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HomeMy WebLinkAbout319 JEFFERSON ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE i( 1Fit 05/16/2018 06/20/2018 2018-00000333 $80.00 *—D%- -w4 t 4terloo �o Customer#: 5190 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable FLIRTS 715 Mulberry St 319 JEFFERSON ST WATERLOO, IA 50703 WATERLOO,IA 50701 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION- 319 JEFFERSON ST- 5-7-18 FOR BILLING INQUIRY: (319)291-4323 [Description I Total Price J INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 5190 05/16/2018 06/20/2018 2018-00000333 $80.00 Less Prepayment $0.00 Total Due— $80.00 City of Waterloo Commercial Fire Inspection Report Inspection Number 1437 Prior Inspection 348 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* 319 Jefferson Business name Flirts Inspection Date* 5/7/2018 Proprietor Mirzet Dizdarevic Business Phone 319--287-7000 Email* Mirzet27©gmail.com Email 2 Property Owner Mirzet Dizdarevic Emergency Contact Mirzet Dizdarevic Information Phone 319-464-8150 Violations Ref# CODE Violation&Location Corrected 1 Comments: No violations found at this time. 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 $ 70.00 Occupancy Fee $ 10.00 Re-inspection Fee $ Total Fee* $ 80.00 Received By Mirzet Dizdarevic AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload(for long inspections) Reinspection Re-inspection# Date Time