HomeMy WebLinkAbout2181 LOGAN AVE (4) INVOICE DATE DUE DATE INVOICE# TOTAL DUE
Alr
Oa
,��i\�r�.� 02/14/2018 03/20/2018 2018-00000184 $80.00
Customer#: 12211 Please Make Check Payable and Remit To:
City of Waterloo
A TTN: 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-2-6-18 FOR BILLING INQUIRY: (319)291-4323
[Description Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
12211 02/14/2018 03/20/2018 2018-00000184 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1266
Prior Inspection 231
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* 2181 Logan Avenue
Business name Veridian Credit Union
Inspection Date* 2/6/2018
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 Fire Extinguisher Service
Y •
Comment Hawkeye Fire 4/17
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
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
1 2/27/2018