HomeMy WebLinkAbout3341 W 4TH ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/471 1114,!���, 06/20/2018 . 07/20/2018 2018-00000366 $80.00
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 TIES PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-3341 W 4TH ST- 6-14-18 FOR BILLING INQUIRY: (319)291-4323
Description
. _:
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 2018-00000366 $80.00
Less Prepayment $0.00
Total Due--} $80.00
City of Waterloo
6 '4/2018 Submission Completed
Commercial Fire Inspection Report
Inspection Number 1549
Prior Inspection 236
Number Fill this field if it is available, it will auto-fill business name and address.
Inspector* Barry Stratton
File Upload
Address* 3341 West 4th Street
Business name Exceptional Persons Inc
Inspection Date* 6/14/2018
Proprietor Dan Bigler
Business Phone 319-404 1706
Email* dan.bigler@episervice.org
Email 2
Property Owner Dan Bigler
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 6/2018
Reports Fire Extinguisher Service
Comment Proshield
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)
Reinspection
Re-inspection # Date Time
http://weblink/Forms/Form/Submit
2/3
6/14/2018 Submission Completed
Re-inspection # Date Time
http://weblink/Forms/Form/Submit 3/3