HomeMy WebLinkAbout301 W 4TH ST /ill\\•�� �� INVOICE DATE DUE DATE INVOICE# TOTAL DUE
.
/�it Nret 04/12/2018 05/30/2018 2018-00000289 $80.00
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Customer#: 14788 Please Make Check Payable and Remit To:
City of Waterloo
ATTN. City Clerk/Accounts Receivable
RISQUE' 715 Mulberry St
301 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-301 W 4TH ST-4-17-18 FOR BILLING INQUIRY: (319)291-4323
Description P � Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
•
.CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
14788 04/12/2018 05/30/2018 2018-00000289 $80.00
Less Prepayment $0.00
Total Due--f $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1404
Prior Inspection 329
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* 301 West 4th Street
Business name Risque Gentlemans Club
Inspection Date* 4/17/2018
Proprietor Michael Schiller
Business Phone 319-234-9676
Email* Stevegarlich@cfu.net
Email 2
Property Owner Merzet Dizarevic
Emergency Contact Josh Dunkel
Information
Phone Merzet Dizarevic 319-464-8150
Violations
Ref# CODE Violation &Location Corrected
1 Remove extension cord by front window. Install permanent power
with proper permits and inspections.
2 Remove extension cord in office . Microwave must plug directly into
wall outlet.
3 Replace missing light switch cover in basement inside exit door
from dressing room.
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
Comment Proshield 11/17
Inspection Fee S 70.00
Occupancy Fee S 10,00
Re-inspection Fee S
Total Fee* $ 80.00
Received By .Josh Dunkel
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 5/8/2018