HomeMy WebLinkAbout127 JEFFERSON ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
";1Pi\,�.., , 06/20/2018 07/20/2018 2018-00000404 $100.00
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Customer#: 12097 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
A& S PETROLEUM 715 Mulberry St
127 JEFFERSON ST WATERLOO, IA 50703
WATERLOO,IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 127 JEFFERSON ST- 6-13-18 FOR BILLING INQUIRY: (319)291-4323
[Description Total Price
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
12097 06/20/2018 07/20/2018 2018-00000404 $100.00
Less Prepayment $0.00
Total Due—> $100.00
City of Waterloo
REINSPECTION - Commercial Fire Inspection Form
Inspection Number 382
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
File Upload
Address* 127 Jefferson
Business Name A and S Petroleum
Inspection Date* 6/13/2018
Proprietor Mohammad Bhatti
Business Phone 319 233-5289
Email* cindy.young@waterloo-ia.org
Email 2 BMUSA786@Aol.com
Property Owner Mohammad Bhatti
Emergency Contact Mohammad Bhatti
Information
Phone 319-610-7607
Violations
Ref# Code Violation &Location Corrected
1 Properly anchor conduit behind reach in coolers in
corridor to Burger King Exit.
2 Repair exit light to Burger King
3 Provide access to cell phone store for inspection.
4 Provide annual service for fire extinguishers.
5 Remove extension cord to fan in walk in cooler. Install
permanent wiring with proper permits and inspections.
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 $150.00-Second Re-inspection $200 -Third and subsequent Re-inspections
Reports
Reports
Comment
Inspection Fee S
Occupancy Fee S
Re-inspection Fee S 100.00
Total Fee* S 100,00
Received By Clerk
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection Date Time
2 7/10/2018