HomeMy WebLinkAbout201 RATH ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
4�',► ,r"- 02/08/2018 03/12/2018 2018-00000136 $80.00
Oiterho
Customer#: 4648 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
PACKERS INN 715 Mulberry St
201 RATH 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-201 RATH ST- 1-17-18 FOR BILLING INQUIRY: (319)291-4323
I
L Description I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
4648 02/08/2018 03/12/2018 2018-00000136 $80.00
Less Prepayment $0.00
Total Due--* $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1204
Prior Inspection 194
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
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Address* 201 Rath Street
Business name Packers Inn
Inspection Date* 1/17/2018
Proprietor Donna Engleman
Business Phone 319-234-8456
Email* cindy.young@waterloo-ia.org
Email 2
Property Owner Donna Engleman
Emergency Contact Donna Engleman
Information
Phone 319-230-2880
Violations
Ref# CODE Violation&Location Corrected
1 Repair exit light above parking lot door. Currently hanging by wires
2 Immediately and Permanently remove surface mount slide bolt lock
and hardware on parking lot door.
Repeat violation
3 Remove improper wiring on ceiling for window air conditioners. Hire
a licensed electrician with proper permits and inspections to install
proper wiring.
R:�f# CODE Violation &Location Corrected
4 By cash register:
A. Repair/replace light above cash register. Properly contain
exposed wiring with a listed enclosure.
B. Remove circuit protected power tap from another circuit
protected power tap. (daisy chained) Each must plug directly into
an outlet and be properly mounted.
Comments: Fire extinguisher due in February
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 Superior 2/17
Inspection Fee $ 70.00
Occupancy Fee S 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Bartender
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 2/7/2018