HomeMy WebLinkAbout66 E TOWER PARK RD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
1,1��\`,, `2018 2018-00000261 $150.00
41 �i,, 04/03/2018 05/10/
Customer#: 9695 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
DOLLAR GENERAL#7136 715 Mulberry St
100 MISSION RIDGE WATERLOO, IA 50703
GOODLETTSVILLE, TN 37072
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION -66 E TOWER PARK ROAD-3-29-18 FOR BILLING INQUIRY: (319)291-4323
LDescription I • Total Price J
REINSPECTION 2 $150.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
9695 04/03/2018 05/10/2018 2018-00000261 $150.00
Less Prepayment $0.00
Total Due-- $150.00
City of Waterloo
4
REINSPECTION - Commercial Fire Inspection Form
Inspection Number 197
Inspector* Barry Stratton
File Upload
Address* 66 East Tower Park Road
Business Name Dollar General#7136
Inspection Date* 3/29/2018
Proprietor Jaime Harkness
Business Phone 319-236-6535
Email* nicweber@dg.com
Email 2 tax-beerandwinelicense@dollargeneral.com
Property Owner Nick Weber 319-389-8096 Dist Mgr.
Emergency Contact Jaime Harkness
Information
Phone 319-830-4173
Violations
Ref# Code Violation &Location Corrected
1 906.9 Properly mount fire extinguisher 4"to 5'above floor in a
conspicuous location where it will be readily accessible
and immediately available for use. Fire Extinguisher
mounting bracket has been pulled out of the wall by the
exit door in the rear of the building.
2 1003.6 Obstructions must not be placed in the required means of
egress. Blockage from overflow freight in back room Keep
egress path open.
3 Reduce storage of paper products and all storage to a
minimum of 24"below ceiling.
4 1006.1 Repair emergency egress light, must illuminate when test
button pushed. Egress light in stock room above exit door
still does not work.
Comments:
If violations noted during the inspection are not corrected by the given re-inspection date,additional fees
are as follows:
$100.0C -First Re-inspection I$150.00 Second Re-inspection I$200 -Third and subsequent Re-inspections
Reports
Reports
Comment
Inspection Fee S 150.00
Occupancy Fee
Re-inspection Fee S
Total Fee* S 150.00
Received By Email
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection Date Time
4 4/19/2018