HomeMy WebLinkAbout309 W 4THST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/47111 P.M 09/04/2018 10/10/2018 2019-00010123 $80.00
°terloo \o
Customer#: 12042 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
KARMA BAR 715 Mulberry St
309 W 4TH ST WATERLOO, IA 50703
WATERLOO,IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-309 W 4TH 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
12042 09/04/2018 10/10/2018 2019-00010123 $80.00
Less Prepayment $0.00
Total Due—* $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1733
Prior Inspection 551
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* 309 West 4th Street
Business name Karma Bar
Inspection Date* 8/20/2018
Proprietor Ned Okanovic
Business Phone 319-232-8000
Email* okanovicned@yahoo.com
Email 2
Property Owner Ned Okanovic
Emergency Contact Ned Okanovic
Information
Phone 319-290-6469
Violations
Ref# CODE Violation &Location Corrected
1 Repair egress/exit light above:
A. Main exit
B. Rear exit
2 Provide annual service for fire extinguishers.
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 ($200-Third and subsequent Re-inspections
Reports
Reports
Comment
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80,00
Received By Bartender
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection # Date Time
1 9/11/2018