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506 W 9TH ST
INVOICE DATE DUE DATE INVOICE# TOTAL DUE 7006, l �1� el,► ��� 11/15/2018 12/20/2018 2019-00010170 $80.00 /Aga °Iterlo\o Customer#: 7635 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable KWIK STAR#380 715 Mulberry St 1626 OAK ST WATERLOO, IA 50703 LA CROSS, WI 54602 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION- 506 W 9TH ST- 10-11-18 FOR BILLING INQUIRY: (319)291-4323 LDescription Total Price INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 7635 11/15/2018 12/20/2018 2019-00010170 $80.00 Less Prepayment $0.00 Total Due $80.00 City of Waterloo Com rcial Fire Inspection Report Inspection Number 1840 Prior Inspection 588 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* 506 W 9th Street Business name Kwik Star#380 Inspection Date* 10/11/2018 Proprietor Megan Demero Business Phone 319-833-0928 Email* clenser@kwiktrip.com Email 2 seservicedesk©kwiktrip.com Property Owner Kwik Trip Corp Emergency Contact Meagon Demero Information Phone Violations Ref# CODE Violation &Location Corrected 1 Repair egress/exit light above front door. 2 Repair egress light by condiments 3 Reduce storage to a minimum of 24: below ceiling in backroom above cups. 4 Repair egress/exit light above door in back room by electric panels 5 Repair egress lights above windshield washer/charcoal lighter fluid. 6 Remove obstructions to fire extinguisher in kitchen. Maintain a minimum of 36"clearance at all times. 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 Fire Extinguisher Service Comment Kwik Trip Corp 7/18 Inspection Fee $ 70.00 Occupancy Fee $ 10.00 Re-inspection Fee $ Total Fee* $ 80.00 Received By Manager AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload (for long inspections) Reinspection Re-inspection# Date Time 1 10/31/2018