HomeMy WebLinkAbout919 W 5TH ST (2) INVOICE DATE DUE DATE INVOICE# TOTAL DUE
iiii40._
12/17/20;8 01/30/2019 2019-00010220 $80.00
?...--10,=:411
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- 11-27-18 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13757 12/17/2018 01/30/2019 2019-00010220 $80.00
Less Prepayment $0.00
Total Due--). $80.00
City of Waterloo
Core •rcial Fire Inspection Report
Inspection Number 1922
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* 11/27/2018
Proprietor Ehsan Aslam
Business Phone 319-233-1550
Email* Chaudhry.lmran@hotmail.com
Email 2 ehsanaslam1990@icloud.com
Property Owner Ehsan Aslam
Emergency Contact Ehsan Aslam
Information
Phone 515-346-1852
Violations
Ref# CODE Violation &Location Corrected
1 Obtain proper building,electrical,and mechanical permits and
inspections for installation of walk in cooler.
2 Replace missing ceiling tile after inspections are complete.
3 Mount a currently serviced 2A-10BC fire extinguisher 4"to 5'above
the floor in an accessible location in front of store
4 Remove extension cord by front door.
Comments:
n violations noted during the inspection are not corrected uy the given re-inspection date additional fees
are as '
$1nU.no -First Re-inspection |$1o0.on -Second Re-inspection /$uoo 'Third and subsequent Re-inspections
RB0DrfS
Reports Fire Extinguisher Service
Comment 8uper|oro/1a
Inspection Fee $ r000
Occupancy Fee S 10�00
Re-inspection Fee $
Total Fee^ S 80.00
Received By sheanxa|am
Am INVOICE or THIS CHARGE WILL FOLLOW. oO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
ReiDSpe[tiOD
Ro'inmpection# Date Time
1 12/1e/201e