HomeMy WebLinkAbout503 SOUTH ST w A . INVOICE DATE DUE DATE INVOICE# TOTAL DUE
11/01/2023 12/10/2023 2024-00000150 $100.00
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Customer#: 12081 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
GROUT MUSEUM 715 Mulberry St
503 SOUTH ST WATERLOO, IA 50703
WATERLOO, IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 503 SOUTH ST- 10-4-23 FOR BILLING INQUIRY: (319)291-4323
L Description Total Price J
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
12081 11/01/2023 12/10/2023 2024-00000150 $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.
WATERLOO FIRE RESCUE
INSPECTION REPORT ' 410.
GROUT MUSEUM,503 SOUTH ST,BLDG 503 SOUTH ST,WATERLOO IA 50702
DETAILS
Inspection Date: 10/04/2023 j Inspection Type:Annual Inspection(1 Yr) ? Inspection Number: 10916 Shift: N/A Station: N/A I
Unit: N/A i Lead Inspector:JEFF SIEBEL Other Inspectors: N/A
STATUS CODE DESCRIPTION
FAIL 1203.4.3-Records. Records of the inspection,testing and maintenance of emergency and standby
power systems shall include the date of service,name of the servicing technician,a
summary of conditions noted and a detailed description of any conditions requiring
correction and what corrective action was taken.Such records shall be maintained.
Inspector:JEFF SIEBEL-Comments:provide documentation of testing and repair of all
emergency egress and exit lights in building including the exit light by pioneer hall
door and CBS LA-2A-37 in Nick's electric room showing failed battery.
Location: Not Provided
GENERAL NOTES
JEFF SIEBEL-08/22/2023 @ 11:25 Snow blower and gas removed from exit vestibule on lower level.These must not be
stored in this space at anytime(including all winter). Nothing may be stored in this
space.This is a repeat violation.
JEFF SIEBEL-10/05/2023 @ 12:47 re-inspection fee$100.
JEFF SIEBEL-10/05/2023 @ 12:51 original annual inspection completed 12/2022.New annual inspection due in before
December
REINSPECTION DATE
10/27/2023
CONTACT SIGNATURE
Alan Sweeney • j
Signed on: 10/05/2023 @ 12:43 G\ J
Printed on 10/05/2023 @ 12:52
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:10/05/2023 @ 12:43
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 10/05/2023 @ 12:52
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