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HomeMy WebLinkAbout618 SYCAMORE ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE 0 al NI' 09/04/2018 10/10/2018 2019-00010121 $80.00 Tr!, 4 tetloo �o Customer#: 21840 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable BROWN DERBY BALLROOM 715 Mulberry St 618 SYCAMORE 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-618 SYCAMORE ST- 8-20-18 FOR BILLING INQUIRY: (319)291-4323 LDescription I Total Price J INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 21840 09/04/2018 10/10/2018 2019-00010121 $80.00 Less Prepayment $0.00 Total Due— $80.00 City of Waterloo commercial Fire Inspection Report Inspection Number 1735 Prior Inspection 548 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* 618 Sycamore Street Business name Brown Derby Inspection Date* 8/20/2018 Proprietor Chuck Orr Business Phone 319-240-0308 Email* CKORR©q.com Email 2 Property Owner Jim Welsch Emergency Contact Chuck Orr Information Phone 319-240-0308 Violations Ref# CODE Violation &Location Corrected 1 Repair egress lights by restrooms on 2nd floor. 2 Remove door hold open device on stair door for apartments. 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 Comment Inspection Fee S 70.00 Occupancy Fee S 10.00 Re-inspection Fee $ Total Fee* S 80.00 Received By Chuck Orr AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload(for long inspections) Reinspection Re-inspection# Date Time 1 9/12/2018