HomeMy WebLinkAbout1315 ANSBOROUGH AVE INVOICE DATE ,1 DUE DATE INVOICE# TOTAL DUE
i
IAArr j �5IIlk 03/01/2018 04/05/2018 2018-00000216 $80.00
1)::-.----417::74D .
°1erloo \°
Customer#: 15384 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
ANSBOROUGH LAUNDERMAT 715 Mulberry St
4127 DEENA DR WATERLOO, IA 50703
CEDAR FALLS,IA 50613
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1315 ANSBOROUGH AVE-2-20-18 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price]
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
15384 03/01/2018 04/05/2018 2018-00000216 $80.00
Less Prepayment $0.00
Total Due— $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1310
Prior Inspection Fill this field if it is available, it will auto-fill business name and address.
Number
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 UploadP r V.
* Ansborough Ave
Address 1315 Ansbo g
Business name Ansborough Laundromat j\C))')
Inspection Date* 2/20/2018
Proprietor Jeff Dake
Business Phone 319-274-9591
Email* carlinewaterloo@gmail.com
Email 2
Property Owner Tom Pham
Emergency Contact Jeff Dake
Information
Phone 319-240-9936
Violations
Ref# CODE Violation &Location Corrected
1 Repair exit light above back door.
2 Provide documentation of dryer vent cleaning to the outside of the
building.
Clean excessive lint from behind dryers and off of motors etc.on
back of dryers.
3 Repair egress light at front of building
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 Proshield 8/17
Inspection Fee $ 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* $ 80.00
Received By Jeff Dake
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 3/13/2018