HomeMy WebLinkAbout312 W 4TH ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
"�1 ` ,r!'= 04/27/2023 05/30/2023 2
higr,� 023-00011221 $80.00
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Customer#: 23246
Please Make Check Payable and Remit To:
City of Waterloo
A TTN: City Clerk/Accounts Receivable
BEHAR BAR 715 Mulberry St
312 W 4TH ST WATERLOO, IA 50703
WATERLOO, IA 50701
Amount Enclosed.
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-312 W 4TH ST-3-20-23
FOR BILLING INQUIRY: (319)291-4323
I
I_Description
Total Price j
INSPECTION 2,000
OCCUPANCY FEE $70.00
$10.00
CUSTOMER# BILLING DATE I DUE DATE INVOICE# CHARGES
23246 04/27/2023
05/3 0/2023 2023-00011221
$80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
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WATERLOO FIRE RESCUE �PtERLao
INSPECTION REPORT �-
BEHAR BAR,312 W 4TH ST,BLDG 312 W 4TH ST-STE 1ST FLOOR,WATERLOO/A 50701
DETAILS
Inspection Date:03/20/2023 I Inspection Type:Annual Inspection(1Yr) I Inspection Number:7657 Shift: N/A i Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A j Fee:$80.00
VIOLATIONS
No Violations Found
GENERAL NOTES
JEFF SIEBEL-03/21/2023 @ 09:33 annual inspection$80
JEFF SIEBEL-03/21/2023 @ 09:38 pizza oven unplugged from power strip during inspection,will be relocated by owner.
No other violations noted at this time.
NEXT INSPECTION DATE
03/20/2024
CONTACT SIGNATURE
Bajro Hopovac
Signed on:03/21/2023 @ 09:39 I\ CC/4 11_ r-/
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:03/21/2023 @ 09:39
Printed on 03/21/2023 @ 09:39
Page 1 of 2
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QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 03/21/2023 @ 09:39
Page 2 of 2