HomeMy WebLinkAbout875 FISHER DR 0 WA TF INVOICE DATE DUE DATE INVOICE# TOTAL DUE
At 07/26/2023 08/30/2023 2024-00000066 $80.00
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Customer#: 23710 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
KWIK STAR- FISHER DR 715 Mulberry St
875 FISHER DR WATERLOO, IA 50703
WATERLOO, IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 875 FISHER DR- 7-24-23 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price j
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
23710 07/26/2023 08/30/2023 2024-00000066 $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.
. � ptERCO
WATERLOO FIRE RESCUE
INSPECTION REPORT e \
KWIK STAR,875 FISHER DR,BLDG 875 FISHER DR,WATERLOO IA 50701
DETAILS
Inspection Date:07/24/2023 Inspection Type:Annual Inspection(1Yr) Inspection Number: 10728 ! Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: N/A 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 2 exit signs
Location:electrical/mechanical room.
FAIL 606.3.3.3-Records. Records for inspections shall state the individual and company performing the
inspection,a description of the inspection and when the inspection took place.
Records for cleanings shall state the individual and company performing the cleaning
and when the cleaning took place.Such records shall be completed after each
inspection or cleaning and maintained.
Inspector:JEFF SIEBEL-Comments: Provide current semi-annual kitchen hood
exhaust cleaning inspection report with all discrepancies corrected.Contractor must
upload online to the compliance engine.
Location: Not Provided
GENERAL NOTES
JEFF SIEBEL-07/25/2023 @ 09:46 annual inspection$80
REINSPECTION DATE
08/14/2023
CONTACT SIGNATURE
Service Desk
Signed on:07/25/2023 @ 09:44
Printed on 07/25/2023 @ 09:47
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:07/25/2023 @ 09:44
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 07/25/2023 @ 09:47
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