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2073 LOGAN AVE
INVOICE DATE DUE DATE INVOICE# TOTAL DUE `\4I� 07/05/2018 08/10/2018 2019-00010014 $80.00 LI4i1Ste %rloo �� Customer#: 3441 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable NAREY'S 19TH HOLE 715 Mulberry St 2073 LOGAN AV WATERLOO, IA 50703 WATERLOO, IA 50703 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION-2073 LOGAN AVE- 6-21-18 FOR BILLING INQUIRY: (319)291-4323 [Description Total Price INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 3441 07/05/2018 08/10/2018 2019-00010014 $80.00 Less Prepayment $0.00 Total Due — $80.00 City of Waterloo Commercial Fire Inspection Report Inspection Number 1596 Prior Inspection 485 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* 2073 Logan Avenue Business name Narey's 19th Hole Inspection Date* 6/21/2018 Proprietor Patrick Narey Business Phone 319-234-9736 Email* Kari.Narey@iowacourts.gov Email 2 GGJR78©yahoo.com Property Owner Patrick Narey Emergency Contact Patrick Narey Information Phone Violations Ref# CODE Violation&Location Corrected 1 Comments: No violations noted at this time. Fire extinguishers due in July 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 Proshield 7/17 Inspection Fee $ 70.00 Occupancy Fee $ 10.00 Re-inspection Fee Total Fee* $ 80.00 Received By Patrick Narey AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload(for long inspections) Reinspection Re-inspection# Date Time