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HomeMy WebLinkAbout127 JEFFERSON ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE agl� ` 09/04/2018 10/10/2018 2019-00010136 $80.00 -gym Olt (erl oo �o Customer#: 23091 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable HAB PETROLEUM 715 Mulberry St 127 JEFFERSON WATERLOO, IA 50703 WATERLOO,IA 50701 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION- 127 JEFFERSON ST- 8-9-18 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 23091 09/04/2018 10/10/2018 2019-00010136 $80.00 Less Prepayment $0.00 Total Due $80.00 City of Waterloo REINSPECT10N - Commercial Fire Inspection Form Inspection Number 382 Jeff Siebel Inspector* Fire Rescue Waterloo aterloo,IA 50703 Mulberry Street W 319) 2g1.4.262 715 M 1224 Fax. 319)-230- Phone( Siebel@waterloo- ia.or9 Email:Jeff File Upload 127 Jefferson Address* Hp,B petroleum Business Name Inspection Date * 81912018 Mohammad Bhatti Proprietor Business Phone 319 233-5289 cindy.young@vvaterloo-ia.org Email* BMUSA786@Aol.com Email 2 g petroleum Property owner nc Contact Mohammad Bhatti Emerge Y Information 319-610-7607 Phone Corrected Violations violation&Location Code Ref# 1 of 5123118 are corrected at this time inspection date,additional fees All violations from the given re-inspection Comments: inspections the inspection are not corrected Y Subsequent Re-inspections during $200-Third and If violations n Second Re-inspection I are as follows Re-inspection I$15©.0©- $100.00-First R Reports Re ports Comment Inspection Fee Occupancy Fee Re-inspection Fee Total Fee* $ 0.00 Received By Mohammad Bhatti AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload(for long inspections) Reinspection Re-inspection Date Time