HomeMy WebLinkAbout2221 FAIRWAY LN INVOICE DATE DUE DATE INVOICE# TOTAL DUE
i� aI I .tee" 06/?0/2018 07/20/2018 2018-00000368 $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 THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2221 FAIRWAY LN-6-14-18 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
13340 06/20/2018 07/20/2018 2018-00000368 $80.00
Less Prepayment $0.00
Total Due-- $80.00
City of Waterloo
6/14/2018 Submission Completed
Commercial Fire Inspection Report
Inspection Number 1547
Prior Inspection 244
Number Fill this field if it is available, it will auto-fill business name and address.
Inspector* Barry Stratton
File Upload
Address* 2221 Fairway Ln.
Business name Exceptional Persons Inc.
Inspection Date* 6/14/2018
Proprietor EPI
Business Phone 319-404-1706
Email* dan.bigler@episervice.org
Email 2
Property Owner
Emergency Contact Dan Bigler
Information
Phone 319-404-1706
Violations
Ref# CODE Violation & Location Corrected
http://weblink/Forms/Form/Submit 1/3
61:4/2018 Submission Completed
Ref# CODE Violation & Location Corrected
1 Dryer vents not attached to the appliance and dryers are venting
into laundry room.
Comments:
If violations noted during the inspection are not corrected by the given re-inspection date, additional fees are
as follows:
$100.00 - IFirst 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 Emergency Egress Exit and Egress Lights Testing.
Comment All lights worked
Reports
Comment Fire Drill 6/9/2018
Reports Fire Extinguisher Service
Comment Proshield
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Dan
http://weblink/Forms/Form/Submit 2/3
6/;4/2018 Submission Completed
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection # Date Time
TBA
http://weblink/Forms/Form/Submit 3/3