HomeMy WebLinkAbout2837 CROSSROADS BLVD (2) INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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'� II ri,�g, 02/14/2018 03/20/2018 2018-00000179 $80.00
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Customer#: 20690 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
MEN'S WAREHOUSE 715 Mulberry St
2837 CROSSROADS BLVD WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2837 CROSSROADS BLVD -2-8-18 FOR BILLING INQUIRY: (319)291-4323
LDescription ( Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
20690 02/14/2018 03/20/2018 2018-00000179 $80.00
Less Prepayment $0.00
Total Due— $80.00
City of Waterloo
mom -rcial Fire Inspection Report
Inspection Number 1270
Prior Inspection 781
Number Fill this field if it is available, it will auto-flu 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* 2837 Crossroads Boulevard
Business name Men's Wearhouse
Inspection Date* 2/8/2018
Proprietor Stephen Schneiders
Business Phone 319-939-4882
Email* Stephen.Schneiders@menswearhouse.com
Email 2
Property Owner Stephen Schneiders
Emergency Contact
Information
Phone 319-939-4882
Violations
Ref# CODE Violation &Location Corrected
1 Repair egress light Sewing room
2 Provide annual service for fire extinguisher
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 $
Total Fee* $ 80.00
Received By Stephen Schneiders
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 3/1/2018