HomeMy WebLinkAbout3910 UNIVERSITY AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
iC �� 07/10/2018 2018-00000348 $80.00
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Customer#: 21006 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
WALGREENS DRUG STORE#3590 715 Mulberry St
3910 UNIVERSITY 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-3910 UNIVERSITY AVE- 5-17-18 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
21006 06/04/2018 07/10/2018 2018-00000348 $80.00
Less Prepayment $0.00
Total Due--p $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1487
Prior Inspection 353
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
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Address* 3910 University Avenue
Business name Walgreens
Inspection Date* 5/17/2018
Proprietor Mike Mueller
Business Phone 319-236-9927
Email* Str.03590@store.walgreens.com
Email 2 toni.franklin@walgreens.com
Property Owner Mike Mueller
Emergency Contact Mike Mueller
Information
Phone 563-542-1173
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 Repair exit light above door to restroom hall.
3 Repair egress light by aisles 5-and 14
4 Repair egress light by photo area.
Comments:
If violations noted during the inspection are not corrected by the given re-inspection date,additional fees
re 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 Mike Mueller
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