HomeMy WebLinkAbout437 SULLIVAN AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
It r 03/23/2021 04/26/2021 2021-00000233 $80.00
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Customer#: 21828 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
JIM'S FOOD 715 Mulberry St
437 SULLIVAN AV WATERLOO, IA 50703
WATERLOO,IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-437 SULLIVAN AVE-3-8-21 FOR BILLING INQUIRY: (319)291-4323
L Description Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
21828 03/23/2021 04/26/2021 2021-00000233 $80.00
Less Prepayment $0.00
Total Due—p $80.00
City of Waterloo
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WATERLOO FIRE RESCUE 2-) 1
INSPECTION REPORT ,:i‘
FIM'S FOOD,437 SULLIVAN AVE,BLDG 437 SULLIVAN AVE, WATERLOO IA 50701 4740
DETAILS
Inspection Date:03/08/2021 i Inspection Type:Annual Inspection(1Yr) i Inspection Number:4153 I Shift: N/A Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL i Other Inspectors: N/A
STATUS CODE DESCRIPTION
FAIL 604.2.5-Exit signs Emergency power shall be provided for exit signs as required in Section 1013.6.3.The
system shall be capable of powering the required load for a duration of not less than
90 minutes.
Inspector:JEFF SIEBEL-Comments:repair exit/egress light above main door.
FAIL 605.5-Extension cords Extension cords and flexible cords shall not be a substitute for permanent wiring.
Extension cords and flexible cords shall not be affixed to structures,extended
through walls,ceilings or floors,or under doors or floor coverings,nor shall such
cords be subject to environmental damage or physical impact. Extension cords shall
be used only with portable appliances.
Inspector:JEFF SIEBEL-Comments:remove extension cord to sump pump in
basement.Install permanent outlet with permit and inspections.
GENERAL NOTES
JEFF SIEBEL-03/09/2021 @ 15:36 annual inspection$80
REINSPECTION DATE
03/29/2021
CONTACT SIGNATURE
Ahmad Shahbaz i a c_/ ,i
Signed on:03/09/2021 @ 15:36
�%( Printed on 03/09/2021 @ 15:38
CI 6I Page 1 of 2
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:03/09/2021 @ 15:37
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 03/09/2021 @ 15:38
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