HomeMy WebLinkAbout1604 LA PORTE RD t) W 4 T INVOICE DATE DUE DATE INVOICE# TOTAL DUE
'� � � 11/15/2023 12/20/2023 2024-00000178 $100.00
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Customer#: 23521 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
CASEY'S GENERAL STORE 715 Mulberry St
1 SE CONVENIENCE BLVD WATERLOO, IA 50703
ANKENY,IA 50021
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1604 LA PORTE RD -9-11-23 FOR BILLING INQUIRY: (319)291-4323
LDescription J Total Price
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
23521 11/15/2023 12/20/2023 2024-00000178 $100.00
Less Prepayment $0.00
Total Due $100.00
City of Waterloo
Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent
late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of
America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of
Administrative Services Offset Program if not paid in full within ninety days.
Z1
-WATERLOO FIRE RESCUE �P
INSPECTION REPORT 111
CASEY'S GENERAL STORE D2880,1604 LA PORTE RD,BLDG 1604 LA PORTE RD,WATERLOO IA
50702 4400
DETAILS
Inspection Date:09/11/2023 Inspection Type:Annual Inspection(1Yr) ( Inspection Number: 10915 I Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL ( Other Inspectors: N/A
STATUS CODE DESCRIPTION
FAIL 1032.2-Reliability. Required exit accesses,exits and exit discharges shall be continuously maintained
free from obstructions or impediments to full instant use in the case of fire or other
emergency where the building area served by the means of egress is occupied.An
exit or exit passageway shall not be used for any purpose that interferes with a
means of egress.
Inspector:JEFF SIEBEL-Comments:Remove all obstructions from back hall or remove
3 exit signs and properly cover junction boxes with listed cover.9/11/23 one exit sign
still up and exposed wires rom other one.
Location: Back exit egress path from store
GENERAL NOTES
JEFF SIEBEL-09/12/2023 @ 10:25 re-inspection fee$100
REINSPECTION DATE
10/12/2023
CONTACT SIGNATURE
Abby Harms
Signed on:09/12/2023 @ 10:24
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:09/12/2023 @ 10:24
Printed on 09/12/2023 @ 10:25
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QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 09/12/2023 @ 10:25
Page 2 of 2