HomeMy WebLinkAbout250 ANSBOROUGH AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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ial '05/10/2018 2018-00000252 $80.00
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Customer#: 20789 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
CATTLE CONGRESS PAVILION 715 Mulberry St
250 ANSBOROUGH 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-250 ANSBOROUGH AVE-3-15-18 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price j
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
20789 04/03/2018 05/10/2018 2018-00000252 $80.00
Less Prepayment - $0.00
Total Due $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1357
Prior Inspection 285
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* 250 Ansborough
Business name Cattle Congress Pavillion
Inspection Date* 3/15/2018
Proprietor Jim Koch
Business Phone 319-415-7361
Email* Jim@Nationalcattlecongress.com
Email 2
Property Owner Jim Koch
Emergency Contact Jim Koch
Information
Phone Jim 319-415-7361 Dan 319-415-6174
Violations
Ref# CODE Violation &Location Corrected
1 Remove extension cords.
2 Repair egress light SW
3 Provide documentation of dryer vent cleaning with a signature and
date.
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 superior 4/17
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By Dan
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 4/5/2018