HomeMy WebLinkAbout615 SYCAMORE ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
08/'s,.3/2018 09/20/2018 2019-00010101 $50.00
�tertoo �°
Customer#: 23064 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
MRIN GALLERY 715 Mulberry St
615 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-615 SYCAMORE ST- 8-6-18 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price
INSPECTION 1 $40.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
23064 08/13/2018 09/20/2018 2019-00010101 $50.00
Less Prepayment $0.00
Total Due- $50.00
City of Waterloo
CODE Violation &Location Corrected
Ref#
4 Provide current key for main entry and all other lockable doors in
the business properly labeled to be placed in the Knox-box by Fire
Marshal Chris Ferguson 493-1136
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 7/2018
Inspection Fee S 40.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 50.00
Received By Janice Marin
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 8/27/2018