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927 W 5TH ST
INVOICE DATE DUE DATE INVOICE# TOTAL DUE ria ;i4i';,� . 08/13/2018 09/20/2018 2019-00010091 $80.00 4terloo Customer#: 22281 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable CHI-STOP 715 Mulberry St 927 WEST 5TH STREET WATERLOO, IA 50703 WATERLOO,IA 50701 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION-927 W 5TH ST- 8-7-18 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 22281 08/13/2018 09/20/2018 2019-00010091 $80.00 Less Prepayment $0.00 Total Due $80.00 City of Waterloo Commercial Fire Inspection Report Inspection Number 1706 Prior Inspection 313 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* 927 Business name Chi-Stop Inspection Date* 8/7/2018 Proprietor Tyrone Jackson Business Phone 319-504-1011 Email* BlackG186©yahoo.com Email 2 Property Owner Ben Stroh Emergency Contact Tyrone Jackson Information Phone 319-504-1011 Violations Ref# CODE Violation &Location Corrected 1 609.3.3.1 Provide current semi-annual kitchen hood exhaust system cleaning/inspection report with all deficiencies corrected. 2 904.11.6. Provide current semi-annual kitchen hood fire suppression system 2 inspection/testing with all deficiencies corrected by a contractor certified to work in the State of Iowa 3 Provide annual service for fire extinguishers. 4 Remove gasoline(moped )from building. 5 Obtain approved, listed metal container with self-closing lid for all grease laden items(see attached). CODE Violation &Location Corrected Ref# 6 Replace msrng cehing tile 7 Properly contain exposed wiring in junction box by rear outside light fixture. 8 Remove grease soaked cardboard and all combustible materials to a minimum of 36"from cooking appliances. 9 All appliances including coolers, freezers, microwaves must plug directly into wall outlets. Remove all extension cords. 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 $ 70.00 Occupancy Fee $ 10.00 Re-inspection Fee S Total Fee* S 80,00 Received By Tyrone Jackson AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload (for long inspections) Reinspection Re-inspection # Date Time 1 8/21/2018