HomeMy WebLinkAbout359 SOUTHBROOKE DR /A►��;�""►. INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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� 06/20/2018 ' 07/20/2018 2 -� grt� 018 00000364 $80.00
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Customer#: 13340 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
EXCEPTIONAL PERSONS INC 715 Mulberry St
•
PO BOX 4090. WATERLOO, IA 50703
WATERLOO,IA 50704
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-359 SOUTHBROOKE DR- 6-14-18 I � �FOR BILLING INQUIRY: 319 291-4323
LDescription
Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE
$10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13340 06/20/2018 07/20/2018 2018-00000364 $80.00
Less Prepayment $0.00
Total Due-i $80.00
City of Waterloo
6/14/2018 Submission Completed
Commercial Fire Inspection Report
Inspection Number 1551
Prior Inspection 238
Number Fill this field if it is available, it will auto-fill business name and address.
Inspector* Barry Stratton
File Upload
Address* 359 Southbrooke Drive
Business name Exceptional Persons Inc
Inspection Date* 6/14/2018
Proprietor Exceptional Persons INC
Business Phone 319-404-1706
Email* dan.bigler@episervice.org
Email 2
Property Owner Exceptional Persons INC
Emergency Contact Dan Bigler
Information
Phone 319-404-1706
Violations
Ref# CODE Violation & Location Corrected
1
http://weblink/Forms/Form/Submit 1/3
6/14/2018 Submission Completed
Comments: No violations present.
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 Alarm
Comment Hawkeye Alarm
Reports Fire Extinguisher Service
Comment Proshield
Reports Emergency Egress Exit and Egress Lights Testing.
Comment All lights worked.
Reports
Comment Fire Drill 6/9/2018
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Dan
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
http://weblink/Forms/Form/Submit 2/3
6/14/2018 Submission Completed
Reinspection
Re-inspection # Date Time
http://weblink/Forms/Form/Submit 3/3