HomeMy WebLinkAbout1503 E SAN MARNAN DR INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/471110,S
� ro. 04/03/2018 05/10/2018 2018-00000260 $100.00
SI
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 E SAN MARNAN DR-#A-4-2- FOR BILLING INQUIRY: (319)291-4323
18
L Description I Total Price j
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
20784 04/03/2018 _ 05/10/2018 2018-00000260 $100.00
Less Prepayment $0.00
Total Due $100.00
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
Inspection Date* 4/2/2018
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
1 609.3.3.1 Provide current semi-annual kitchen hood exhaust
system cleaning/inspection report with all deficiencies
corrected.
2 Provide approved listed oily waste container with self
closing lid for all grease laden materials. Container
should be a red metal container approved for your
application.
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 Fire Suppression
for ail Hoods
Comment Miller Fire 3/30/2018
Inspection Fee $ 100.00
Occupancy Fee $
Re-inspection Fee $
Total Fee* $ 100.00
Received By Samantha Khamvongsa
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection Date Time
3 4/23/2018