HomeMy WebLinkAbout1215 FRANKLIN ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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O! ink ,7... 06/15/2021 07/30/2021 2021-00000302 $80.00
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Customer#: 14785 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
MICHOACANA MEAT MARKET 715 Mulberry St
1215 FRANKLIN 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- 1215 fRANKLIN ST-3-17-21 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
14785 06/15/2021 07/30/2021 2021-00000302 $80.00
Less Prepayment $0.00
Total Due $80,00
City of Waterloo
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INSPECTION REPORT f ' Cic)
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MICHOACANA MEAT MARKET, 1215 FRANKLIN ST,BLDG 1215 FRANKLIN ST, WATERLOO IA
50703 4241410
DETAILS
Inspection Date:03/17/2021 I Inspection Type:Annual Inspection(1 Yr) I+lin pection Number:4394 I Shift: N/A Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL Other Inspectors: N/A ! Fee:$ 00
STATUS CODE DESCRIPTION
FAIL 605.7-Appliances Electrical appliances and fixtures shall be tested and listed in published reports of
inspected electrical equipment by an approved agency and installed and maintained
in accordance with all instructions included as part of such listing.
Inspector:JEFF SIEBEL-Comments:replace missing lamp cover in walk in cooler.
GENERAL NOTES
JEFF SIEBEL-03/18/2021 @ 08:14 ( annual inspection$80
REINSPECTION DATE
04/05/2021
CONTACT SIGNATURE
Blanca Garcia
Signed on:03/18/2021 @ 08:18 d
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:03/18/2021 @ 08:18
Printed on 03/18/2021 @ 08:21
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