HomeMy WebLinkAbout1515 LAFAYETTE ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
fti�1�■ ter:•, 02/09/2021 03/15/2021 2021-00000213 $100.00
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Customer#: 21445 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
WATERLOO WOMENS CENTER FOR CHANGE 715 Mulberry St
1515 LAFAYETTE ST WATERLOO, IA 50703
WATERLOO,IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1515 LAFAYETTE ST- 1-19-21 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price
INSPECTION 20,000 $90.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
21445 02/09/2021 03/15/2021 2021-00000213 $100.00
Less Prepayment $0.00
Total Due—> $100.00
City of Waterloo
ATERLOO LI 5
FIRE RESCUE
INSPECTION REPORT r g t
WOMEN'S CENTER FOR CHANGE,1515 LAFAYETTE ST,BLDG 1515 LAFAYETTE,WATERLOO LA
50703 440
DETAILS
Inspection Date:01/19/2021 I Inspection Type:Annual Inspection(1Yr) I Inspection Number:3973 ; Shift: N/A
Station:Station 1 Fire Headquarters I Unit:324-Fire Marshal Lead Inspector:BROCK WELIVER I Other Inspectors: N/A
Fee:$100.00
VIOLATIONS
No Violations Found
GENERAL NOTES
BROCK WELIVER-01/19/2021 @ 15:17 Fire Alarm=current,serviced by Hawkeye Alarm&Signal 12-7-2020. Report is in The
Compliance Engine-no deficiencies noted
BROCK WELIVER-01/19/2021 @ 15:18 Fire Sprinkler=current,serviced by Black Hawk Sprinkler 9-21-2020. Report is in The
Compliance Engine-no deficiencies noted
BROCK WELIVER-01/19/2021 @ 15:19 Hood Cleaning=current,serviced by Proshield 11-20-2020. Report is in The
Compliance Engine-no deficiencies noted
BROCK WELIVER-01/19/2021 @ 15:21 Hood Suppression=current,serviced by Superior Fire Protection Equipment 11-19-
2020. Report is in The Compliance Engine-no deficiencies noted
BROCK WELIVER-01/19/2021 @ 15:21 Fire Extinguishers=current,serviced by Superior Fire Protection Equipment-May
2020
BROCK WELIVER-01/19/2021 @ 15:22 Generator=current,serviced by Pioneer 10-27-2020. Report is on file with Blake
Burton
BROCK WELIVER-01/19/2021 @ 15:23 Dryer Vent Cleaning=current,log kept by staff who perform the work-Blake Burton
BROCK WELIVER-01/19/2021 @ 15:26 Inspection Fee=$100
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GENERAL NOTES
BROCK WELIVER-01/19/2021 @ 15:26 Invoice Contact/Blake Burton/319-240-6706 cell
BROCK WELIVER-01/19/2021 @ 15:26 No violations found at the time of inspection
NEXT INSPECTION DATE
01/19/2022
CONTACT SIGNATURE
Blake Burton Contact Refused
Refusal Reason:Not required due to Covid
INSPECTOR SIGNATURE
BROCK WELIVER
Signed on:01/19/2021 @ 15:25
QUESTIONS ABOUT YOUR INSPECTION?
BROCK WELIVER
brock.weliver@waterloo-ia.org
3192914460
Printed on 01/19/2021 @ 15:27
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