Loading...
HomeMy WebLinkAbout919 W 5TH ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE imp■\,r.:� 08/13/2018 09/20/2018 2019-00010088 $80.00 rloo 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