HomeMy WebLinkAbout3823 UNIVERSITY AVE ��� INVOICE DATE DUE DATE INVOICE# TOTAL DUE
ice,\` ��4i 08/132018 09/20/2018 2019-00010085 $50.00
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Customer#: 21301 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
MANPOWER 715 Mulberry St
3823 UNIVERSITY AV WATERLOO, IA 50703
WATERLOO,IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-3823 UNIVERSITY AVE- 8-2-18 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price J
INSPECTION 1 $40.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE • DUE DATE INVOICE# CHARGES
21301 08/13/2018 09/20/2018 2019-00010085 $50.00
Less Prepayment $0.00
Total Due—> $50.00
City of Waterloo
Comments: Combustible materials were found in close proximity to mechanical equipment in
the mechanical room. Please keep combustible materials away from mechanical
and electrical equipment.
*No follow up re-inspections are needed. Inspection passed.
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 Proshield,April 2018
Inspection Fee $ 40.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 50.00
Received By
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection# Date Time