1994, 07-18 Notice of Unsatisfactory ConditionDEPARTMENT OF BUILDINGS
JAMES L. MANSON, C.S.O., DIRECTOR
Deb Palhamus
E 10719 Trent
Spokane, Washington 99206
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A DIVISION OF THE PUBLIC WORKS DEPARTMENT
DENNIS M. SCOTT, P.E., DIRECTOR
July 18, 1994
RE: Notice of Unsatisfactory Condition - Heat Exchanger on a Payne Furnace
Dear Ms. Palhamus:
Our office has been informed that an unsatisfactory condition may exist with regard to the
heat exchanger located at the above -referenced address.
This notice is to inform you that should new equipment be required, you will need to
obtain a permit. If new equipment is not required, please disregard this notice.
Should you have any questions, please contact this office between the hours of 8:00 a.m. and
4:00 p.m., weekdays.
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Sincerely,
Marcia I. McGarrigle
Office Assistant
CODE ENFORCEMENT DIVISION
WEST 1303 BROADWAY • SPOKANE, WASHINGTON 99260-0550 • (509) 456-3675
FAX (509) 456-4703
FORM FURNISHED BY INLAND NORTHWEST HVAC ASSOCIATION
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AD E
ADDRESESS
l/
CUSTOMER NAME
PHONE NO.
R i (- s / %4
_
I
CUSTOMER SIGNATURE
OWNER ❑
AGENT ❑
PRINTNAME
ADDRESS
TYPE NOTIFICATION
CONDITION TO BE CORRECTED AS SHOWN BELOW CREATES AN IMMEDIATE HAZARD. THIS
® HAZARD
EQUIPMENT
MUST NOT BE PUT BACK IN SERVICE UNTIL REPAIRS AND A THOROUGH INSPECTION HAVE BEEN
MADE
ISSUER'S PHONE NO. U` 9 - c 5e')0
❑ WARNING
CONDITION TO BEAND COULD CREATEA HAZARDRECTED . CORRECTIONS SHOWN BELOWIAND AS NOTITHOROUGH INSPECTIONEN ACCORDANCE WITH M STTBESANQMADE
WITHIN TWO WEEKS.
`. 1.
TAGGED BV COMPANY p INITIAL TIME DATE
REPAIRED BY COMPANY
INITIAL TIME DATE
CONDITION CORRECTED YES ❑ NO ❑
INTALLED HAZARD TAG YES ❑ NO ❑
COPIES SENT TO:(1) CUSTOMER (2)ISSUER (3) AUTHORITY HAVING JURISDICTION
(4) EQUIPMENT TAG