HomeMy WebLinkAbout1850 LOGAN AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
aPiPa fiT\I1,�.•. 07/24/2018 07/31/2018 2019-00010059 $100.00
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Customer#: 13992 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
WALGREENS DRUG STORE 715 Mulberry St
1850 LOGAN AV WATERLOO, IA 50703
WATERLOO,IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1850 LOGAN AVE- 7-20-18 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13992 07/24/2018 07/31/2018 2019-00010059 $100.00
Less Prepayment $0.00
Total Due $100.00
City of Waterloo
REINSPECTION - Commercial Fire Inspection Form
Inspection Number 354
Inspector* Jeff Siebel
Waterloo Fire Rescue
715 Mulberry Street Waterloo, IA 50703
Phone(319)-230-1224 Fax. (319)-291-4262
Email:Jeff.Siebel@waterloo-ia.org
File Upload
Address* 1850 Logan Avenue
Business Name Walgreens
Inspection Date* 7/20/2018
Proprietor Vicki Wheeler
Business Phone 319-296-7761
Email* mgr.10855@store.walgreens.com
Email 2 toni.franklin@walgreens.com
Property Owner Vicki Wheeler
Emergency Contact Vicki Wheeler
Information
Phone 970-388-4599
Violations
Ref# Code Violation &Location Corrected
1 NFPA 25 Provide current annual fire sprinkler system
inspection/testing report with all deficiencies corrected by
a contractor certified to perform work in the State of Iowa.
Report from Black Hawk Sprinklers dated 2/8/18 lists
discrepancies. (4 heads in freezer/cooler require
replacement or testing). Provide documentation of
corrections being completed.
Comments: Original Fire Inspection started 5/17/18.
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
Occupancy Fee
Re-inspection Fee $ 100.00
Total Fee* $ 100.00
Received By Vicki Wheeler
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection Date Time
4 8/10/2018