HomeMy WebLinkAbout2332 FALLS AVE INVOICCE DATE DUE DATE INVOICE# TOTAL DUE
06/20/2018 07/20/2018 2018-00000395 $80.00
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Customer#: 22019 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
METRO 66#1 715 Mulberry St
PO BOX 66 WATERLOO, IA 50703
WATERLOO,IA 50704
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2332 FALLS AVE- 6-5-18 FOR BILLING INQUIRY: (319)291-4323
Description ,
Total Price j
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
22019 06/20/2018 07/20/2018 2018-00000395 $80.00
Less Prepayment $0.00
Total Due —+ $80.00
City of Waterloo
Commercial Fire Inspection Report
•
Inspection Number 1537
Prior Inspection 442
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
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Address* 2332 Falls Ave
Business name Metro 66
Inspection Date* 6/5/2018
Proprietor Sam Annis
Business Phone 319-236-1192
Email* metrofue11@yahoo.com
Email 2
Property Owner Sam Annis
Emergency Contact Sam Annis
Information
Phone 319-231-1874
Violations
Ref#
CODE Violation &Location Corrected
1 Repair egress/exit light above main door.
Comments: Emergency fuel stop device functions ok.
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 ($200-Third and subsequent Re-inspections
Reports
Reports Fire Extinguisher Service
Comment Superior 7/17
Inspection Fee $ 70.00
Occupancy Fee 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By Sam Annis
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM,
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 6/25/2018