1999, 04-22 Notice of Unsatisfactory Condition rW44�'�VI
S F' O K A N E
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BUILDING AND PLANNING • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
James L.Manson,C.B.O.,Director Gary Oberg, Director
April 22, 1999
Phyllis Lonning
11322 E 8th Avenue
Spokane, WA 99206
RE: Notice of Unsatisfactory Condition - 11322 East 8th
Dear Ms Lonning:
Our office has been informed that an unsatisfactory condition may exist with regard to the (gas valve, 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,
Ann Douglas
Office Assistant 4
1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0050
PHONE: (509)477-3675 • FAX: (509)477-4703 • TDD: (509)324-3166
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AectVI TA NOTICE OF UNSATISFACTORY CONDITIONS S-030$(1-99)
Utilities
a- Phone Number 9.f
Customer Name rt-'a- City77,00 o�"� +°, �9.2-0
Address ,// �. t-
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.
,1I 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.
Equipment Type: Location:
CONDITIONS 01 Apparent cracked or restricted heat exchanger ❑ Inoperative safety system
FOUND: U Spillage of exhaust at the draft hood after a ❑ Insufficient combustion/ventilation air
reasonable warm-up time Cl Gas lea t g s e pment �`�-
CI Damaged appliance connector CI Other C��bd
CI Damaged or disconnected vent ��
CI Defective limit control
CI A gas leak in your house piping in the amount of CFH
with all known appliances off
I have read, understood an c nowledge rece f this notice. ❑ Owner ❑ Tenant ❑ Agent
Customer Signature_ -�-‘<% --�'',?'^ ,, ,,_, ,..at, ❑ Refused to Signn
Service Representative VhfLf 14/4 {€.r Date
(77 Time -
am/pm
Equipment Disconnected? ❑ Yes No Equipment Tag Left? ,Yes ❑ No Authority Notification Required? ❑ Yes ❑ No
Equipment Left ❑ On )4 Off Meter Left ❑ Off Xi On
VVhiteCopy—Customer Yellow Copy—Attach to Service Order Pink Copy—Authority Having Jurisdiction Hard Copy—Appliance
.