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HomeMy WebLinkAbout111 W RIDGEWAY AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE ik. /14��'1�.\,�:; 06/04/2018 07/10/2018 2018-00000343 $80.00 AMIS 1. wI.A.MN 4'1erloo Customer#: 13307 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable WALGREENS DRUG STORE 715 Mulberry St 111 W RIDGEWAY AV WATERLOO, IA 50703 WATERLOO,IA 50701 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION- 111 W RIDGEWAY AVE- 5-17-18 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 13307 06/04/2018 07/10/2018 2018-00000343 $80.00 Less Prepayment $0.00 Total Due $80.00 City of Waterloo Commercial Fire Inspection Report Inspection Number 1486 Prior Inspection 352 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* 111 West Ridgeway Business name Walgreens Inspection Date* 5/17/2018 Proprietor Andy Holbach Business Phone 319-433-0490 Email* Mgr.07455@store.walgreens.com Email 2 toni.franklin@walgreens.com Property Owner Andy Holbach Emergency Contact Andy Holbach Information Phone 319-239-9744 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. Store currently on hourly fire watch provide documentation of all checks. 2 Repair egress light by dock. 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 Sprinkler Comment Black Hawk 2/8/18 Reports Fire Extinguisher Service Comment Summit 1/18 Inspection Fee $ 70.00 Occupancy Fee $ 10.00 Re-inspection Fee $ Total Fee* $ 80.00 Received By Andy Holbach AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload(for long inspections) Reinspection Re-inspection# Date Time 1 6/7/2018