HomeMy WebLinkAbout1503 SAN MARNAN DR SUITE A INVOICE DATE DUE DATE INVOICE# TOTAL DUE
ii 2018-00000281 $150.00
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Customer#: 20784 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
PANDA EXPRESS 715 Mulberry St
1503 E SAN MARNAN DR WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1503 SAN MARNAN DR SUITE A- FOR BILLING INQUIRY: (319)291-4323
4-23-18
L Description I Total Price J
REINSPECTION 2 $150.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
20784 _ 04/12/2018 05/30/2018 2018-00000281 $150.00
Less Prepayment $0.00
Total Due--> $150.00
City of Waterloo
REINSPECTION - Commercial Fire Inspection Form
Inspection Number 1286
Inspector* Barry Stratton
File Upload
Address* 1503 San Marnan Suite A
Business Name Panda Express ir11/696
Inspection Date* 4/23/2018 Ci?4t
Proprietor Samantha Khamvongsa
Business Phone 847-346-2074
Email* Samantha.khamvongsa@pandarg.com
Email 2
Property Owner Samantha Khamvongsa
Emergency Contact Samantha Khamvongsa
Information
Phone 847-346-2074
Violations
Ref# Code Violation&Location Corrected
1 Still need to provide an approved oily waste container
with self closing lid for all grease laden materials.
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 Semi-Annual Kitchen hood Cleaning for all
Hoods
Comment Miller Fire 3/30/2018
4
Inspection Fee $ 150.00
Occupancy Fee $
Re-inspection Fee $
Total Fee* $ 150.00
Received By Samantha
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection Date Time
4 5/15/2018