HomeMy WebLinkAbout118 E 11TH ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
tr.!,, .ttifiz. 02/09/2018 03/15/2018 2018-00000175 $80.00
°t0rloo N4
Customer#: 14739 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
EL SENOR TEQUILA NIGHTCLUB 715 Mulberry St
118E 11TH ST WATERLOO, IA 50703
WATERLOO, IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 118 E 11TH ST- 1-18-18 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
14739 02/09/2018 03/15/2018 2018-00000175 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
•
Commercial Fire Inspection Report
Inspection Number 1208
Prior Inspection 254
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* 118 East 11th
Business name El Senior Tequila
Inspection Date* 1/18/2018
Proprietor Ruben Villalpando
Business Phone 563-940-1564
Email* Cindy.young@waterloo-ia.org
Email 2
Property Owner Ruben Villalpando
Emergency Contact Ruben Villalpando
Information
Phone 563-940-1564
Violations
Ref# CODE Violation &Location Corrected
1 Provide annual service for fire extinguishers
2 Storage room: remove multi-plug adapter. Daisy chaining of circuit
protected power strips must each plug directly into wall outlet and
be properly mounted.
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
Re ports
Comment
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee $
Total Fee* S 80.00
Received By Ruebon
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 2/8/2018