HomeMy WebLinkAbout501 INDEPENDENCE AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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Customer#: 12014 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
J'S R&B LOUNGE 715 Mulberry St
501 INDEPENDENCE AV WATERLOO, IA 50703
WATERLOO,IA 50703
Amount Enclosed
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 501 INDEPENDENCE AVE-2-22-18 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
12014 03/01/2018 04/05/2018 2018-00000219 $80.00
Less Prepayment $0.00
Total Due--} $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1313
Prior Inspection 272
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* 501 Independence Ave
Business name J's R and B
Inspection Date* 2/22/2018
Proprietor Jay Wilder
Business Phone 319-235-2404
Email* Cindy.young@waterloo-ia.org
Email 2
Property Owner Jay Wilder
Emergency Contact Jay Wilder
Information
Phone 319-830-2312
Violations
Ref#
CODE Violation &Location Corrected
1
Comments: Owner states basement is no longer occupied as an assembly.
May be used for storage only.
Fire extinguishers due next month.
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
Retorts
Reports Fire Extinguisher Service
Comment 3/17
Inspection Fee $ 70.00
Occupancy Fee S 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Jay Wilder
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection# Date Time