HomeMy WebLinkAbout2558 W 9TH ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/Ii : pI1r , 06/20/2018 07/20/2018 2018-00000382 $50.00
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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-2558 W 9TH ST- 6-14-18 FOR BILLING INQUIRY: (319)291-4323
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L Description-_.. � Total Price J
INSPECTION 1 $40.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13340 06/20/2018 07/20/2018 2018-00000382 $50.00
Less Prepayment $0.00
Total Due—* $50.00
City of Waterloo
6/14/2018 Submission Completed
Commercial Fire Inspection Report
Inspection Number 1562
Prior Inspection Fill this field if it is available, it will auto-fill business name and address.
Number
Inspector* Barry Stratton
File Upload
Address* 2558 W 9th St
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 2 CO/Smoke detectors not working.
http://weblink/Forms/Form/Submit 1/2
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 2/2