1999, 10-05 Notice of Unsatisfactory Condition r:
S P O K A N E `` I :13.4,4-.... #2 rus `. C O IJ N T Y
BUILDING AND CODE ENFORCEMENT A DIVISION OF THE PUBLIC WORKS DEPARTMENT
James L.Manson,C.B.O.,Director Gary Oberg,Director
October 5, 1999
Elisha Holabach
E 12017 23rd
Spokane,WA 99206
RE: Notice of Unsatisfactory Condition-Furnace
Dear Mrs Holabach:
Our office has been informed that an unsatisfactory condition may exist with regard to the 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.
Derely, "
Diane Truax
Office Assistant IV
det
1026 W. BROADWAY • SPOKANE,WASHINGTON 99260-0050
PHONE: (509)477-3675 • FAX: (509)477-4703 • TDD: (509)477-7133
,
Utilities
Ill VISTA' NOTICE OF UNSATISFACTORY CONDITIONS s-osoe(1-99)
Customer Name , ^;:t.:-/.,— lit— ,'oLAO4 Phone Number 9Z ~
7
Address — • /4007 ,. 3 : City _')r•,,
TYPE OFHAZARD 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.
❑ 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,
contr ,ctor,or service agency to perform further inspections or to bring the equipment up to current safety standards.
Equipment Type: 1' Ali"' -ii=s-e ' Location: .._.... .r..,..----4...-,-
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CONDITIONS CS 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 ❑ Gas leak at gas equipment I
❑ Damaged appliance connector ❑ Other r I ti ,F
❑ Damaged or disconnected vent r t`� dip_ C'< -Ilek
❑ Defective limit control it.,kLiit c/cV V/41,`` L#'-'
❑ A gas leak in your house piping in the amount of CFH
with all known appliances off <`
I have read, understood and acknowledge receipt of this notice. ❑ Owner ❑ Tenant ❑ Agent
Customer Signature / ❑ Refused to Sign
Service Representative / : Date ,i ; Time am/pm
Equipment Disconnected? CI Yes ❑ No Equipment Tag Left? ❑ Yes ❑ No Authority Notification Required? ❑ Yes ❑ No
yam
Equipment Left ❑ On 6,! Off Meter Left ❑ Off AOn
White Copy—Customer Yellow Copy—Attach to Service Order Pink Copy—AuthorityHaving Jurisdiction Hard Copy—Appliance ��O