HomeMy WebLinkAbout1717 E SAN MARNAN SR INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/ ��u\\_tr4'4I�. 08/131'2018 09/20/2018 2019-00010092 $80.00
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Customer#: 22107 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
KWIK STAR#229 715 Mulberry St
1626 OAK ST WATERLOO, IA 50703
LA CROSSE,WI 54602
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1717 E SAN MARNAN DR- 8-8-18 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
22107 08/13/2018 09/20/2018 2019-00010092 $80.00
Less Prepayment $0.00
Total Due— $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1698502
Prior Inspection 502
Number Fill this field if it is available, it will auto-fill business name and address.
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* 1717 E San Marnan Dr
Business name Kwik Star#229
Inspection Date* 8/8/2018
Proprietor Shane Henniger
Business Phone 319-233-3584
Email* Clenser@kwiktrip.com
Email 2 Seservicedesk@kwiktrip.com
Property Owner Deanna Hafner
Emergency Contact Shane Henniger
Information
Phone 319-230-6806
Violations
Ref#
CODE Violation &Location Corrected
1
Comments: Maintain a minimum of 36"path to and around electrical panels. Recommend not
using for office space. See attached pics.
No other violations found at this time.
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
70.00
Occupancy Fee
10.00
Re-inspection Fee S
� S 80.00
Total Fee
Manager
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AN INVOICE OF THIS CHAR 81 MB
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Reinspeotion Time
Re-inspection#
Date