HomeMy WebLinkAbout2935 LOGAN AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
4Tr1����• N�o:. 05/02/2023 06/05/2023 2023-00011250 $100.00
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Customer#: 12631 Please Make Check Payable and Remit To:
City of Waterloo
A TTN: City Clerk/Accounts Receivable
DOLLAR GENERAL 715 Mulberry St
100 MISSION RIDGE WATERLOO, IA 50703
GOODLETTSVILLE, TN 37072
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2935 LOGAN AVE -3-23-23 FOR BILLING INQUIRY: (319)291-4323
Description Total Price
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
12631 05/02/2023 06/05/2023 2023-00011250 $100.00
Less Prepayment $0.00
Total Due $100.00
City of Waterloo
V 1ER
WATERLOO FIRE RESCUE 1 4 °o
INSPECTION REPORT
DOLLAR GENERAL#4698,2935 LOGAN AVE,BLDG 2935 LOGAN AVE,WATERLOO IA 50703
DETAILS
Inspection Date:03/23/2023 ; Inspection Type:Annual Inspection()Yr.) j I pection Number:9746 ! Shift: N/A I Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A ( Fee: 0.00
STATUS CODE DESCRIPTION
FAIL 705.2.4-Door operation. Swinging fire doors shall close from the full-open position and latch automatically.
Inspector:JEFF SIEBEL-Comments:fire doors must completely self close and latch.
repair latch. If replaced must match exactly current latch as it is part of a listed fire
door.
GENERAL NOTES
r`
JEFF SIEBEL-03/24/2023 @ 10:20 re-inspection fee$100
S
REINSPECTION DATE
04/21/2023
CONTACT SIGNATURE
Adam Blackburn
Signed on:03/24/2023 @ 10:20
7
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:03/24/2023 @ 10:20
)1/
Printed on 03/24/2023 @ 10:23
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QUESTIONS A/OUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 03/24/2023 @ 10:23
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