HomeMy WebLinkAbout2275 INDEPENDENCE AVE ���� INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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�\���•'1- 09/04/2018 10/10/2018 2 -
1� � 019 00010119 $80.00
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Customer#: 9511 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
PETERSEN&TIETZ FLORISTS &GREENHOUSES 715 Mulberry St
2275 INDEPENDENCE 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-2275 INDEPENDENCE AVE- 8-30-18 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
9511 09/04/2018 10/10/2018 2019-00010119 $80.00
Less Prepayment $0.00
Total Due--> $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1769
Prior Inspection 545
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* 2275 Independence Avenue
i et-t Yam. YN
Business name Peterman and Tietz Florist
Inspection Date* 8/30/2018
Proprietor Heidi Tietz
Business Phone 319-234-6883
Email* Jeremytietz@yahoo.com
Email 2
Property Owner Heidi Tietz
Emergency Contact Jeremy Tietz
Information
Phone 319-239-2453
Violations
Ref# CODE Violation&Location Corrected
1
Comments: No violations noted at this time.
Maintain storage 24"below ceiling in garden center storage.
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
R.; ports Fire Extinguisher Service
Comment Proshield 6/18
Inspection Fee S 70,00
Occupancy Fee S 10,00
Re-inspection Fee S
Total Fee* S 80,00
Received By Jeremy Tietz
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time