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Home My WebLink About875 FLETCHER DR -w� INVOICE DATE, DUE DATE INVOICE# TOTAL DUE /kir 11-11;, 07/06/2018 08/10/2018 2019-00010025 $80.00 cterloo �o Customer#: 3360 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable KWIK STAR#732 715 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- 875 FLETCHER DR- 7-5-18 FOR BILLING INQUIRY: (319)291-4323 Description Total Price INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 3360 07/06/2018 08/10/2018 2019-00010025 $80.00 Less Prepayment $0.00 Total Due $80.00 City of Waterloo C rnmercial Fire Inspection Report.. Inspection Number 1623 Prior Inspection 1043 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* 875 Fisher Drive — Business name Kwik Star Store#569 Inspection Date* 7/5/2018 Proprietor Steven Tupe Business Phone 319-232-1917 Email* Dhafner@kwiktrip.com Email 2 Seservicedesk@kwiktrip.com Property Owner Kwik Trip Corp Emergency Contact Steven Tupe Information Phone 319-830-7222 Violations Ref# CODE Violation &Location Corrected 1 Repair egress/exit light above main exit door. 2 Repair Exit door by ice machine. Door must unlatch and swing to full open with less than 15#s force. 3 Repair egress/exit light in south bay of car wash. 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 Fire Extinguisher Service Comment Al Fire Protection 8/17 Inspection Fee $ 70.00 Occupancy Fee $ 10.00 Re-inspection Fee S Total Fee* S 80.00 Received By Safety Manager AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload(for long inspections) Reinspection Re-inspection# Date Time 1 7/26/2018