HomeMy WebLinkAbout428 franklin st OF W A T INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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f 09/19/2023 09/26/2023 2024-00000096 $100.00
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Customer#: 13289 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
X-O FOODS &LIQUOR 715 Mulberry St
428 FRANKLIN ST WATERLOO, IA 50703
WATERLOO, IA 50703
Amount Enclosed..
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-428 FRANKLIN ST- 8-21-23 FOR BILLING INQUIRY: (319)291-4323
L Description ( Total Price J
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13289 09/19/2023 09/26/2023 2024-00000096 $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.
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WATERLOO FIRE RESCUE . o
INSPECTION REPORT t
KO FOOD&LIQUOR,428 FRANKLIN ST,BLDG 428 FRANKLIN ST,WATERLOO IA 50703
DETAILS
Inspection Date:08/21/2023 1 Inspection Type:Annual Inspection(1Yr) Inspection Number: 10726 ; Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A
STATUS CODE DESCRIPTION
FAIL 603.5-Relocatable power Multiplug adapters,such as cube adapters,unfused plug strips or any other device
taps and current not complying with NFPA 70 shall be prohibited.The construction and use of current
taps.Multiplug adapters. taps and relocatable taps shall be in accordance with NFPA 70 and this code.
Inspector:JEFF SIEBEL-Comments:Obtain permit for permanent outlet with permit
and inspections.
Location:freezer with burritos,pizza,and hot pockets
.10
GENERAL NOTES
JEFF SIEBEL-08/22/2023 @ 08:56 re-inspection fee$100
REINSPECTION DATE
09/11/2023
Printed on 08/22/2023 @ 09:06
Page 1 of 2
CONTACT SIGNATURE
Kashmir Kaur G /
Signed on:08/22/2023 @ 08:57 � � ,-,Z._
/,, _______.
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:08/22/2023 @ 08:57
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 08/22/2023 @ 09:06
Page 2 of 2