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407 E PARK RD
CiliWil;\ INVOICE DATE DUE DATE INVOICE# TOTAL DUE 06/20/2018 07/20/2018 2018-00000399 $80.00 Customer#: 9492 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable ELK'S CLUB 715 Mulberry St 407 E PARK AV WATERLOO, IA 50703 WATERLOO, IA 50703 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION-407 E PARK RD - 6-6-18 FOR BILLING INQUIRY: (319)291-4323 L Description I Total Price J INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 9492 06/20/2018 07/20/2018 2018-00000399 $80.00 Less Prepayment $0.00 Total Due— $80.00 City of Waterloo Commercial Fire Inspection Report Inspection Number 1523 Prior Inspection 430 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* 407 East Park Business name Elk's Club Inspection Date* 6/6/2018 Proprietor Sherri Simon Business Phone 319-234-7568 Email* Sherri©waterlooelks.com Email 2 Property Owner Elk's Club Emergency Contact Sherri Simon Information Phone 319-404-6474 Violations Ref# CODE Violation &Location Corrected 1 NFPA 72 Provide current annual fire alarm inspection/testing report with all deficiencies corrected by a contractor certified to perform work in the State of Iowa. 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 Repair fire alarm annunciator screen by office. 4 Remove obstructions in front of electric panel in office. Maintain a minimum of 36"clearance minimum in front of panel. CODE Violation &Location Corrected Ref# 5 Repair emergency egress light in Brass lounge stairway 6 Remove obstructions to K-guard in lower kitchen. Maintain a minimum of 36"clearance to and around. 7 Remove all combustible material within 36"of transformer rear entry storage. 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* S 80.00 Received By Pete Fuller AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload (for long inspections) Reinspection Re-inspection# Date Time 1 6/27/2018