HomeMy WebLinkAbout3927 UNIVERSITY AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/4,4 _24„ 02/16/2023 03/20/2023 2023-00011164 $80.00
°terloo
Customer#: 8015 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
EPI 715 Mulberry St
760 ANSBOROUGH WATERLOO, IA 50703
WATERLOO, IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION -3927 UNIVERSITY AVE-9-21-22 FOR BILLING INQUIRY: (319)291-4323
LDescription ( Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
8015 02/16/2023 03/20/2023 2023-00011164 $80.00
Less Prepayment $0.00
Total Due —> $80.00
City of Waterloo
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EPI PDCM BUILDIN ,3927 UNIVERSITYAVE, LDG 3927 UNIVERSITY AVE,WATERLOO IA 1:*REsod`
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DETAILS
Inspection Date:09/21/2022 Inspection Type:Annual Inspection(1Yr) Inspection Number:6978 ; Shift: N/A ( Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A Fee:$80.00
STATUS CODE DESCRIPTION
FAIL 305.1 -Clearance from Clearance between ignition sources,such as luminaires,heaters,flame-producing
ignition sources devices and combustible materials,shall be maintained in an approved manner.
Inspector:JEFF SIEBEL-Comments:Provide adequate clearance,according to
manufacturers recommendations to electric baseboard heaters:A.Room 0 Health
and Wellness Room. B.Room 61 Bonnie Kipper Office.
FAIL 906.6-Unobstructed and Portable fire extinguishers shall not be obstructed or obscured from view. In rooms
unobscured or areas in which visual obstruction cannot be completely avoided,means shall be
provided to indicate the locations of extinguishers.
Inspector:JEFF SIEBEL-Comments:remove Christmas tree or relocate fire
extinguisher in main room.
GENERAL NOTES
JEFF SIEBEL-09/21/2022 @ 15:52 annual inspection$80
REINSPECTION DATE
10/11/2022
CONTACT SIGNATURE
Terry Conrad
Signed on:09/21/2022 @ 15:51 \g()(_ 6/ 4
Printed on 02/09/2023 @ 08:05
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:09/21/2022 @ 15:51
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 02/09/2023 @ 08:05
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