HomeMy WebLinkAbout1120 FRANKLIN ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/��+�,��16 ter_•, 01/04/2021 02/10/2021 2021-00000166 $200.00
• Customer#: 3423 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
FAMILY DOLLAR STORE 715 Mulberry St
500 VOLVO PARKWAY WATERLOO, IA 50703
CHESAPEAKE, VA 23320
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1120 FRANKLIN ST- 12-17-20 FOR BILLING INQUIRY: (319)291-4323
L Description
Total Price J
REINSPECTION 3 $200.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
3423 01/04/2021 02/10/2021 2021-00000166 $200.00
Less Prepayment $0.00
Total Due—* $200.00
City of Waterloo
1;.b 400 Rt.%
WATERLOO FIRE RESCUE v `
INSPECT/ON REPORT 41:i \ t
FAMILY DOLLAR,1120 FRANKLIN ST,BLDG 1120 FRANKLIN ST,WATERLOO IA 50703
DETAILS
Inspection D :12/17/2020 spection Type:Annual Inspection(1Yr) I Inspection Number:5185 I Shift: N/A ; Station: N/A
Unit: N/A I Lea 'ectO1 JEFF SIEBEL I Other Inspectors: N/A I Fee:$ .00
STATUS CODE DESCRIPTION
FAIL 102.4-Application of building The design and construction of new structures shall comply with the International
code Building Code,and any alterations,additions,changes in use or changes in
structures required by this code,which are within the scope of the International
Building Code,shall be made in accordance therewith.
Inspector:JEFF SIEBEL-Comments:obtain electrical permit and inspections for
electrical work completed in installing new outlets for reach in coolers installed.
GENERAL NOTES
JEFF SIEBEL-12/17/2020 @ 13:36 re-inspection fee$200
JEFF SIEBEL-12/17/2020 @ 13:43 called scott 12/17/20 1340
REINSPECTION DATE
01/19/2021
CONTACT SIGNATURE
Scott Andrews p klr-1C,
Signed on:12/17/2020 @ 13:43
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:12/17/2020 @ 13:43
Printed on 12/17/2020 @ 13:45
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