HomeMy WebLinkAbout1717 E SAN MARNAN DR OF W q rF INVOICE DATE DUE DATE INVOICE# TOTAL DUE
08/01/2023 09/05/2023 2024-00000075 $80.00
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Customer#: 22107 Please Make Check Payable and Remit To:
City of Waterloo
A TTN: City Clerk/Accounts Receivable
KWIK STAR#229 715 Mulberry St
1626 OAK ST WATERLOO, IA 50703
LA CROSSE, WI 54602
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 1717 E SAN MARNAN DR- 7-27-23 FOR BILLING INQUIRY: (319)291-4323
Description ( Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
22107 08/01/2023 09/05/2023 2024-00000075 $80.00
Less Prepayment $0.00
Total Due—> $80.00
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.
pSERCO
WATERLOO FIRE RESCUE �, O
INSPECTION REPORT
KWIK STAR#229, 1717 E SAN MARNAN DR,BLDG 1717 E SAN MARNAN DR,WATERLOO IA
S0702 4740\
DETAILS
Inspection Date:07/27/2023 Inspection Type:Annual Inspection(1Yr) 1 Inspection Number:8953 I Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: N/A i Fee:$80.00
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 sign above door
Location:Outside door from carwash
GENERAL NOTES
JEFF SIEBEL-07/28/2023 @ 07:46 annual inspection$80
REINSPECTION DATE
08/22/2023
CONTACT SIGNATURE
Deanna Hafner(corp)
Signed on:07/28/2023 @ 07:44 C-=�
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:07/28/2023 @ 07:44
Printed on 07/28/2023 @ 07:46
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QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 07/28/2023 @ 07:46
Page 2 of 2