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HomeMy WebLinkAbout3030 MARINE INVOICE DATE DUE DATE INVOICE# TOTAL DUE ,ii4 -4f_% 06/04/2018 07/10/2018 2018-00000357 $80.00 p Customer#: 10511 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable HIGHWAY 63 DINER 715 Mulberry St 3030 MARNIE AV WATERLOO, IA 50703 WATERLOO,IA 50701 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION-3030 MARINE- 6-26-18 FOR BILLING INQUIRY: (319)291-4323 LDescription I Total Price J INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 10511 06/04/2018 07/10/2018 2018-00000357 $80.00 Less Prepayment $0.00 Total Due- > $80.00 City of Waterloo Commercial Fire Inspection Report Inspection Number 1516 Prior Inspection 334 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 File Upload Address* 3030 Marnie Business name Highway 63 Diner Inspection Date* 6/26/2018 Proprietor Jeani Johnson Business Phone 319-232-0635 Email* hwy63diner@mchsi.com Email 2 Property Owner Don Landau Emergency Contact Jeani Johnson Information Phone 319-883-9730 Violations Ref# CODE Violation &Location Corrected 1 609.3.3.1 Provide current semi-annual kitchen hood exhaust system cleaning/inspection report with all deficiencies corrected. 2 904.11.6. Provide current semi-annual kitchen hood fire suppression system 2 inspection/testing with all deficiencies corrected by a contractor certified to work in the State of Iowa 3 Repair egress light by clock in kitchen 4 Provide documentation of dryer vent cleaning to the outside of the building with date and signature. Comments: Oily Waste container on site 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 Fire Extinguisher Service Comment Superior 6/17 Inspection Fee $ 70.00 Occupancy Fee $ 10.00 Re-inspection Fee $ Total Fee* $ 80.00 Received By Kitchen Mgr. AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload(for long inspections) Reinspection Re-inspection# Date Time 1 6/26/2018