HomeMy WebLinkAbout912 LA PORTE RD \ 1 INVOICE DATE DUE DATE INVOICE# TOTAL DUE
I 4 09/04/2018 10/10/2018 2019-00010129 $80.00
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Customer#: 5977 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
YORE UNIFORM SHOP 715 Mulberry St
912 LA PORTE RD WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-912 LA PORTE RD- 8-17-18 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price j
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
5977 09/04/2018 10/10/2018 2019-00010129 $80.00
Less Prepayment $0.00 ,
Total Due $80.00
City of Waterloo
SCfl )`
Commercial Fire Inspection Report
Inspection Number 1724
Prior Inspection 627
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* 912 La Porte Rd
Business name Yore Uniform Shop
Inspection Date* 8/17/2018
Proprietor Maria Pfiffner
Business Phone 319-235-6601
Email* Yoreuniform@questoffice.net
Email 2 yoreuniformshop@gmail.com
Property Owner Greg Kroger
Emergency Contact Maria Pfiffner
Information
Phone 319-290-1305
Violations
Ref# CODE Violation &Location Corrected
1 Provide annual service for fire extinguisher.
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 f$200-Third and subsequent Re-inspections
Reports
Reports
Comment
Inspection Fee $ 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By Maria Pfiffner
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection # Date Time
1 9/10/2018