HomeMy WebLinkAbout2837 CROSSROADS BLVD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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Customer#: 20690 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
MEN'S WAREHOUSE 715 Mulberry St
6380 ROGERDALE RD WATERLOO, IA 50703
HOUSTON,TX 77072
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2837 CROSSROADS BLVD - 6-13-18 FOR BILLING INQUIRY: (319)291-4323
Description I Total Price
REINSPECTION 2 $150.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
20690 06/20/2018 07/20/2018 2018-00000402 $150.00
Less Prepayment $0.00
Total Due $150.00
City of Waterloo
,REINSPECTION - Commercial Fire Inspection Form
Inspection Number 781
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* 2837 Crossroads Boulevard
Business Name Men's Wearhouse
Inspection Date* 6/13/2018
Proprietor Stephen Schneiders
Business Phone 319-939-4882
Email* Stephen.Schneiders@menswearhouse.com
Email 2
Property Owner Stephen Schneiders
Emergency Contact
Information
Phone 319-939-4882
Violations
Ref# Code Violation &Location Corrected
Repair egress light in Sewing Room,above Display Room
door
Comments: 1st inspection 2-9-2018
2nd inspection 3-2-2018
3rd inspection 3-16-2018
4th inspection 4-5-2018
5th inspection 4-27-2018
6th inspection 5-23-2018
7th inspection 6-13-2018
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
Comment
Inspection Fee
Occupancy Fee
Re-inspection Fee S 150.00
Total Fee*
S 150.00
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