HomeMy WebLinkAbout1915 BOURLAND AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
ATI1';.� 11/15/2018 12/20/2018 2019-00010176 $80.00
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Customer#: 14368 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
TRUCKER BAR 715 Mulberry St
1915 BOURLAND AV WATERLOO, IA 50 703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1915 BOURLAND AVE- 10-17-18 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
14368 11/15/2018 12/20/2018 2019-00010176 $80.00
Less Prepayment $0.00
Total Due—> $80.00
City of Waterloo
Com rcial Fire Inspection Report
Inspection Number 1857
' Prior Inspection 141
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* 1915 Bourland Avenue
Business name Trucker Bar
Inspection Date* 10/17/2018
Proprietor Hassan Puric
Business Phone 319-287-5849
Email* cecilijapuric@gmail.com
Email 2
Property Owner Hassan Puric
Emergency Contact 319-610-0159
Information
Phone Hassan Puric
Violations
Ref# CODE Violation &Location Corrected
1 Remove extension cord by Diamond Purple Collection machine.
Install permanent wall outlet with permit and inspections.
2 Remove power tap to 2 small refrigerators behind bar. REPEAT
VIOLTIONS. Install permanent wall outlets with proper permits and
inspections.
3 Allow inspector opportunity to inspect office area.
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 1$150-00-Second Re-inspection $200-Third and subsequent Re-inspections
Reports
Reports Fire Extinguisher Service
Comment Mena,ua11xD1r Due next month.
'
Inspection Fee S7O.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.0O
Received By Bartender
AN INVOICE OF THIS CHARGE WILL FOLLOW. oO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Re/DGDeOiiOD
Re-inspection# Oaua
Time