HomeMy WebLinkAbout520 LA PORTE RD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
Irk, 05/16/2018 06/20/2018 2018-00000325 $100.00
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Customer#: 9934 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
EL MERCADITO 715 Mulberry St
520 LA PORTE RD WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 520 LA PORTE RD - 5-7-18 FOR BILLING INQUIRY: (319)291-4323
Description _ I Total Price
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
9934 05/16/2018 06/20/2018 2018-00000325 $100.00
Less Prepayment $0.00
Total Due-* $100.00
City of Waterloo
R NSPEGTION - Commercial Fire Inspection Form
Inspection Number 328
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* 520 Laporte Rd
Business Name El Mercadito
Inspection Date* 5/7/2018
Proprietor Elide ledasma
Business Phone 319-232-2635
Email* drea1081@gmail.com
Email 2
Property Owner John khairallah
Emergency Contact John Khiraliah
Information
Phone 319-350-4988
Violations
Ref# Code Violation &Location Corrected
1 Repair egress/exit lights above front and back exit doors.
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
Comment
Inspection Fee $
Occupancy Fee
Re-inspection Fee $ 100.00
Total Fee* $ 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 5/28/2018