HomeMy WebLinkAbout1309 LAFAYETTE ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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4 k�Niiitt 04/03/2018 05/10/2018 2018-00000249 $80.00
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Customer#: 11817 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
NEW STAR LIQUOR 715 Mulberry St
1309 LAFAYETTE ST WATERLOO, IA 50703
WATERLOO,IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1309 LAFAYETTE ST-3-20-18 FOR BILLING INQUIRY: (319)291-4323
P L Description ( Total Price j
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
11817 04/03/2018 05/10/2018 2018-00000249 $80.00
Less Prepayment $0.00
Total Due -- $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1367
Prior Inspection 270
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* 1309 Lafayette
Business name New Star
Inspection Date* 3/20/2018
Proprietor Usman Chatha
Business Phone 319-232-7050
Email* orimemartstores@hotmail.com
Email 2
Property Owner Usman Chatha
Emergency Contact Usman Chatha
Information
Phone 319-493-5322
Violations
Ref#
CODE Violation &Location Corrected
Remove obstructions from inside and outside back fire exit.
2 Provide annual service for fire extinguishers.
3 Reduce storage in back store room. Maintain a minimum of 24"
clearance to ceiling at all times.
4
Comments:
If violations noted during the inspection are not corrected by the given re-inspection date, additional fees
are as follows:
$1nn.00 -First Re-inspection }$15o.00'Second Re-inspection |$000 'Third and subsequent RE-inspections
Reports
Reports
Comment
Inspection Fee S 70.00
Occupancy Fee S1o.00
Re'mspectionpoe 8
Total Fee* Sao-oo
Received By usmanChoma
4m INVOICE oF THIS CHARGE WILL FOLLOW. oO NOT PAY FROM THIS FORM.
F||a Upload (for long
inspections)
ReinSpeCtiOn
Re-inspection # Date Time
l 4/11/2018
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