HomeMy WebLinkAbout760 ANABOROUGH AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
4161-\
//��11p■\,'t'� 06/20/2018 07/20/2018 2018-00000417 $80.00
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Customer#: 13340 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
EXCEPTIONAL PERSONS INC 715 Mulberry St
PO BOX 4090 WATERLOO, IA 50703
WATERLOO, IA 50704
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 760 ANSBOROUGH AVE- 6-7-18 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
13340 06/20/2018 07/20/2018 2018-00000417 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1528
Prior Inspection 961
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* 760 Ansboruogh
Business name EPI Office and Maintanence building
Inspection Date* 6/7/2018
Proprietor Dan Bigler
Business Phone 319-232-6671
Email* dan.bigler@episervice.org
Email 2
Property Owner
Emergency Contact Dan Bigler
Information
Phone 319-404-1706
Violations
Ref# CODE Violation&Location Corrected
1 Repair egress light in maintenance records room
2 Install self-closing hinges on flammable liquids storage cabinet in
maintenance area
3 Repair egress light break room.
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 Annual Fire Alarm
Comment Hawkeye 6/4/18
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Dan Bligler
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