HomeMy WebLinkAbout324 FLETCHER AVE �;��� INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/pip 1',• r��•% 07/05/2018 08/10/2018 2019-00010003 $80.00
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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-324 FLETCHER AVE- 6-11-18 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
3360 07/05/2018 08/10/2018 2019-00010003 $80.00
Less Prepayment $0.00
Total Due—> $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1541
Prior Inspection 464
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* 324 Fletcher
Business name Kwikip-#732
Inspection Date* 6/11/2018
Proprietor
Business Phone 319-233-2989
Email* licensingdept@kwiktrip.com
Email 2 dhafner@kwiktrip.com
Property Owner Kwikstar Corp
Emergency Contact
Information
Phone 608-793-6262
Violations
Ref# CODE Violation &Location Corrected
1 Provide annual safety testing report including all compressed
natural gas pump stations for the Compressed Natural Gas Plant..
2 Remove storage around battery charging station for floor scrubber.
Maintain a minimum of 36"clearance at all times.
3 Maintain storage a minimum of 24"below ceiling in back room as
well as walk in coolers and freezers.
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 Kwik Trip Inc. 8/17
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By Angie McCoy
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection # Date Time
1 7/9/2018