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2181 LOGAN AVE (3)
INVOICE DATE DUE DATE INVOICE# TOTAL DUE - +, A 02/14/2018 03/20/2018 2018-00000176 $50.00 Customer#: 21921 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable I WIRELESS 715 Mulberry St 4135 NW URBANDALE DRIVE WATERLOO, IA 50703 URBANDALE,IA 50322 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION-2181 LOGAN AVE-2-6-18 FOR BILLING INQUIRY: (319)291-4323 CDescription Total Price J INSPECTION 1 $40.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 21921 02/14/2018 _ 03/20/2018 2018-00000176 $50.00 Less Prepayment $0.00 Total Due—* $50.00 City of Waterloo • Commercial Fire Inspection Report Inspection Number 1265 Prior Inspection 232 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* 2181 Logan Avenue Business name I Wireless Inspection Date* 2/6/2018 Proprietor Corina Aebersold Business Phone 319-232-6578 Email* corina.aibersold©iwireless.com Email 2 Property Owner Corina Albersold Emergency Contact Corina albersold Information Phone 641-484-0830 Violations Ref# CODE Violation &Location Corrected 1 Comments: no violations found at this time 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 Hy-vee fire extinguisher is within allowable distance. Inspection Fee S 40.00 Occupancy Fee $ 10.00 Re-inspection Fee $ Total Fee* $ 50.00 Received By Corina Aebersold AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload(for long inspections) Reinspection Re-inspection# Date Time