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Home My WebLink About437 SULLILIVAN -w� INVOICE DATE DUE DATE INVOICE# TOTAL DUE j1,�,1�.\mit 07/05/2018 08/10/2018 2019-00010020 $80.00 01 11:4 -.4tr 4terloo o Customer#: 21828 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable JIM'S FOOD 715 Mulberry St 437 SULLIVAN AV WATERLOO, IA 50703 WATERLOO, IA 50701 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION-437 SULLILIVAN- 6-20-18 FOR BILLING INQUIRY: (319)291-4323 L Description Total Price INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 21828 07/05/2018 08/10/2018 2019-00010020 $80.00 Less Prepayment $0.00 Total Due—> $80.00 City of Waterloo Commercial Fire Inspection Report Inspection Number 1592 Prior Inspection 480 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* 437 Sullivan Business name Jim's Food Inspection Date* 6/20/2018 Proprietor Jeffrey Jassari Business Phone 319-234-3000 Email* Zjaf97@gmail.com Email 2 Cindy.young@waterloo-ia.org Property Owner Jeffrey Jassari Emergency Contact Jeffrey Jassari Information Phone 414-595-3302 Violations Ref# CODE Violation &Location Corrected 1 Provide annual service for fire extinguisher 2 Repair outlet cover by coke reach in cooler 3 Replace missing moisture proof cover on light fixture in beer cave. Comments: Kitchen closed and not in use at this time, Notification of Fire Inspector required before opening. 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* S 80.00 Received By Jeffrey Jassarri AN INVOICE OF THIS CHARGE WILL FOLLOW.DO NOT PAY FROM THIS FORM. File Upload(for long inspections) Reinspection Re-inspection# Date Time 1 7/18/2018