HomeMy WebLinkAbout202 EAST 1ST ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/(40Eifil fr.;, 06/20/2018 07/20/2018 2018-00000394 $80.00
Customer#: 20693 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
FRATERNAL ORDER OF EAGLES 715 Mulberry St
202 E 1ST 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-202 EAST 1ST ST- 6-8-18 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
20693 06/20/2018 07/20/2018 2018-00000394 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1535
Prior Inspection 448
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* 202 East 1st Street
Business name Eagles Club#764
Inspection Date* 6/8/2018
Proprietor John Groth
Business Phone 319-234-9369
Email* Eagles764@yahoo.com
Email 2 Cindy.Young@waterloo-ia.org
Property Owner John Grath
Emergency Contact John Groth
Information
Phone 319-464-2564
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 Replace missing lamp in women's restroom
4 Remove clamp light above fryer
CODE Violation &location Corrected
Ref#
5 Remove storage by electrical panel in storage room by East exit
door.. Maintain a minimum of 36"clearance to and around
electrical panel at all times.
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 $200 -Third and subsequent Re-inspections
Reports
Reports Fire Extinguisher Service
Comment Proshield 7/17
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee $
Total Fee* S 80.00
Received By Janitor
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 6/29/2018