1998, 11-04 Permit 10000449 Unsatisfactory ConditionBUILDING AND PLANNING
JAMES L. MANSON, C.B.O., DIRECTOR
Lorene Bowers
9505 E. Broadway
Spokane, WA 99206
.�I%1�7[�iY �ltti;
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
DENNIS M. SCOTT, P.E., DIRECTOR
November 4, 1998
RE: Notice of Unsatisfactory Condition - 9505 E. Broadway
To Whom It May Concern:
Our office has been informed that an unsatisfactory condition may exist with regard to the valve leak,
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.
Lois Ann Douglas
Office Assistant-4
1026 WEST BROADWAY AVENUE • SPOKANE., WASHINGTON 99260
PHONE: (509) 456-3675 • FAX: (509) 456-4703
TDD: (509) 324-3166
FORM FURNISHED BY INLAND NORTHWEST HVAC ASSOCIATION.
301 (6/92)
ADDRE
OWNER O
AGENT 0
TYPE NOTIFICATION
50.E C 13A.4 ,1 LA) A Y
CUSTOMER NAME
4.10/2
PRINT NAME
El HAZARD
❑ WARNING
N? 018049
PHONE NO.
CJJSTOMER
SIGNATURE,"
ADDRESS \1y
CONDITION TO BE CORRECTED AS SHOWN BELOW CREATES AN IMMEDIATE HAZARD. THIS EQUIPMENT
MUST NOT BE PUT BACK IN SERVICE UNTIL REPAIRS AND A THOROUGH INSPECTION HAVE BEEN
MADE. ISSUER'S PHONE NO
CONDITION TO BE CORRECTED AS SHOWN BELOW IS NOT IN ACCORDANCE WITH SAFETY STANDARDS
AND COULD CREATE A HAZARD. CORRECTIONS AND A THOROUGH INSPECTION MUST BE MADE
WITHIN TWO WEEKS. ISSUER'S PHONE NO
CONDITION TO BE CORRECTED:
f= )(c-F-- O..f �A " \/4 ` ve .
�a r RrD 3E'Fek,E uSPI,. (L,FN Jbf F/ C)
••••+,acu oT t.umt-ANY
INITIAL
/
TIME
. yo
DATE
9 r..e9-9' e
DATE
REPAIRED BY OMPANY
INITIAL
TIME
RRECTED YES 0 NO 0 I INTALLED HAZARD TAG
YES !! NO 0
COPIES SENT TO- (1) CUSTOMER (2) ISSUER (3) AUTHORITY HAVING JURISDICTION
141 F()I IIPMFNT Tan