1999, 12-15 Notice of Unsatisfactory ConditionS P O K A N E -
BUILDING AND PLANNING
James L. Manson, C.B.O., Director
Richard Thomas
E 10812 29th
Spokane, WA 99206
C" C7 1 T 7V 'T -I-
A
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
Gary Ober& Director
December 15, 1999
RE: Notice of Unsatisfactory Condition — E 10812 29th
To Whom It May Concern:
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 8:00 a.m. and
4:00 p.m. weekdays at (509) 477-3675.
DER
Sincerely,
Diane Riordan
Office Assistant IV
1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0050
PHONE: (509) 477-3675 9 FAX: (509) 477-4703 9 TDD: (509) 477-7133
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NOTICE OF UNSATISFACTORY CONDITIONS S-0308 (1-99)
Utilities
Customer Name ,kth 4L
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 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 equipment up to current Safety standards.
,
Equipment Type: I" F Location:
CONDITIONS ❑ Apparent cracked or restricted heat exchanger ❑ Inoperative safety system
FOUND: ❑ Spillage of exhaust at the draft hood after a ❑ Insufficient combustign/ventilation air
reasonable warm-up time ❑ Gas leak at gas equipment
❑ Damaged appliance connector ❑ Other
❑ Damaged or disconnected vent
❑ Defective limit control
❑ A gas leak in your house piping in the amount of CFH
with all known appliances off
1 have read, understood
Customer Signature
Service Representative_
of this notice. ❑ Owner ❑ Tenant ❑ Agent
Date
❑ Refused to Sign
Timeam/pm
Equipment Disconnected? 0 Yes ❑ No Equipment Tag Left? ❑ Yes ❑ No Authority Notification Required? ❑ Yes ❑ No
Equipment Left ❑ On Q Off Meter Left ❑ Off ❑ On
WhiteCopy— Customer Yellow Copy— Attach to Service Order Pink Copy—Authority Having Jurisdiction HardCopy—Appliance