or disconnected vent ❑ Insufficient combustion/ventilation air
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❑ Gas leak at gas equipment CIOther
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Meter Left ❑ Off ❑ On Meter Number _Meter Read
I have read,understood and acknowledge receipt of this notice. ❑ Owner ❑ Tenant ❑ Agent
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Customer Signature ❑ Refused to Sign
IlIeService Representative Date /#�fl Time if: 4-} am/pm l
White Copy-Customer Yellow Copy-Attach to Service Order Pink Copy-Authority Having Jurisdiction Hard Copy-Appliance
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11707 E Sprague Ave Suite 106 • Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037♦ ddompier@spokanevalley.org
April 7, 2005
Owner
1103 N. Woodward Road
Spokane Valley, WA 99206-5024
RE:Notice of Unsatisfactory Condition—Furnace and Hot Water Heater
Dear Owner:
Our office has been informed by Avista Utilities that an unsatisfactory condition may
exist with regard to the furnace and hot water heater located in the room off of the garage
at 1103 N. Woodward Road.
This notice is to inform you that should you install new equipment,you must
obtain a permit. Please disregard this notice if a permit has been obtained.
Should you have any questions,please contact this office between the hours of
8:00 a.m. and 5:00 p.m., Monday through Friday. Our phone number is(509) 688-
0036.
Sincerely,
(
Dawn Dompier
Permit Specialist