HomeMy WebLinkAbout3030 MARINE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
,ii4 -4f_% 06/04/2018 07/10/2018 2018-00000357 $80.00
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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