HomeMy WebLinkAbout201 RATH ST �;♦''�� INVOIC-E DATE DUE DATE INVOICE# TOTAL DUE
„Ark
11R��• ��:►- 04/12/2018 05/30/2018 2018-00000273 $150.00
_siFialke
(erloo �o
Customer#: 4648 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
PACKERS INN 715 Mulberry St
201 RATH ST WATERLOO, IA 50703
WATERLOO,IA 50703
Amount Enclosed:
•
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-201 RATH ST-4-11-18 FOR BILLING INQUIRY: (319)291-4323
LDescription Total Price j
REINSPECTION 2 $150.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
4648 04/12/2018 05/30/2018 2018-00000273 $150.00
Less Prepayment $0.00
Total Due $150.00
City of Waterloo
REINSPECTION - Commercial Fire-Inspection Form
Inspection Number 194
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* 201 Rath Street
Business Name Packers Inn
Inspection Date* 4/11/2018
Proprietor Donna Engleman
Business Phone 319-234-8456
Email* cindy.young@waterloo-ia.org
Email 2
Property Owner Donna Engleman
Emergency Contact Donna Engleman
Information
Phone 319-230-2880
Violations
Ref# Code Violation &Location Corrected
1 Repair/replace light fixture above cash register. Properly
contain exposed wiring with a listed enclosure.
2 PERMANTELY REMOVE SLIDE BOLT LOCK FROM MAIN
DOOR.WAS REMOVED AND NOW RE-INSTALLED-
REPEAT VIOLATION.
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 $
Occupancy Fee $
Re-inspection Fee $ 150.00
Total Fee* $ 150.00
Received By Bartender
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection Date Time
4 5/2/2018