HomeMy WebLinkAbout1956 LAFAYETTE ST INVOI(:E DATE DUE DATE INVOICE# TOTAL DUE
Ali„f,�.., 03/23/2021 04/26/2021 2021-00000221 $80.00
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Customer#: 3312 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
CORK'S GROCERY 715 Mulberry St
1956 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- 1956 LAFAYETTE ST-3-18-21 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
3312 03/23/2021 04/26/2021 2021-00000221 $80.00
Less Prepayment $0.00
Total Due—> $80.00
City of Waterloo
WATERLOO FIRE RESCUE \ A " 1 Z--- 44,.(00
INSPECTION REPORT
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CORK'S GROCERY, 1956 LAFAYETTE ST,BLDG 1956 LAFAYETTE ST, WATERLOO
IA 50703 12440
DETAILS
Inspection Date:03/18/2021 I Inspection Type:Annual Inspection(1 Yr) ; Inspection Number:4365 I Shift: N/A Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A I Fee:$80.00
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.
GENERAL NOTES
JEFF SIEBEL-03/19/2021 @ 14:50 annual inspection$80
JEFF SIEBEL-03/19/2021 @ 14:50 fire extinguishers due in May.
REINSPECTION DATE
04/09/2021
CONTACT SIGNATURE
Chuck Corchran
Signed on:03/19/2021 @ 14:51 Q ..i/
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:03/19/2021 @ 14:51
Printed on 03/19/2021 @ 14:56
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