HomeMy WebLinkAbout2808 UNIVERSITY AVE 1 INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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04/03/2018 05/10i2018 2018-00000259 $100.00
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Customer#: 21329 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
MAID-RITE 715 Mulberry St
2808 UNIVERSITY 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-2808 UNIVERSITY AVE-3-16-18 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
21329 04/03/2018 05/10/2018 2018-00000259 $100.00
Less Prepayment - $0.00
Total Due--÷ $100.00
City of Waterloo
REINSPECTION - Commercial Fire Inspection Form
Inspection Number 1315
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* 2808 University Ave.
Business Name Maidrite Diner
Inspection Date* 3/16/2018
Proprietor
Business Phone 319-833-2010
Email* universityavenuemaidrite@hotmail.com
Email 2
Property Owner Don Blake
Emergency Contact Don Blake
Information
Phone 319-230-8284
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 Repair egress light in main entry vestibule.
3 Repair egress light in Men's restroom.
4 Remove improperly installed gas piping to dryer in
basement and have contractor obtain proper permits and
inspections.
5 Provide approved, listed oily waste receptacle 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 aafollows:
$100.00 -First Re-inspection I Mom -Second Re-inspection $200 -Third and subsequent Re-inspections
Reports
'--_-
Reports
Comment
Inspection Fee S
Occupancy Fee S
Ro'inspectionFee S1oo.00
Total Fee* S 100.00
Received By Don Blake
Am INVOICE oF THIS CHARGE WILL FOLLOW. oO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Rein8peC1iOn
Ro'mspeodnn Date Time
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