HomeMy WebLinkAbout1139 JOSEPHINE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
11�i\ Ilk; 04/12/2018 05/30/2018 2018-00000277 $80.00
°terloo �o
Customer#: 5027 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
WATERLOO SOFTBALL COMPLEX 715 Mulberry St
PO BOX 2134 WATERLOO, IA 50703
WATERLOO,IA 50704
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1139 JOSEPHINE -4-12-18 FOR BILLING INQUIRY: (319)291-4323
LDescription Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
5027 04/12/2018 05/30/2018 2018-00000277 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1392
Prior Inspection 314
Number Fill this field if it is available, it will auto-fill business name and address.
Inspector* Jeff Siebel
Waterloo Fire Rescue
715 Mulberry Street Waterloo, IA 50703
Phone(319)-230-1224 Fax: (319)-291-4262
Email:Jeff.Siebel@waterloo-ia.org
File Upload
Address* 1139 Josephine
Business name Waterloo Softball Assoc.
Inspection Date* 4/12/2018
Proprietor Jake Schaefer
Business Phone 319-234-4557
Email* Jake.Schaefer@waterloo-ia.org
Email 2
Property Owner City of Waterloo
Emergency Contact Jake Schaefer
Information
Phone 319-231-0659
Violations
Ref# CODE Violation&Location Corrected
1 Provide annual service for fire extinguisher.
Comments:
If violations noted during the inspection are not corrected by the given re-inspection date, additional fees
are as follows:
$100.00-First Re-inspection I$150.00 -Second Re-inspection I$200 -Third and subsequent Re-inspections
Reports
Reports
•
Comment
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Jake Schafer
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection# Date Time
1 5/3/2018