HomeMy WebLinkAbout1307 W 5TH ST f~ 11 INVOICE DATE DUE DATE INVOICE# TOTAL DUE
iiir
F.,. --11-L,
iie, Nr.7- 06/20/2018 07/20/2018 2018-00000392 $80.00
ttorloo N°
Customer#: 6637 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
LIGHTHOUSE LOUNGE 715 Mulberry St
1307 W 5TH ST WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1307 W 5TH ST- 6-8-18 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
6637 06/20/2018 07/20/2018 2018-00000392 $80.00
Less Prepayment $0.00
Total Due- $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1534
Prior Inspection 383
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, 1251703
Phone(319)-230-1224 Fax. (319)-
-4262
Email:Jeff.Siebel@waterloo-ia.org
File Upload
Address* 1307 West 5th Street
Business name Lighthouse Lounge
Inspection Date* 6/8/2018
Proprietor Mary Kinsel
Business Phone 319-234-9304
Email*
Cindy.Young@waterloo-ia.org
Email 2
Ithouse507@aol.com
Property Owner Arhens Rentals
Emergency Contact Mary Kinsel
Information
Phone cell 319-239-4651 Home 235-0581
Violations Corrected
CODE Violation &Location
Ref#
Repair egress light
1
Provide annual service for fire extinguishers.
2
Comments:
'on are not corrected by the given re-inspection date,additional fees
If violations noted during the inspects
are as follows: 150.00 -Second Re-inspection I$200-Third and subsequent Re-inspections
$100.00-First Re-inspection I$
Reports
Reports
Comment
70.00
Inspection Fee
1p.o0
Occupancy Fee
Re-inspection Fee $
80.00
Total Fee*
Macy ICinsel
W DO NOT PAY FROM THIS FORM.
Received BY
�INVOICEpF THIs CHARGE WILL FpI.LC�
File Upload(for long
inspections)
Reinspection Time
Date
Re-inspection#
612812018
1