1999, 04-02 Unsatisfactory ConditionBUILDING AND PLANNING
James L. Manson, C.B.O., Director
Brian Weiler
17804 E. Broadway
Spokane, WA
April 2, 1999
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
Gary Oberg, Director
RE: Notice of Unsatisfactory Condition - 17804 E Broadway
Dear Mr Weiler:
Our office has been informed that an unsatisfactory condition may exist with regard to the (furnace etc.)
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,
Ann Douglas
Office Assistant 4
1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0050
PHONE: (509) 477-3675 • FAX: (509) 477-4703 • TDD: (509) 324-3166
Utilities
NOTICE OF UNSATISFACTORY CONDITIONS
Customer Name 2/44) 1,0E/L �. e,'
Address ;) e ' ,ev
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 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.
M 21CA") 5f,4A) Location. t'ik'S
TYPE OF
NOTIFICATION:
Equipment Type:
CONDITIONS
FOUND:
S-0308 (1-99)
Phone Number
City
❑ Apparent cracked or restricted heat exchanger
❑ Spillage of exhaust at the draft hood after a
reasonable warm-up time
❑ Damaged appliance connector
❑ Damaged or disconnected vent
❑ Defective limit control
❑ A gas leak in your house piping in the amount of CFH
with all known appliances off
❑ Inoperative safety system
❑ Insufficient combustion/ventilation air
❑ Gas leak at gas equipment
❑ Wei
V Y
rem
! have read, understood and acknowledge receipt of this notice. ❑ Owner ❑ Tenant ❑ Agent
Customer Signature ❑ Refused to Sign
Service Representative Date Time am/pm
Equipment Disconnected? ❑ Yes ❑ No Equipment Tag Left? ❑ Yes ❑ No Authority Notification Required? ❑ Yes ❑ No
Equipment Left ❑ On 0 Off Meter Left 0 Off 0 On
White Copy —Customer yellow Copy —Attach to Service Order
Pink Copy —Authority Having Jurisdiction Hard Copy — Appliance