HomeMy WebLinkAbout919 W 5TH ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
imp■\,r.:� 08/13/2018 09/20/2018 2019-00010088 $80.00
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Customer#: 13757 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
WEST SIDE LIQUOR 715 Mulberry St
919 W 5TH ST WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-919 W 5TH ST- 8-7-18 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13757 08/13/2018 09/20/2018 2019-00010088 $80.00
Less Prepayment $0.00
Total Due—* $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1703
Prior Inspection 489
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* 919 West 5th Street
Business name West Side Liquer
Inspection Date* 8/7/2018
Proprietor Heather Cummings
Business Phone 319-233-1550
Email* Chaudhry.lmran@hotmail.com
Email 2 Cindy.Young@waterloo-ia.org
Property Owner
Emergency Contact Faiza Farojui
Information
•
Phone 319-504-8333
Violations
Ref# CODE Violation &Location Corrected
1 Provide annual service for fire extinguisher.
2 No open flames or burning of incense is allowed. Incense was
burning and dropping into garbage can.Was removed in my
presence.
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
Comment
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee
Total Fee* $ 80.00
Received By Heather Cummnings
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection# Date Time
1 8/28/2018