HomeMy WebLinkAbout2554 EDGEMONT AVE ANL,� INVOICE DATE DUE DATE INVOICE# TOTAL DUE
rI��� 06/2G/20
/4�rt�� 18 • 07/20/2018 2018-00000379 $50.00
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-2554 EDGEMONT AVE- 6-14-18
FOR BILLING INQUIRY: (319)291-4323
1
L Description
Total Price J
INSPECTION I
OCCUPANCY FEE $40.00
$10.00
•
CUSTOMER# BILLING DATE I DUE DATE
13340 06/20/2018 INVOICE# CHARGES
07/20/2018
2018-00000379 $50.00
Less Prepayment $0.00
Total Due $50.00
City of Waterloo
6/!4/2018 Submission Completed
Commercial Fire Inspection Report
Inspection Number 1565
Prior Inspection Fill this field if it is available, it will auto-fill business name and address,
Number
Inspector* Barry Stratton
File Upload
Address* 2554 Edgement Ave
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 Need CO detectors in vicinity of the bedrooms. (2) CO's
http://weblink/Forms/Form/Submit
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6/14/2018 Submission Completed
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
Comment
Inspection Fee $ 40.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 50.00
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
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