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HomeMy WebLinkAbout910 W 5TH ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE /"11111'a rIr;% 07/10/2018 08/22/2018 2019-00010049 9 $80.00 _sis%;:r0-0-v Customer#: 21972 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable UNA BAR AND RESTAURANT 715 Mulberry St 910 W 5TH ST WATERLOO, IA 50703 WATERLOO, IA 50702 Amount Enclosed. DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION-910 W 5TH ST- 7-10-18 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 21972 07/10/2018 08/22/2018 2019-00010049 $80.00 Less Prepayment $0.00 Total Due—> $80.00 City of Waterloo Commercial Fire Inspection Report Inspection Number 1645 Prior Inspection 209 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* 910 West 5th Street Business name Una Bar Inspection Date* 7/10/2018 Proprietor Nurfet Mujkic Business Phone 319-883-3285 Email* cindy.young@waterloo-ia.org Email 2 Fatmamujkic©yahoo.com Property Owner Sam Semsudin Emergency Contact Sam Semsudin Information Phone 319-830-3454 Violations Ref# CODE Violation &Location Corrected 1 904.11.6. Provide current semi-annual kitchen hood fire suppression system 2 inspection/testing with all deficiencies corrected by a contractor certified to work in the State of Iowa • 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 Semi-Annual Kitchen hood Cleaning for all Hoods Comment AKA 2/15/18 Inspection Fee $ 70.00 Occupancy Fee $ 10.00 Re-inspection Fee Total Fee* $ 80.00 Received By Nurfet Mujkic AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload(for long inspections) Reinspection Re-inspection# Date Time 1 8/1/2018