2001, 07-10 Notice of Unsatisfactory ConditionJ
BUILDING AND CODE ENFORCEMENT
James L. Manson, C.B.O., Director
Terry Sargent
E 12002 4h Ave
Spokane, WA 99206
July 10, 2001
RE: Notice of Unsatisfactory Condition - Fumace
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
Gary Ober& Director
Dear Terry:
Our office has been informed that an unsatisfactory condition may exist with regard to the basement furnace
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 8:30 a.m. and 5:00 p.m. Our phone
number is: (509) 477-3675.
det
erelYA
Diane Truax
Office Assistant 4
1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0050
PHONE: (509) 477-3675 • FAX: (509) 477-4703 • TDD: (509) 477-7133
ui-1fiTA NOTICE OF UNSATISFACTORY CONDITIONS
Utilities
S-0308 (1-99)
Customer Name 7.2---74 /4� ' 4' L- iv ; Phone Number F 2 9Q
Address ' / Zc 2 g*r` City 0
TYPE OF
NOTIFICATION:
❑ 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 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 agency to perform further inspections or to bring the equ�ment up to current safety standards.
Equipment Type: .46 apet / Location. ,'_ $2) /7(-11 / r""
•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 gos equipment
❑ Damaged appliance connector ❑ Other — - .. / Z. 41
❑ Damaged or disconnected vent
r
CI limit control ; +.°[.h'� f'="! _ . '"fl .�I,,c
❑ A gas leak in your house piping in the amount of CFH
with all known appliances off -47;1/ Wit- i_i C' f l5IAi
41:: -Ki. 04: & ichotisc ,* "Aft. IL()
ALL c. Su. ere It-
I have read, understood and acknowledge receipt of this notice. ❑ Owner ❑ Tenant ❑ Agent
Customer Signaturer ❑ Refused to Sign
Service Representative e""71/ S( / ' Date • ZS `� f Time / 5 / am/pm
Equipment Disconnected? ❑ Yes Dia'
' Equipment Tag Left? ❑ Yes ❑ No Authority Notification Required? ❑ Yes ❑ No
Equipment Left ❑ On ❑ Off Meter Left ❑ Off 0 On
White Copy - Customer Yellow Copy -Attach to Service order Pink Copy- Authority Having Jurisdiction Hard Copy -Appliance