HomeMy WebLinkAbout315 PARK RDCustomer #: 4437
HICKORY HOUSE
315 PARK RD
WATERLOO, IA 50703
INVOICE DATE
DUE DATE
INVOICE #
TOTAL DUE
05/02/2024
06/10/2024
2024-00000342
$80.00
Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
715 Mulberry St
WATERLOO, IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 315 PARK RD - 4-18-24
[ Description
FOR BILLING INQUIRY: (319)291-4323
INSPECTION 2,000
OCCUPANCY FEE
CUSTOMER #
4437
Total Price ]
$70.00
$10.00
BILLING DATE
05/02/2024
DUE DATE
06/10/2024
INVOICE #
2024-00000342
CHARGES
Less Prepayment
Total Due —+
City of Waterloo
$80.00
$0.00
$80.00
Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent
late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of
America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of
Administrative Services Offset Program if not paid in full within ninety days.
WATERLOO FIRE RESCUE
INSPECTION REPORT
HICKORY HOUSE, 315 PARK RD, BLDG 31S PARK RD, WATERLOO IA 50703
DETAILS
Inspection Date: 04/18/2024 I Inspection Type: Annual Inspection (1Yr) I Inspection Number: 12905 Shift: N/A I Station: N/A
Unit: N/A I Lead Inspector: JEFF SIEBEL ! Other Inspectors: N/A ! Fee: $80.00
VIOLATIONS AND COMPLIANCES
No Violations or Compliances selected to show for this inspection. Please reach out to the lead inspector for more details.
Resolved Violations: 0 j Passed Codes: 41 I Violations: 0 I N/A Codes: 32
GENERAL NOTES
JEFF SIEBEL - 04/18/2024 @ 13:13
JEFF SIEBEL - 04/18/2024 @ 13:14
JEFF SIEBEL - 04/18/2024 @ 13:15
NEXT INSPECTION DATE
04/18/2025
CONTACT SIGNATURE
Tim Chilcote
Signed on: 04/18/2024 @ 13:15
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on: 04/18/2024 @ 13:15
annual inspectio
Kitchen hood cleaning and fire suppression inspection reports due on 5/1/24
during inspection appliances were re -aligned with kitchen hood and oily waste
container move away from water heater. No other violations noted at this time.
(2.
J ram,
Printed on 04/18/2024 @ 13:20
Page 1 of 2
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 04/18/2024 @ 13:20
Page 2 of 2