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2003, 10-12 Permit: 01002649 Notice of Hazardous Conditions
n� 1�7IIISTA Utilities (� (� Customer Name (-- NOTICE OF HAZARDOUS CONDITIONS Address '/4i L .: er t4' TYPE OF NOTIFICATION: Phone Number City S-0308(06-01) ❑ 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 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 has been repaired. Equipment Type: /r Location CONDITIONS FOUND: ❑ Apparent cracked or restricted heat exchanger ❑ Damaged appliance connector ❑ Damaged or disconnected vent ❑ Gas leak at gas equipment ❑ A gas leak in your house piping in the amount of with all known appliances off ❑ Insufficient combustion/ventilation air O Other CFH A 't • Meter Left ❑ Off © On Meter Number I have read, understood and acknowledgefeceipt,of thi • Customer Signature Service Representative 41' 2 -- White Copy- Customer -- notice. Meter Read Owner ❑ Tenant ❑ Agent ❑ Refused to Sign Date Time WhiteCopy-Customer YellowCopy-AttachtoServiceOrder Pink Copy- AuthorilyHavingJurisdiction Hard Copy -Appliance am/pm It. PLUS Perrnits Lind Use System „„. 11; fic-t RecyciIrEip Projects Project # Seach Reject Nave Search Limup Name S : 01010741 Ste: 65111 Group: Use: FINISH REC ROOM IN BASEMENT Di D F PALQICHUK Actions I Site Adthess Qonth 1 Teas I Miert I logs Ceitifitioris I 1:11iitactenstic,t Status Fees Payment Hi—story jfling Bonds irtsPections inspectilwrs Date Type Occ kis Slatts ki Otst Description Pmt Typ Fkia 0101 LI 0 MIS LI A 11:33 11:31 FRAMING BU J 12/13/2001 0010$ • 0 MIS A - 11:3? 11:41 111S1JLAT1011 BU J 81118 0 SYS A &OS 000 INACTIVE Record: iLJt 1 JH 0**10f 3 Thursday, Dec 11, 2003 11:06 AM irkbox ricrosoft 0, I 'j11,1SAT5 FACTRY PLUS - Permits land Use System dit Kiev Insert mat Records Toils r. Projects Project II Search Project Name Search: Group Name Search: 01010711 She 65111 Group: Project N Use: FINISH REC 110014 IN BASEMENT Invoice Status 1 Fps 1 Pag Hirstw B Bon4s Inspections 1 Renewals Actions Ile Address Cartads 1 Tem _..__M tones Logs I Canditions I Characteristics SieAadreises SPOKANE, WA GIS ST 4429 E 16TH A SPOKANE, WA Phone (509) 534-1984 D 0 B 206 SPOKANE, WA 99206 Recd: 14 1 1 > I ►r I> I of 1 Tabu- Thursday, Dec 11, 2003 11:06 AM ProJects