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822 LA PORTE RD (2)
.'11.1 INVOICE DATE DUE DATE INVOICE# TOTAL DUE // 12/17/2018 01/30/2019 2019-00010222 $200.00 (ferloo �o Customer#: 13974 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable WATERLOO GENERAL MARKET INC. 715 Mulberry St 822 LA PORTE RD WATERLOO, IA 50703 WATERLOO,IA 50702 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION- 822 LAPORTE RD- 12-13-18 FOR BILLING INQUIRY: (319)291-4323 L Description Total Price REINSPECTION 3 $200.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 13974 12/17/2018 01/30/2019 2019-00010222 $200.00 Less Prepayment $0.00 Total Due- $200.00 City of Waterloo RE1NSPECTI©N - Commercial Fire Inspection Form Inspection Number 1778 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* 822 La Porte Rd Business Name Waterloo General Market Inspection Date* 12/13/2018 Proprietor Koffi Gangbra and AFI Koudadje Business Phone 319-232-1046 Email* Cindy.Young@waterloo-ia.org Email 2 Property Owner Koffi Gabngbra and Afi Koudadje Emergency Contact Information Phone Violations Ref# Code Violation &Location Corrected 1 2. Remove power cords from ceiling space at front of store(open sign etc. ) 2 3. Install a currently serviced 2A-10BC fire extinguisher in an easily accessible location 4"to 5'above the floor. 3 6. Replace missing ceiling tiles. 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 Re ports Reports Comment Inspection Fee Occupancy Fee Re-inspection Fee S 200,00 Total Fee* S 200,00 Received By Cashier AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload (for long inspections) Reinspection Re-inspection Date Time 5 1/4/2019