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HomeMy WebLinkAboutGET AIR-3729 UNIVERSITY AVE OF WA TF INVOICE DATE DUE DATE INVOICE# TOTAL DUE r �/�0 10/02/2026 11/06/2026 2027-00000156 $100.00 • • 1 ■11 11 11 11 • > 7VI/N Customer#: 25091 Please Make Check Payable and Remit To: City of Waterloo ATTN:: City Clerk/Accounts Receivable GET AIR 715 Mulberry St 3729 UNIVERSITY AVENUE WATERLOO, IA 50703 WATERLOO, IA 50701 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL FIRE INSPECTION -3729 UNIVERSITY AVE- FOR BILLING INQUIRY: (319)291-4323 09/28/26 IDescription Total Price INSPECTION 20,000 $90.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 25091 10/02/2026 11/06/2026 2027-00000156 $100.00 Less Prepayment $0.00 Total Due-* $100.00 City of Waterloo Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of Administrative Services Offset Program if not paid in full within ninety days. W Waterloo Fire Rescue �•{ til ) Inspection Report 425 E.3rd Street Get Air-3729 University AVE,BLDG 3729 University Ave,Waterloo IA 50701 INSPECTION DETAILS Inspection Date Inspection Type Inspection Number 0912812026 Annual Inspection(1Yr) a r',It I 4 (x 935 Lead Inspector Shift Station Unit BRAD BALDWIN N/A N/A N/A Other Inspectors NIA SUMMARY OF INSPECTION 036 029 ® 24 Passed codes Failed codes N/A codes NEXT STEPS Please direct questions about your Inspection to: Reinspection Date BRAD BALDWIN 31/04/2026 brad.baldwin@waterloo-ia.org,3192914319 GENERAL NOTES BRAD BALDWIN-09/28/2026 @ 15:21 Fire extinguishers due annually serviced October 2026. BRAD BALDWIN-09/28/2026 @ 15:21 •If all corrections are made before the scheduled re-inspection date,you can call to set up an earlier re-inspection.Normal operating hours for inspections&re-inspections are Monday-Friday,9:00 a.m.-4:00 p.m.*****Re inspection fees may be assessed for subsequent re-inspections.Re- inspection fees start at$100,then$150,and$200 for all subsequent re-inspections. BRAD BALDWIN-09/28/2026 @ 15:21 •Commercial Fire Inspector-brad.baldwin@waterloo-ia.org-Work:319-291-4319(#0)-Cell:319-230-1224 BRAD BALDWIN-09/28/2026 @ 15:21 •$100 annual inspection fee SIGNATURES Contact signature Inspector signature No signature --1I( Report completededpost ostinspection Business Manager-2026 Date: BRAD BALDWIN 10/01/2026 CHECKLISTS GENERATED ON 10/1/2e, 12:39 PM 1 OF 18 Means of Egress Status Code Description Fail 1032.2-Reliability. Required exit accesses,exits and exit discharges shall be Location:Upstairs office continuously maintained free from obstructions or Comments:Remove all obstructions on stairs and in exit path from impediments to full instant use in the case of fire or other upper level space. emergency where the building area served by the means of egress is occupied.An exit or exit passageway shall not be used for any purpose that interferes with a means of egress. 4i se ' . Al it ', ' . GENERATED ON 10/1/26, 12:34 PM 2 OF 18 Additional Codes Status Code Description Fail 1013.1-Where required. Exits and exit access doors shall be marked by an approved Location:Break room-upper level exit sign readily visible from any direction of egress travel Comments:Remove storage from upper shelf obstructing view of exit The path of egress travel to exits and within exits shall be sign and egress lights.Maintain no storage on upper shelf. marked by readily visible exit signs to clearly indicate the direction of egress travel in cases where the exit or the path of egress travel is not immediately visible to the occupants. Intervening means of egress doors within exits shall be marked by exit signs.Exit sign placement shall be such that any point in an exit access corridor or exit passageway is within 100 feet(30 480 mm)or the listed viewing distance of the sign,whichever is less,from the nearest visible exit sign. Exceptions:1.Exit signs are not required in rooms or areas that require only one exit or exit access.2.Main exterior exit doors or gates that are obviously and clearly identifiable as exits need not have exit signs where approved by the fire code official.3.Exit signs are not required in occupancies in Group U and individual sleeping units or dwelling units in Group R-1,R-2 or R-3.4.Exit signs are not required in dayrooms,sleeping rooms or dormitories in occupancies in Group 1-3.5.In occupancies in Groups A-4 and A-5,exit signs are not required on the seating side of vomitories or openings into seating areas where exit signs are provided in the concourse that are readily apparent from the vomitories. Egress lighting is provided to identify each vomitory or opening within the seating area in an emergency. ,J I Fail 603.1-General. 0 Electrical equipment,wiring and systems required by this Location:Tables&eating area code or the International Building Code shall be installed, Comments:Food warmers(2)and mini fridges(2)shall be removed used and maintained in accordance with NFPA 70 and from plugged to power strips.Appliances including motors or Sections 603.2 through 603.10. heating elements shall plug directly to a permanent outlet. GENERATED ON 10/1/20, 12:39 PM 3 OF 18 Fail 901.6-Inspection,testing and maintenance. Fire detection and alarm systems,emergency alarm systems, Location:Above vertical trampolines gas detection systems,fire-extinguishing systems, Comments:Replace missing sprinkler head protective cage mechanical smoke exhaust systems and smoke and heat vents protection and life safety systems shall be maintained In an operative condition at all times,and shall be replaced or repaired where defective.Nonrequired fire protection and life safety systems and equipment shall be inspected,tested and maintained or removed in accordance with Section 901.8. Fail 907.8-Inspection,testing and maintenance. The maintenance and testing schedules and procedures for Location:Break room-upper level fire alarm and fire detection systems shall be in accordance Comments:Fire alarm device shall be mounted to wall to avoid with Sections 907.8.1 through 907,8.4 and NFPA 72.Records hanging by wires. of inspection,testing and maintenance shall be maintained. GENERATED ON 1®/1/26, 12:39 PM 4 OF 18 Fail 907.8.4-Inspection,testing and maintenance. The building owner shall be responsible to maintain the fire Location:Party Room#1 and life safety systems in an operable condition at all times. Comments:Missing fire alarm device shall be replaced by licensed Service personnel shall meet the qualification requirements contractor.Provide contractors invoice to show inspector. of NFPA 72 for Inspection,testing and maintenance of such systems.Records of inspection,testing and maintenance shall be maintained. i a'. . 7 t ,,:_.,: :,. 4 ,:, ,:,, ,,, , t ,. , Emergency Equipment Status Code Description Fail 1203.4.3-Records. Records of the inspection,testing and maintenance of Location:Entire business space emergency and standby power systems shall include the date Comments:Provide documentation of testing all emergency egress of service,name of the servicing technician,a summary of lighting and exit signage in space including repairs completed to conditions noted and a detailed description of any conditions non-functioning devices.Email document to inspector including requiring correction and what corrective action was taken. signed and dated of responsible person. Such records shall be maintained. GENERATED ON 10/1/28, 12:39 PM 5 OF 18 Fire Sprinkler System Status Code Description Fail 5.2.1.1.5-Missing escutcheons Escutcheons and coverplates for recessed,flush,and Location:Rear(south)exit hallway concealed sprinklers shall be replaced if found missing Comments:Sprinkler head escutcheon installed upside down shall during the inspection, be corrected.Gaps surrounding escutcheons shall be properly repaired to maintain protection of ceiling. C2 Fail 903.3.3-Obstructed locations. Automatic sprinklers shall be installed with regard to Location:Women's bathroom obstructions that will delay activation or obstruct the water Comments:Remove dust/debris from(2)sprinkler heads. distribution pattern and shall be in accordance with the applicable automatic sprinkler system standard that is being used.Automatic sprinklers shall be installed in or under covered kiosks,displays,booths,concession stands or equipment that exceeds 4 feet(1219 mm)in width.Not less than a 3-foot(914 mm)clearance shall be maintained between automatic sprinklers and the top of piles of combustible fibers.Exception:Kitchen equipment under exhaust hoods protected with a fire-extinguishing system in accordance with Section 904. Fail 903.3.3-Obstructed locations. Automatic sprinklers shall be installed with regard to Location:South wall-above"vertical trampolines" obstructions that will delay activation or obstruct the water Comments:Remove dust/debris from sprinkler heads distribution pattern and shall be in accordance with the applicable automatic sprinkler system standard that is being used.Automatic sprinklers shall be installed in or under covered kiosks,displays,booths,concession stands or equipment that exceeds 4 feet(1219 mm)in width.Not less than a 3-foot(914 mm)clearance shall be maintained between automatic sprinklers and the top of piles of combustible fibers.Exception:Kitchen equipment under exhaust hoods protected with a fire-extinguishing system in accordance with Section 904. GENERATED ON 10/1/26, 12:30 PM 6 OF 18 Fire Service Features Status Code Description Fail 509.2•Equipment access. Approved access shall be provided and maintained for all fire Location:Rear(south)exit hallway protection system equipment to permit Immediate safe Comments:Provide door handle on interior door on hallway side to operation and maintenance of such equipment.Storage,trash access Into trampoline space,currently missing handle. and other materials or objects shall not be placed or kept in such a manner that would prevent such equipment from being readily accessible. Fail 509.2•Equipment access. Approved access shall be provided and maintained for all fire Location:Electric panel room•through Party Room 1 protection system equipment to permit immediate safe Comments:Fire fighters shall have clear access to utilities in case of operation and maintenance of such equipment.Storage,trash emergency,currently door to electric room requires special and other materials or objects shall not be placed or kept in knowledge of key pad door hardware.Door shall either remain such a manner that would prevent such equipment from unlocked or changed to key lock access with copy of that key in being readily accessible. Knox Box. GENERATED ON 10/1/26, 12:39 PM 7 OF 18 Electrical Safety Code Description Fail 603.2-Abatement of unsafe conditions and electrical hazards. Location:Foam Pit Identified electrical hazards shall be abated.Identified Comments:Remove accumulation of dust behind TV around supply hazardous electrical conditions in permanent wiring shall be cord and outlet connection. brought to the attention of the responsible code official. Electrical wiring,devices,appliances and other equipment that is modified or damaged and constitutes Conditions that constitute an electrical shock or fire hazard shall be abated not be used. • el\4,, ,; A. GENERATED ON 10/1/26, 12:39 PM 8 OF 18 Fail 603.2-Abatement of unsafe conditions and electrical hazards. Location:Above play equipment(see photo attached) Identified electrical hazards shall be abated.Identified Comments:Remove green multi-plug adapter above play equipment hazardous electrical conditions in permanent wiring shall be in photo attached,also noted broken plug in adapter, brought to the attention of the responsible code official. Electrical wiring,devices,appliances and other equipment that is modified or damaged and constitutes Conditions that constitute an electrical shock or fire hazard shall be abated not be used. /, �t� . A M.;. -r.'3,, t�1'j z41 1 1 V: t ' „I., tti/10%11 it . t a• ra �' r Fail 603.2.2-Unapproved conditionsOpen electrical terminations. Open junction boxes and open-wiring splices shall be Location:"Restricted Area"through Party Room#1 prohibited.Approved covers shall be provided for all switch and electrical outlet boxes. Comments:Open wire connections shall be properly capped and contained in a box with cover.Boxes missing covers shall be i- li, corrected. . :.,, . , s CUPS -�',�T. .v f:.: '.,:"::-.',.: Ala • • ,. Jr . ti ; . - 4 y M�I' GENERATED ON 10/1/28, 12:39 PM 9 OF 18 Fail 603.2.2-Unapproved conditionsOpen electrical terminations. Open junction boxes and open-wiring splices shall be Location:"Restricted Area"through Party Room#1 prohibited.Approved covers shall be provided for all switch Comments:Install knockout plug in opening in bottom of box and electrical outlet boxes. 4110,1* 3 *a, * `-' Fail 603.4-Working space and clearancesclearance. A working space of not Working space around electrical Location:"Restricted Area"through Party Room#1-Electric panels equipment shall be provided in accordance with Section Comments:Relocate storage withing 36 inches of electric panels and 110.26 of NFPA 70 for electrical equipment rated 1,000 volts or maintain clear unobstructed path to utilities for firefighters at all less,and Section 110.33 of NFPA 70 for electrical equipment times,currently path unobstructed from door to panels. rated over 1,000 volts.The minimum required working space shall be not less than 30 inches(762 mm)in width,36 inches (914 mm)in depth and 78 inches(1981 mm)in height shall be providedin front of electrical service equipment.Where the electrical service equipment is wider than 30 inches(762 mm),the minimum working space shall be not less than the width of the equipment.Storage of materials shall not be located within the designated working space.Exceptions:1. Where other dimensions are required or allowed by NFPA 70. 2.Access openings into attics or under-floor areas that provide a minimum clear opening of 22 inches(559 mm)by 30 inches(762 mm). Fail 603.4.1-Labeling. Doors into electrical control panel rooms shall be marked Location:Party Room#1-Electric Room with a plainly visible and legible sign stating"ELECTRICAL Comments:Provide permanent signage on door indicating ROOM"or similar approved wording.The disconnecting "ELECTRIC ROOM"or other approved wording,laminated paper will means for each service,feeder or branch circuit originating not be accepted. on a switchboard or panelboard shall be legibly and durably marked to indicate its purpose unless such purpose is clearly evident.Where buildings or structures are supplied by more than one power source,markings shall be provided at each service equipment location and at all interconnected electric power production sources identifying all electric power sources at the premises in accordance with NFPA 70. 10 OF 18 GENERATED ON 10/1/20, 12:39 PM Fail 603.5-Relocatable power taps and current taps,Muitiplug adapters. Location:Above"Toy Locker"claw machine Multiplug adapters,such as cube adapters,unfused plug Comments:Remove green multi plug adapter below ceiling trusses. strips or any other device not complying with NFPA 70 shall May replace with properly supported power strip with manual reset be prohibited.The construction and use of current taps and for low wattage electronics only. relocatable taps shall be in accordance with NFPA 70 and this code. Fail 603.6-Extension cords. Extension cords and flexible cordsshali not be a substitute Location:Front vestibule for permanent wiring and shall be listed and labeled in Comments:White extension cord extending above drop ceiling shall accordance with UL 817.Extension cords and flexible be removed. cordsshall 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.Extension cords marked for indoor use shall not be used outdoors. Fail 603.6-Extension cords. Extension cords and flexible cordsshall not be a substitute Location:Office-upper level for permanent wiring and shall be listed and labeled in Comments:Remove green multi-plug adapter and orange extension accordance with UL 817.Extension cords and flexible cord,currently extending through window.Flexible supply cords cordsshall not be affixed to structures,extended through shall not extend through doorways,or windows to avoid walls,ceilings or floors,or under doors or floor coverings, y pinching hazard. nor shall such cords be subject to environmental damage or physical impact.Extension cords shall be used only with portable appliances.Extension cords marked for indoor use shall not be used outdoors. dir • • GENERATED ON 10/1/20, 12:39 PM 11 OF 18 Fail 603.6-Extension cords. Extension cords and flexible cordsshall not be a substitute Location."Restricted Area"through Party Room#1 for permanent wiring and shall be listed and labeled in Comments:Multiple extension cords noted to fridges and freezers accordance with UL 817.Extension cords and flexible shall be removed.Also,appliances including motors or heating cordsshall not be affixed to structures,extended through elements shall plug directly to a permanent outlet.If adding new walls,ceilings or floors,or under doors or floor coverings, outlet,a licensed electrical contractor shall obtain permit and nor shall such cords be subject to environmental damage or inspection. physical impact.Extension cords shall be used only with portable appliances.Extension cords marked for indoor use shall not be used outdoors. Ittry 12 OF 18 GENERATED ON 10/1/26, 12:39 PM Fire Resistant Construction Maintenance Status Cc cli Description Fail 704.1-Maintaining protection. Where required when the building was originally constructed, Location:Front vestibule materials and systems used to protect joints and voids in the Comments:Missing or damaged ceiling tiles shall be replaced. following locations shall be maintained.The materials and systems shall be securely attached to or bonded to the adjacent construction,without openings visible through the construction.1.Joints in or between fire-resistance-rated walls,floors or floor/ceiling assemblies and roof or roof/ceiling assemblies.2.Joints in smoke barriers.3.Voids at the intersection of a horizontal floor assembly and an exterior curtain wall.4.Voids at the intersection of a horizontal smoke barrier and an exterior curtain wall.5.Voids at the intersection of a nonfire-resistance-rated floor assembly and an exterior curtain wall.6.Voids at the intersection of a vertical fire barrier and an exterior curtain wall.7.Voids at the intersection of a vertical fire barrier and a nonfire-resistance-rated roof assembly.Unprotected joints and voids do not need to be protected where such joints and voids were not required to be protected when the building was originally constructed.Where the system design number is known,the system shall be inspected to the listing criteria and manufacturer's installation instructions. Fail 704.1-Maintaining protection. QWhere required when the building was originally constructed, Location:Men's bathroom closet materials and systems used to protect joints and voids in the Comments:Replace missing ceiling tiles. following locations shall be maintained.The materials and systems shall be securely attached to or bonded to the adjacent construction,without openings visible through the construction.1.Joints in or between fire-resistance-rated walls,floors or floor/ceiling assemblies and roof or roof/ceiling assemblies.2.Joints in smoke barriers.3.Voids at the intersection of a horizontal floor assembly and an exterior curtain wall.4.Voids at the intersection of a horizontal smoke barrier and an exterior curtain wall.5.Voids at the intersection of a nonfire-resistance-rated floor assembly and an exterior curtain wall.6.Voids at the intersection of a vertical fire barrier and an exterior curtain wall.7.Voids at the intersection of a vertical fire barrier and a nonfire-resistance-rated roof assembly.Unprotected joints and voids do not need to be protected where such joints and voids were not required to be protected when the building was originally constructed.Where the system design number is known,the system shall be inspected to the listing criteria and manufacturer's installation instructions. GENERATED ON 10/1/20, 12;39 PM 13 OF 18 Fail 704.1-Maintaining protection. Where required when the building was originally constructed, Location:Break room-upper level materials and systems used to protect joints and voids in the Comments:Gaps around sprinkler escutcheons(2)shall be corrected following locations shall be maintained.The materials and to avoid heat escaping above ceiling,possibly slowing activation of systems shall be securely attached to or bonded to the sprinklers.Ceiling tile shall be replaced without gaps,fire caulked or adjacent construction,without openings visible through the larger escutcheon provided by licensed sprinkler contractor. construction.1.Joints in or between fire-resistance-rated walls,floors or floorlceiling assemblies and roof or roof/ceiling assemblies.2.Joints in smoke barriers.3.Voids at the intersection of a horizontal floor assembly and an exterior curtain wall.4.Voids at the intersection of a horizontal smoke barrier and an exterior curtain wall.5.Voids at the intersection of a nonfire-resistance-rated floor assembly and an exterior curtain wall.6.Voids at the intersection of a vertical fire barrier and an exterior curtain wall.7.Voids at the intersection of a vertical fire barrier and a nonfire-resistance-rated roof assembly.Unprotected joints and voids do not need to be protected where such joints and voids were not required to be protected when the building was originally constructed.Where the system design number is known,the system shall be inspected to the listing criteria and manufacturer's installation instructions. • • 14 OF 18 GENERATED ON 10/1/20, 12:39 PM Fail 704.1-Maintaining protection. Where required when the building was originally constructed, Location:Upper level-small closet above stairs materials and systems used to protect joints and voids in the Comments:Replace missing ceiling tiles. following locations shall be maintained.The materials and systems shall be securely attached to or bonded to the adjacent construction,without openings visible through the construction.1.3oints in or between fire-resistance-rated walls,floors or floor/ceiling assemblies and roof or roof/ceiling assemblies.2.Joints in smoke barriers.3.Voids at the intersection of a horizontal floor assembly and an exterior curtain wall.4.Voids at the intersection of a horizontal smoke barrier and an exterior curtain wall.5.Voids at the intersection of a nonfire-resistance-rated floor assembly and an exterior curtain wall.6.Voids at the intersection of a vertical fire barrier and an exterior curtain wall.7.Voids at the intersection of a vertical fire barrier and a nonfire-resistance-rated roof assembly.Unprotected joints and voids do not need to be protected where such joints and voids were not required to be protected when the building was originally constructed.Where the system design number is known,the system shall be inspected to the listing criteria and manufacturer's installation instructions. Fail 704.1-Maintaining protection. Where required when the building was originally constructed, Location:Party Room#1 materials and systems used to protect joints and voids in the Comments:Gaps around sprinkler escutcheons(2)shall be corrected following locations shall be maintained.The materials and to avoid heat escaping above ceiling,possibly slowing activation of systems shall be securely attached to or bonded to the sprinklers.Ceiling tile shall be replaced without gaps,fire caulked or adjacent construction,without openings visible through the larger escutcheon provided by licensed sprinkler contractor. construction.1.Joints in or between fire-resistance-rated walls,floors or floor/ceiling assemblies and roof or roof/ceiling assemblies.2.Joints in smoke barriers.3.Voids at the intersection of a horizontal floor assembly and an exterior curtain wall.4.Voids at the intersection of a horizontal smoke barrier and an exterior curtain wall.5.Voids at the intersection of a nonfire-resistance-rated floor assembly and an exterior curtain wall.6.Voids at the intersection of a vertical fire barrier and an exterior curtain wall.7.Voids at the intersection of a vertical fire barrier and a nonfire-resistance-rated roof assembly.Unprotected joints and voids do not need to be protected where such joints and voids were not required to be protected when the building was originally constructed.Where the system design number is known,the system shall be inspected to the listing criteria and manufacturer's installation instructions. GENERATED ON 1O/1/26, 12:39 PM 15 OF 18 Portable Fire Extingusihers status Cod; Description Fail 906.2-General requirements. Portable fire extinguishers shall be selected,installed and Location:Roof access maintained in accordance with this section and NFPA 10. Comments:Inspector not able to access upper level,staff should Exceptions:1.The distance of travel to reach an extinguisher provide inspector access during next re-inspection shall not apply to the spectator seating portions of Group A-5 occupancies.2.Thirty-day inspections shall not be required and maintenance shall be allowed to be once every 3 years for dry-chemical or halogenated agent portable fire extinguishers that are supervised by a listed and approved electronic monitoring device,provided that all of the following conditions are met:2.1.Electronic monitoring shall confirm that extinguishers are properly positioned,properly charged and unobstructed.2.2.Loss of power or circuit continuity to the electronic monitoring device shall initiate a trouble signal.2.3.The extinguishers shall be installed inside of a building or cabinet in a noncorrosive environment. 2.4.Electronic monitoring devices and supervisory circuits shall be tested every 3 years when extinguisher maintenance is performed.2.5.A written log of required hydrostatic test dates for extinguishers shall be maintained by the owner to verify that hydrostatic tests are conducted at the frequency required by NFPA 10.3.In Group 1-3,portable fire extinguishers shall be permitted to be located at staff locations. GENERATED ON 10/1/20, 12:39 PM 16 OF 18 Fail 906.2-General requirements. Portable fire extinguishers shall be selected,installed and Location:Rear(south)exit hallway maintained in accordance with this section and NFPA 10. Comments:Provide missing annually serviced extinguisher on wall Exceptions:1.The distance of travel to reach an extinguisher bracket shall not apply to the spectator seating portions of Group A-5 occupancies.2.Thirty-day inspections shall not be required and maintenance shall be allowed to be once every 3 years for dry-chemical or halogenated agent portable fire extinguishers that are supervised by a listed and approved electronic monitoring device,provided that all of the following conditions are met:2.1.Electronic monitoring shall confirm that extinguishers are properly positioned,properly charged and unobstructed.2.2.Loss of power or circuit continuity to the electronic monitoring device shall initiate a trouble signal.2.3.The extinguishers shall be installed inside of a building or cabinet in a noncorrosive environment. 2.4.Electronic monitoring devices and supervisory circuits shall be tested every 3 years when extinguisher maintenance is performed.2.5.A written log of required hydrostatic test dates for extinguishers shall be maintained by the owner to verify that hydrostatic tests are conducted at the frequency required by NFPA 10.3.In Group 1-3,portable fire extinguishers shall be permitted to be located at staff locations. r - • FIff GENERATED ON 10/1/20, 12:39 PM 17 OF 18 O Statement of Fees FEE Invoice Date Inspection Fee Date Paid Amount Paid NIA $100.00 Invoice Number Check Number Transaction Number NIA NIA NIA GENERATED ON 10/1/26, 12:39 PM 18 OF 18