HomeMy WebLinkAbout104 BROOKERIDGE DR INVOICE DATE DUE DATE INVOICE# TOTAL DUE
04/26/2023 04/05/2023 2023-00011174 $50.00
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Customer#: 13372 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
THE UPS STORE 715 Mulberry St
104 BROOKERIDGE DR WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 104 BROOKERIDGE DR-3-16-23 FOR BILLING INQUIRY: (319)291-4323
L Description Total Price J
INSPECTION 1 $40.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13372 04/26/2023 04/05/2023 2023-00011174 $50.00
Less Prepayment $0.00
Total Due —+ $50.00
City of Waterloo
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WATERLOO FIRE RESCUE e)j �PtEq`°o
INSPECTION REPORT t , D
UPS,104 BROOKERIDGE DR,BLDG 104 BROOKERIDGE DR,WATERLOO IA S0702
DETAILS
Inspection Date:03/16/2023 Inspection Type:Annual Inspection(1Yr) ! ection Number:2653 Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: N/A Fee:$8 0
STATUS CODE DESCRIPTION
FAIL 1203.2.6-Exit signs. Emergency power shall be provided for exit signs as required in Section 1013.6.3.The
system shall be capable of powering the required load for a duration of not less than
90 minutes.
Inspector:JEFF SIEBEL-Comments:repair exit/egress light at front of store.
GENERAL NOTES
JEFF SIEBEL-03/17/2023 @ 09:35 annual insiiection$50
JEFF SIEBEL-03/17/2023 @ 09:35 call 319-230-)2. 4...I.c,92tifeted early.
REINSPECTION DATE
04/14/2023
CONTACT SIGNATURE
Kevin Veatch L y
Signed on:03/17/2023 @ 09:36 C. ( r Li
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:03/17/2023 @ 09:36
Printed on 03/17/2023 @ 09:37
Page 1 of 2
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 03/17/2023 @ 09:37
Page 2 of 2