HomeMy WebLinkAbout1507 FLAMMANG DR "��. irTVOIC DATE DUE DATE INVOICE# TOTAL DUE
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Customer#: 12822 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
GREAT CLIPS 715 Mulberry St
1507 FLAMMANG WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1507 FLAMMANG DR-2-5-18 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price
INSPECTION 1 $40.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
12822 02/08/2018 03/12/2018 2018-00000129 $50.00
Less Prepayment $0.00
Total Due— $50.00
City of Waterloo
If violations noted during the inspection are.ngt%;orrected 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
Comment Hawkeye Fire 11/17
Inspection Fee S 40.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 50.00
Received By Sam Reges
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 2/26/2018