HomeMy WebLinkAbout822 LA PORTE RD (2) INVOICE DATE DUE DATE INVOICE# TOTAL DUE
�1 ��■� rr • 11/15/2018 12/20/2018 2019-00010166 $150.00
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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- 11-5-18 FOR BILLING INQUIRY: (319)291-4323
L Description Total Price
REINSPECTION 2 $150.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13974 11/15/2018 12/20/2018 2019-00010166 $150.00
Less Prepayment $0.00
Total Due— $150.00
City of Waterloo
REINSPECTION - 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* 11/5/2018
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 etch)
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 Replace all 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
Reports
Reports
Comment
Inspection Fee $
Occupancy Fee $
Re-inspection Fee $ 150.00
Total Fee* $ 150.00
Received By Clerk
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection Date Time
3 11/26/2018