HomeMy WebLinkAbout1819 LA PORTE RD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/h1,1�i� ��.;, 06/20/2018 07/20/2018 2018-00000403 $150.00
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Customer#: 5404 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
TACO BELL 715 Mulberry St
1819 LA PORTE RD WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1819 LA PORTE RD - 6-13-18 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price]
REINSPECTION 2 $150.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
5404 06/20/2018 07/20/2018 2018-00000403 $150.00
Less Prepayment $0.00
Total Due $150.00
City of Waterloo
REINSPECTION - Commercial Fire Inspection Form
Inspection Number 1318
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* 1819 La Porte Rd.
Business Name Taco Bell
Inspection Date* 6/13/2018
Proprietor Sherry Kososkie
Business Phone 319-232-0233
Email* skososkie77@gmail.com
Email 2 Laurie.Robinson@teamlyders.com
Property Owner
Emergency Contact Sherry Kososkie
Information
Phone 505-440-5773
Violations
Ref# Code Violation &Location Corrected
1 Provide current semi-annual kitchen hood exhaust
system cleaning/inspection report with all deficiencies
corrected.
*The hood for this establishment falls under the criteria
for having the hood system cleaned every 6 months.
There has been no documentation provided for such
cleaning having been performed.This report may be
emailed to the inspections department or to the email
provided above.
Comments:
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 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