HomeMy WebLinkAbout110 IDA ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
1116, r r;. 07/05/2018 08/10/2018 2019-00010004 $80.00
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Customer#: 21238 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
BJ'S BAR&BILLARDS 715 Mulberry St
110 IDA 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- 110 IDA ST- 6-20-18 FOR BILLING INQUIRY: (319)291-4323
Description Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
21238 07/05/2018 08/10/2018 2019-00010004 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Comr'nercial Fire Inspection Report
Inspection Number 1590
Prior Inspection 479
Number Fill this field if it is available, it\trill 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
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Address* 110 Ida Street
Business name BJ. Bar and Billards
Inspection Date* 6/20/2018
Proprietor John Rozmus
Business Phone 319-234-9180
Email* Cindy.Young@waterloo-ia.org
Email 2
Property Owner John Rozmus
Emergency Contact John Rozmus
Information
Phone 319-230-5251
Violations
Ref# CODE Violation &Location Corrected
1
Comments: Outlet cover in pool room by Miller high life sign was broken but repaired at this
time.
Fire extinguishers due in July
Exits are as approved by past Fire Marshal Steve Jordan
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
Repots
Reports Fire Extinguisher Service
Comment Pro 7/17
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By John Rozmos
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time