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HomeMy WebLinkAbout1107 E 4TH ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE P 09/04/2018 10/10/2018 2019-00010137 $50.00 1 er.,...",T.„,,Pk') wer Customer#: 23090 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable FRESH CUTS 715 Mulberry St 1107 E 4TH 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- 1107 E 4TH ST- 8-23-18 FOR BILLING INQUIRY: (319)291-4323 LDescription I Total Price j INSPECTION 1 $40.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 23090 09/04/2018 10/10/2018 2019-00010137 $50.00 Less Prepayment $0.00 Total Due--f $50.00 City of Waterloo �;�am�reia1 Fire inspection,Rep©rt � business name and address 1747 o fill bu Il a+ Inspection Numberif it is available,it Fill this field Prior Inspection Number Seff Siebel Rescue p3 * Waterloo Fire IA 507 Inspector Street Waterloo, 2g1.4262 715 Mulberry 1224 Fax.(319)- or9 Phone Jeff Siebel@ terloo-ia' Emmail.ail: file Upload Address* 1 107 East 4th Fresh Guts Business Warne 8123120%5 Inspection Date John Cooper Proprietor 319 52g_4413 Business phone �terloo-ia_or9 Cindy.young@waterloo-ia.org 0 yahpO.com Mandie10229 @ Email 2 Property Owner Ali °ntact 319-505r21g9 Emergency G Information Aii 319.215-7434 Correcte� Phone Violation&Location Violations ©E li ht at main entrance sher in an G� ress 9 m u� Ref# Repair ew�e9 2A 10BG fire extinguisher xt 9 iced flo°r. Mount a currently serviced 4 to 5 above the � location t business accessible throughout ck 2 missing ceiling tiles bolt locks from ba Replace remove all slide unction box to itmo sign and and install blank cover on l ress 9 3 Repair ex t sign door or remove ex� d Wires. 4 properly contain expose Comments: If violations noted during the inspection are not corrected by the given re-inspection date. Aditional fees ari 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 40.00 Occupancy Fee S 10.00 Re-inspection Fee S Total Fee* S 50.00 Received By John Cooper AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload (for long inspections) Reinspection Re-inspection# Date Time 1 9/14/2018