HomeMy WebLinkAbout821 BROADWAY ..w.� INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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Customer#: 13529 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
BROADWAY LIQUOR 715 Mulberry St
821 BROADWAY 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- 821 BROADWAY- 5-3-18 FOR BILLING INQUIRY: (319)291-4323
Description
Total Price
INSPECTION 1 HH $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13529 05/16/2018 06/20/2018 2018-00000319 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1436
Prior Inspection 349
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* 821 Broadway
Business name Broadway Liquor
Inspection Date* 5/3/2018
Proprietor Muhammad Shahaz
Business Phone 319-232-5482
Email* Shahbazrn123@gmail.com
Email 2
Property Owner Muhammad shah bas
Emergency Contact Mammal shabhaz
Information
Phone 319-230-3367
Violations
Ref# CODE Violation &Location Corrected
1 904.11.6. 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
2 Provide annual service for fire extinguishers.
3 Remove obstructions to furnace and water heater. Maintain a
minimum of 36"clearance at all times.
4 Provide an approved, listed oily waste container with self closing
lid.
5
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 Semi-Annual Kitchen hood Cleaning for all Hoods
Comment Cody's 4/11/18
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By Muhammad Shabaz
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 5/24/2018