HomeMy WebLinkAbout1415 E SAN MARNAN DR INVOICE DATE DUE DATE INVOICE# TOTAL DUE
�/110■\ ,k, 02/09/2021 03/15/2021 2021-00000184 $80.00
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Customer#: 22675 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
AMIGOS 715 Mulberry St
1415 E SAN MARNAN DR WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1415 E SAN MARNAN DR- 1-13-21 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER Iv BILLING DATE DUE DATE INVOICE# CHARGES
22675 02/09/2021 03/15/2021 2021-00000184 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Inspection Date:01/13/2021 I Inspection Type:Annual Inspection(1Yr) I Inspection Number:4292 I Shift: N/A I Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A ; Fee:$80.00
STATUS CODE DESCRIPTION
FAIL 305.1 -Clearance from Clearance between ignition sources,such as luminaires,heaters,flame-producing
ignition sources devices and combustible materials,shall be maintained in an approved manner.
Inspector:JEFF SIEBEL-Comments:remove storage around and on water heater.
maintain 36"clearance minimum
FAIL 605.7-Appliances Electrical appliances and fixtures shall be tested and listed in published reports of
inspected electrical equipment by an approved agency and installed and maintained
in accordance with all instructions included as part of such listing.
Inspector:JEFF SIEBEL-Comments:replace missing moisture proof light cover in
cooler.
GENERAL NOTES
JEFF SIEBEL-01/19/2021 @ 09:30 Annual Inspection$80
JEFF SIEBEL-01/19/2021 @ 09:31 hood suppression 1/7/21 by proshield
JEFF SIEBEL-01/19/2021 @ 09:31 hood cleaning by Cody 10/1/21
JEFF SIEBEL-01/19/2021 @ 09:32 obstructions removed from exit pathway to west door during inspection.
REINSPECTION DATE
02/03/2021
Printed on 01/192021 @ 09:34
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CONTACT SIGNATURE
Oscar Valdivia P / J
Signed on:01/19/2021 @ 09:32
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:01/19/2021 @ 09:32
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 01/19/2021 @ 09:34
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