HomeMy WebLinkAbout66 E TOWER PARK DR INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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,�\M\ 05/26/2021 06/30/2021 2021-00000264 $200.00
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Customer#: 9695 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
DOLLAR GENERAL#7136 715 Mulberry St
100 MISSION RIDGE WATERLOO, IA 50703
GOODLETTSVILLE, TN 37072
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 66 E TOWER PARK DR- 5-10-21 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price]
REINSPECTION 3 $200.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
9695 05/26/2021 06/30/2021 2021-00000264 $200.00
Less Prepayment $0.00
Total Due $200.00
City of Waterloo
WATERLOO FIRE RESCUE 44P.c.4,o0
INSPECTION REPORT t ;VI
DOLLAR GENERAL#7136,66 E TOWER PARK DR,BLDG 66 E TOWER PARK DR, WATERLOO IA
S0701
DETAILS CI\ -
Inspection Date:05/10/2021 Inspection Type:Annual Inspection(1 Yr) Inspection Number: 5775 ! Shift: N/A k Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: BARRY STRATTON Fee:$200.00
STATUS CODE DESCRIPTION
FAIL 604.2.12-Means of egress Emergency power shall be provided for means of egress illumination in accordance
illumination with Sections 1008.3 and 1104.5.1.
Inspector: BARRY STRATTON -Comments: Egress light on West wall still missing and
Egress light at front to store by carts still not working.
GENERAL NOTES
BARRY STRATTON-05/10/2021 @ 11:15 Re-Inspection Fee$200.00
REINSPECTION DATE
06/10/2021
CONTACT SIGNATURE
Caleb Barton � 1
Signed on:05/10/2021 @ 11:16 �f
_
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:05/10/2021 @ 11:16
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 05/10/2021 @ 11:48
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