HomeMy WebLinkAbout66 E TOWER PARK DR (2) INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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/A ! N 05/26/2021 06/30/2021 2021-00000273 $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-4-15-21 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price
REINSPECTION 3 $200.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
9695 05/26/2021 06/30/2021 2021-00000273 $200.00
Less Prepayment $0.00
Total Due $200.00
City of Waterloo
WATERLOO FIRE RESCUE �p ERLoo
INSPECTION REPORT is.\/)
DOLLAR GENERAL#7136,66 E TOWER PARK DR,BLDG 66 E TOWER PARK DR, WATERLOO IA 44100,
50701
DETAILS
Inspection Date:04/15/2021 Inspection Type:Annual Inspection(1 Yr) Inspection Number:5673 Shift: N A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: BARRY STRATTON Fee:$200.00 70///
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 is still missing.
Egress light at front of store by carts still not working.
GENERAL NOTES
BARRY STRATTON-04/15/2021 @ 09:59 Re-Inspection Fee$200.00
REINSPECTION DATE
05/10/2021
CONTACT SIGNATURE
Caleb Barton VE
Signed on:04/15/2021 @ 09:58
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:04/15/2021 @ 09:58
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 04/15/2021 @ 09:59
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