HomeMy WebLinkAbout712 JEFFERSON ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
lh�,,�i�, M�.,, • 08/1 /2018 09/20/2018 2019-00010102 $80.00
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Customer#: 22364 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
FIREWATER CAFE LLC 715 Mulberry St
712 JEFFERSON LLC WATERLOO, IA 50703
WATERLOO,IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-712 JEFFERSON ST- 8-2-18 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
22364 08/13/2018 09/20/2018 2019-00010102 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
I •
- Commercial Fire Inspection Report
Inspection Number 1689
Prior Inspection 531
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* 712 Jefferson Street
Business name Firewater Cafe LLC
Inspection Date* 8/2/2018
Proprietor Dennis Halverson
Business Phone
Email* barry.stratton@waterloo-ia.org
Email 2
Property Owner Marjana Bijelic
Emergency Contact Dennis Halverson
Information
Phone 319-404-1393
Violations
Ref# CODE Violation &Location Corrected
1 Properly mount currently serviced fire extinguisher in an accessible
location 4"to 5'above the floor
2
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 Fire Extinguisher Service
Comment Superior 7/18
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Marjana Bijelic
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection# Date Time
1 8/23/2018