HomeMy WebLinkAbout1975 FRANKLIN ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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Jfil 02/08/2018 03/12/2018 2018-00000135 $80.00
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Customer#: 21926 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
RAY'S SUPERMARKET INC 715 Mulberry St
1975 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- 1975 FRANKLIN ST- 1-18-18 FOR BILLING INQUIRY: (319)291-4323
I_Description I Total Price j
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
•
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
21926 02/08/2018 03/12/2018 2018-00000135 $80.00
Less Prepayment $0.00
Total Due--> $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1206
Prior Inspection 207
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* 1975 Franklin Street
Business name Ray's Super Market
Inspection Date* 1/18/2018
Proprietor Jasmine yasmeen
Business Phone 319-232-2388
Email* Cindy.young@v+raterloo-ia.org
Email 2 raysmarket786@gmail.com
Property Owner Tariq Naswem
Emergency Contact Yasmine Yasmeen
Information
Phone 319-229-3586
Violations
Ref# CODE Violation&Location Corrected
1 609.3.3.1 Provide current semi-annual kitchen hood exhaust system
cleaning/inspection report with all deficiencies corrected.
2 904.11.6. Provide current semi-annual kitchen hood fire suppression system
2 inspection/testing with all deficiencies corrected by a contractor
certified to work in the State of Iowa
3 Provide annual service for fire extinguishers.
4 Provide name of person that improperly installed wiring to security
lights on outside of building. Remove hazardous wiring and employ
a licensed electrician with proper permits and inspections.
Ref# CODE Violation &Location Corrected
5 Replace damaged circuit protected power taps for window signs by
freezer at front of store.
6 Backroom:
A. replace missing ceiling tiles
B. Remove propane from building and secure outside.
C. Remove gas appliance outside of hood fire suppression
coverage or document proper use and coverage.
7 Repair egress/exit light by back door.
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
Comment
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* $ 80.00
Received By Jasmine Yaseem
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 2/8/2018