HomeMy WebLinkAbout2181 LOGAN AVE INVOICE DATE .DUE DATE INVOICE# TOTAL DUE
00-1::11,1n‘
100.00
03/01/2018 04/05/2018 2018-00000222 $'" 21t'''ji I
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Customer#: 12211 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
VERIDIAN CREDIT UNION-LOGAN 715 Mulberry St
2181 LOGAN 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-2181 LOGAN AVE-2-2"7-18 L FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
12211 03/01/2018 04/05/2018 2018-00000222 $100.00
Less Prepayment $0.00
Total Due $100.00
City of Waterloo
• RElNSPECTION - Commercial Fire Inspection'Form
Inspection Number 231
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* 2181 Logan Avenue
Business Name Veridian Credit Union
Inspection Date* 2/27/2018
Proprietor Sylvia Hanson
Business Phone 319-236-5600 ext 3045
Email* amelasa@veridiancu.org
Email 2 sylvialh@veridiancu.org
Property Owner Sylvia Hanson
Emergency Contact Sylvia Hanson
Information
Phone 319-429-6135
Violations
Ref# Code Violation &Location Corrected
1 Remove multi-plug adapter behind ATM. Remove
excessive combustible rubbish from behind ATM.
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
Comment
Inspection Fee
Occupancy Fee
Re-inspection Fee S 100.00
Total Fee* S 100.00
Received By Sylvia Hanson
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection Date Time
2 3/20/2018