HomeMy WebLinkAbout508 BROADWAY AVE (2) INVOICE DATE DUE DATE INVOICE# TOTAL DUE
02/14/2018 ' 03/20/2018 2018-00000187 $80.00
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Customer#: 20748 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
PRIME MART-BROADWAY 715 Mulberry St
508 BROADWAY 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- 508 BROADWAY AVE-2-13-18 FOR BILLING INQUIRY: (319)291-4323
LDescription Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
20748 02/14/2018 03/20/2018 2018-00000187 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1279
Prior Inspection 267
Number Fill this field if it is available, it will auto-fill business name and address.
Inspector* Jeff Siebel
Waterloo Fire Rescue
715 Mulberry Street Waterloo, IA 50703
Phone(319)-230-1224 Fax (319)-291-4262
Email:Jeff.Siebel@waterloo-ia.org
File Upload
Address* 508 Broadway Ave.
Business name Prime Mart
Inspection Date* 2/13/2018
Proprietor Shahid Chatdren
Business Phone 319-833-3509
Email* Primemartstores@hotmail.com
Email 2
Property Owner Shahid Chatdren
Emergency Contact Shahid Chatdren
Information
Phone 319-290-5843
•
Violations
Ref# CODE Violation &Location Corrected
1 Lower storage to a minimum of 24"below ceiling on reach-in
coolers and throughout store.
2 Provide correction of hazardous wiring. Remove improperly
installed lamp/ballast combination.
3 Remove obstructions to electric panel. Maintain a minimum of 36"
clearance to electric panels at all times.
4 Remove portable electric heater behind counter or provide
documentation of proper use and clearances.
5
Comments:
If violations noted during the inspection are not corrected by the given re-inspection date, additional fees
are as follows:
$100.00-First Re-inspection I$150.00-Second Re-inspection I$200-Third and subsequent Re-inspections
Reports
Reports Fire Extinguisher Service
Comment Proshield 3/17
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* S 80.00
Received By Shelly Rosales
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 3/6/2018