HomeMy WebLinkAbout822 LA PORTE RD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
mh,„ at 11/16/2018 01/17/2019 2019-00010199 $100.00
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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 LA PORTE RD - 10-11-18 FOR BILLING INQUIRY: (319)291-4323
L Description ( Total Price
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13974 11/16/2018 01/17/2019 2019-00010199 $100.00
Less Prepayment $0.00
Total Due—* $100.00
City of Waterloo
REINSPICTIC-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* 10/11/2018
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 4. Remove obstructions from both furnace rooms.
maintain a minimum of 36"clearance to and around
furnaces.
4 5. Remove obstructions and maintain a minimum of 36'
clearance to electrical panels at all times.
5 6. Replace missing ceiling tiles.
nef# o«u* m»|euion mLocauiun Corrected
Comments: Provide valid email.
If violations noted during the inspection are not corrected by the given re-inspection date, additional fees
are asfollows:
$100.00 -First Re-inspection 1$150.00 -Second Re-inspection $200 -Third and subsequent Re-inspections
Reports
Reports
Comment
Inspection Fee 8
Occupancy Fee S
Re-inspection Fee S 100.00
Total Fee* S 100o0
Received By cxem
Aw INVOICE OF THIS CHARGE WILL FoLLOvv oo NOT PAY FROM THIS FORM,
File Upload (for long
inspections)
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Re-inspection Date Ti me