HomeMy WebLinkAbout120 SUMNER ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
+�11������• 07/05/2018 08/10/2018 2019-00010006 $80.00
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Customer#: 22049 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
OLD SKOOL LOUNGE 715 Mulberry St
120 SUMNER 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- 120 SUMNER ST- 6-22-18 FOR BILLING INQUIRY: (319)291-4323
L Description ( Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
22049 07/05/2018 08/10/2018 2019-00010006 $80.00
Less Prepayment $0.00
Total Due—> $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1595
Prior Inspection 463
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.Siebei@waterloo-ia.org
File Upload
Address* 120 Sumner Street
Business name Old Skool
Inspection Date* 6/22/2018
Proprietor Lance Dunn
Business Phone 319-504-0114
Email* Lodunn9271@hotmail.com
Email 2
Property Owner Lance Dunn
Emergency Contact Lance Dunn
Information
Phone 319-504-0114
Violations
Corrected
Ref#
CODE Violation&Location
1
Comments: Propane was being stored in building but was removed while I was present.
No other violations were found at this time.
Fire extinguishers due in July
If violati
ons 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
1
. Reports Fire Extinguisher Service'
Comment Superior
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Lance Dunn
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection# Date Time