1996, 12-05 Unsatisfactory ConditionDEPARTMENT OF BUILDING AND PLANNING
JAMES L. MANSON, C.B.O., DIRECTOR
STACEY POWERS
10526 E BROADWAY
SPOKANE WA 99206
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
DENNIS M. SCOTT, P.E., DIRECTOR
December 5, 1996
Re: Notice of Unsatisfactory Condition - Furnace
Dear Ms. Powers:
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. Our phone number is: 509-456-3675.
Sincerely,
/;ase���
Marcia I. McGarrigle
Office Assistant IV
1026 WEST BROADWAY AVENUE • SPOKANE, WASHINGTON 99260
BUILDING PHONE: (509) 456-3675 • FAX: (509) 456-4703
PLANNING PHONE: (509) 456-2205 • FAX: (509) 456-2243
TDD: (509) 324-3166
FORM FURNISHED BY INLAND NORTHWEST HVAC ASSOCIATION
012921
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301 (s 2)
ADDRESS�• D ! / L PHONE-W.-
5
HON .-
CUSTOMER NAME CUSTOMEWSIGNATURE
OWNER ❑ I PRINT NAME ADDRESS
AGENT ❑ --
TY ENOTIFICATION CONDITION TO BE CORRECTED AS SHOWN BELOW CREATES AN IMMEDIATE HAZARD THIS EQUIPMENT
HAZARD MUST NOT BE PUT BACK IN SERVICE UNTIL REPAIRS AND A THOROUGH INSPECTION HAVE BEEN
MADE.
i�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
1:1 WARNING
WITHIN TWO WEEKS. ISSUER'S PHONE NO.
CQNDITION TO BE �QRRECTED: A !/
B
REPAIRED BY COMPANY INITIAL
CONDITION CORRECTED YES NO INTALLED HAZARD TAG
COPIES SENT TO: (1) CUSTOMER (2) ISSUER (3) AUTHORITY HAVING JURISDICTION
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DATE
(4) EQUIPMENT TAG
1�1
RECEIVED
SPOKANE COUNTY
SEP 2 6 1996
DIVISION OF BUILDING AND PLANNING
BY: