HomeMy WebLinkAbout520 LA PORTE RD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/M
�116ffit 04/12/2018 05/30/2018 2018-00000294 $80.00
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Customer#: 9934 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
EL MERCADITO 715 Mulberry St
520 LA PORTE RD WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 520 LA PORTE RD-4-16-18 FOR BILLING INQUIRY: (319)291-4323
L Description ( Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
9934 04/12/2018 05/30/2018 2018-00000294 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
commercial Fire Inspection Report
Inspection Number 1396
Prior Inspection 328
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* 520 Laporte Rd
Business name El Mercadito
Inspection Date* 4/16/2018
Proprietor Elida ledasma
Business Phone 319-232-2635
Email* drea1081@gmail.com
Email 2
Property Owner John khairallah
Emergency Contact John Khiraliah
Information
Phone 319-350-4988
Violations
Ref# CODE Violation&Location Corrected
1 Repair egress/exit lights above front and back exit doors.
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 Fire Extinguisher Service
f%omme nt Hawkeye 9/17
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Elida Ledasma
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection# Date Time
1 5/7/2018