HomeMy WebLinkAbout1850 LOGAN AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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/ �i 1, ILrallMa. 05/08/2023 06/10/2023 2023-00011264 $80.00
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Customer#: 13992 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
WALGREENS DRUG STORE 715 Mulberry St
1850 LOGAN AV WATERLOO, IA 50703
WATERLOO, IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 1850 LOGAN AVE- 5-1-23 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13992 05/08/2023 06/10/2023 2023-00011264 $80.00
Less Prepayment $0.00
Total Due —* $80.00
City of Waterloo
WATERLOO FIRE RESCUE `ERA%
INSPECTION REPORT
CC J
WALGREENS,18S0 LOGAN AVE,BLDG 1850 LOGAN AVE,WATERLOO IA 50703
DETAILS
Inspection Date:05/01/2023 ; Inspection Type:Annual Inspection(1Yr) I Inspection Number:8011 j Shift: N/A Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL j Other Inspectors: N/A ! Fee:$80.00
VIOLATIONS
No Violations Found
GENERAL NOTES
JEFF SIEBEL-05/02/2023 @ 10:15 annual inspection$80
JEFF SIEBEL-05/02/2023 @ 10:42 Superior Lighting egress light testing by 5/19/22.Due by 5/19/23.No other violations
noted at this time.
NEXT INSPECTION DATE
05/01/2024
CONTACT SIGNATURE
Chris Nicole
Signed on:05/02/2023 @ 10:42
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:05/02/2023 @ 10:42
Printed on 05/02/2023 @ 10:43
Page 1 of 2
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 05/02/2023 @ 10:43
Page 2 of 2