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HomeMy WebLinkAbout1104 WASHINGTON (2) 4 ; 1 INVOICE DATE DUE DATE INVOICE# TOTAL DUE 11171 41���• iro; 12/17/2018' 01/30/2019 2019-00010221 $200.00 0.9 Customer#: 14228 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable KWIK STOP#3 715 Mulberry St 1104 WASHINGTON 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- 1104 WASHINGTON- 11-26-18 FOR BILLING INQUIRY: (319)291-4323 L Description _ Total Price] REINSPECTION 3 $200.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 14228 12/17/2018 01/30/2019 2019-00010221 $200.00 Less Prepayment $0.00 Total Due--* $200.00 City of Waterloo _^ERISPECTI©N - Commercial Fire Inspection Form Inspection Number 444 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* 1104A Washiington Business Name Kwik Stop 3 Inspection Date* 11/26/2018 Proprietor Mohammad Ilyas Business Phone 319-236-3895 • Email* MNMinvestment@yahoo.com Email 2 GWAR1973@gmail.com Property Owner Mohammad Ilyas Emergency Contact Mohammd Ilyas Information Phone 319-464-5475/Mian 319-830-1226 Violations Ref# Code Violation &Location Corrected 1 Fuel tanks have been documented as out of service for one year as of 6/13/18, Provide compliance with 2015 IFC section 5704.2.13.1.3 Repair/Recertify or remove tanks. 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 / ! ~ Rxteru)�� �_.-- / � . . � Re ports | | / Comment i | Inspection Fee $ | ' Occupancy Fee $ / Re-inspection Fee $ 200.00 | Total Fee* $ 200.00 Received By MohammadU1yue AN INVOICE Or THIS CHARGE WILL FOLLOW. oO NOT PAY FROM THIS FORM. | � File Upload(for long inspections) ' R8inBO8CtiJD Re-inspection Date Time ' 7 12/17/2018 � �