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Home My WebLink About707 BROADWAY INVOICE DATE DUE DATE INVOICE# TOTAL DUE l,��i��1 ; 06/20/2018 07/20/2018 2018-00000413 $80.00 IP? Customer#: 3323 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable KWIK STAR#723 715 Mulberry St 1626 OAK ST WATERLOO, IA 50703 LA CROSS, WI 54602 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION - 707 BROADWAY-6-15-18 FOR BILLING INQUIRY: (319)291-4323 L Description Total Price INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 3323 06/20/2018 07/20/2018 2018-00000413 $80.00 Less Prepayment $0.00 Total Due $80.00 City of Waterloo Commercial Fire Inspection Report, Inspection Number 1577 Prior Inspection 458 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, A 50703 Phone(319)-230-1224 Fax: (319)-291-4262 Email:Jeff.Siebel@waterloo-ia.org File Upload Address* 707 Broadway Business name Kwik Star#723 Inspection Date* 6/15/2018 Proprietor Brandon Olson Business Phone 319-234-2620 Email* dhafner@kwiktrip.com Email 2 licensing@kwiktrop.com Property Owner Brandon Olson Emergency Contact Brandon Olson Information Phone 319-404-1249 Violations Ref# CODE Violation&Location Corrected 1 Repair egress light by pop coolers 2 Repair egress light womens restroom Comments: ESD not tested due to heavy usage. 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 Kwik Trip Inc.8/17 Inspection Fee $ 70.00 Occupancy Fee $ 10.00 Re-inspection Fee $ Total Fee* $ 80.00 Received By Leroy AN INVOICE OF THIS CHARGE WILL FOLLOW.DO NOT PAY FROM THIS FORM. File Upload(for long inspections) Reinspection Re-inspection# Date Time 1 7/16/2018