HomeMy WebLinkAbout1976 FRANKLIN ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/1i�,11��NIct 06/20/2018 07/20/2018 2018-00000418 $80.00
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Customer#: 22784 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
YESWAY 715 Mulberry St
138 CONANT ST WATERLOO, IA 50703
BEVERLY,MA 01915
Amount Enclosed.
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1976 FRANKLIN ST- 6-6-18 FOR BILLING INQUIRY: (319)291-4323
Description 1 Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
22784 06/20/2018 07/20/2018 2018-00000418 $80.00
Less Prepayment $0.00
Total Due — $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1521
Prior Inspection 423
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* 1976 Franklin Street
Business name Yesway
Inspection Date* 6/6/2018
Proprietor Brian Trout(corp)
Business Phone 319-233-3412
Email* permits@yesway.com
Email 2 store1022@yesway.com
Property Owner Shelly knot
Emergency Contact Shelly Knott
Information
Phone 319-415-9185
Violations
Ref# CODE Violation&Location Corrected
1 Remove extension cord in front of store to Blue Bunny Store.
2 Replace missing breakers or install listed and approved blanks in
the spaces.
3 Repair egress light in back room of store.
Comments: ESD Ok
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 Belles 5/18
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By Shelly Knott
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Re i ns pection
....................... .
Re-inspection# Date Time
1 6/27/2018