HomeMy WebLinkAbout1830 E SHALULIS RD INVOICE D�-TE , DUE DATE INVOICE# TOTAL DUE
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\�11�, 04/05/2018 2018-00000209 $80.00
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Customer#: 13948 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
SOUTH HILLS GOLF COURSE 715 Mulberry St
1830 E SHAULIS RD WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1830 E SHAULIS RD-3-26-18 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
13948 03/01/2018 04/05/2018 2018-00000209 $80.00
Less Prepayment $0.00
Total Due—p $80.00
City of Waterloo
Commercial Fire Inspection Report a
Inspection Number 1329
Prior Inspection 251
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* 1830 East Shaulis
Business name South Hill Golf Course
Inspection Date* 3/26/2018
Proprietor Monte Meyer
Business Phone 319-291-4268
Email* cvdvd@cfu.net
Email 2 Jeff.Siebel@waterloo-is.org
Property Owner City of Waterloo
Emergency Contact Monte Meyer
Information
Phone 319-493-2008
Violations
Ref# CODE Violation &Location Corrected
1 Remove combustible/flammable materials(visqueen) hanging from
the ceiling or provide documentation that materials meet the smoke
index and flammability rating as required by NFPA 701
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 S 70.00
Occupancy Fee S 10 00
Re-inspection Fee S
Total Fee*
S 80.00
Received By Monte Meyer
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 3/19/2018