HomeMy WebLinkAbout437 SULLIVAN (2) INVOICE DATE DUE DATE INVOICE# TOTAL DUE
uij�� rk. 2018-00000269 $100.00
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Customer#: 21828 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
JIM'S FOOD 715 Mulberry St
437 SULLIVAN AV WATERLOO, IA 50703
WATERLOO,IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION -437 SULLIVAN-4-10-18 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price j
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
21828 04/03/2018 05/10/2018 2018-00000269 $100.00
Less Prepayment $0.00
Total Due--± S100.00
City of Waterloo
REINSPECTION - Commercial Fire Inspection Form
Inspection Number 480
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* 437 Sullivan
Business Name Jim's Food
Inspection Date* 4/10/2018
Proprietor Jeffrey Jassari
Business Phone 319-234-3000
Email* Zjaf97@gmail.com
Email 2 Cindy.young@waterloo-ia.org
Property Owner Jeffrey Jassari
Emergency Contact Jeffrey Jassari
Information
Phone 414-595-3302
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.
2 904.11.6.2 Provide current semi-annual kitchen hood fire
suppression system inspection/testing with all deficiencies
corrected by a contractor certified to work in the State of
Iowa
3 Immediately stop using range and portable fryer.
Disconnect power and remove or relocate under hood
with proper fire suppression protection.
Code Violation &Location Corrected
Ref#
4 Remove all extens;oricoFda All freezers, coolers and
heat producing appliances must plug directly into a
permanent wall outlet. Install permanent power with
proper permits and inspections. ( Repeat violations)
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 S 100.00
Total Fee* S 100.00
Received By Jeffrey Jassari
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection Date Time
2 4/25/2018