HomeMy WebLinkAbout2541 cROSSROADS BLVD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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,41-11 Ilk .rt. 06/20/2018 07/20/2018 2018-00000397 $80.00
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Customer#: 9202 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
BEST BUY 715 Mulberry St
2541 FLAMMANG DR WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2541 CROSSROADS BLVD- 6-13-18 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
9202 06/20/2018 07/20/2018 2018-00000397 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
rt
Commercial Fire Inspection Repo
Inspection Number 1543
Prior Inspection Fill this field if it is available,it will auto-fill business name and address.
Number
Inspector* Brock Weliver
Waterloo Fire Rescue
425 E 3rd Street Waterloo, IA 50703
Phone(319)883-1615
Email:Brock.Weliver@waterloo-ia.org
File Upload
Address*
2541 Cross Roads Blvd
Business name Best Buy
Inspection Date* 6/13/2018
Proprietor Blake Uthoff
Business Phone 319-833-9261
Email* thomas.uthoff@bestbuy.com
Email 2
Property Owner
Emergency Contact
Information
Phone
Violations Corrected
CODE Violation &Location
Ref#
1
Comments: No violations noted at this time
Please provide copies of annual reports listed below
These reports may be emailed to the email listed above
are not corrected by the given re-inspection date, additional fees
If violations noted during the inspectionRe-inspections
are as follows: Re-inspection �$200 -Third and subsequent Re-insp
$100.00 -First Re-inspection I$150.00 -Second Re-insp
Reports
Reports Fire Extinguisher Service
Comment Hawkeye Fire&Safety Co, March 2018
Reports Annual Fire Sprinkler
Comment Please provide copy
Reports Annual Fire Alarm
Comment Please provide copy
Reports Emergency Egress Exit and Egress Lights Testing.
Comment Please provide copy
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
7/5/2018