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HomeMy WebLinkAbout1850 W RIDGEWAY AVE STE 3INVOICE DATE DUE DATE INVOICE # TOTAL DUE 01/25/2024 02/28/2024 2024-00000248 $80.00 Customer #: 23105 BANKER'S LIFE 1850 W RIDGEWAY SUITE 3 WATERLOO, IA 50701 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 - 1850 W RIDGEWAY AVE - 10-26-23 Description FOR BILLING INQUIRY: (319)291-4323 INSPECTION 1 HH OCCUPANCY FEE CUSTOMER # Total Price J $70.00 $10.00 BILLING DATE DUE DATE 23105 01/25/2024 02/28/2024 INVOICE # 2024-00000248 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 BANKERS LIFE, 1850 W R/DGEWAYAVE, BLD6 1850 W RIDGEWAY AVE - STE 3, WATERLOO /A 50701 DETAILS Inspection Date: 10/26/2023 I Inspection Type: Annual Inspection (1Yr) ( Inspection Number: 9623 I Shift: N/A I Station: N/A j Unit: N/A i Lead Inspector: JEFF SIEBEL ( Other Inspectors: N/A I 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 I Passed Codes: 45 I Violations: 0 I N/A Codes: 28 GENERAL NOTES JEFF SIEBEL - 01/12/2024 @ 14:51 JEFF SIEBEL - 01/12/2024 @ 14:51 NEXT INSPECTION DATE 10/26/2024 CONTACT SIGNATURE Summer Mast Signed on: 01/12/2024 @ 14:51 INSPECTOR SIGNATURE JEFF SIEBEL Signed on: 01/12/2024 @ 14:52 annual inspection $80 No violations at this time. Printed on 01/122024 @ 14:56 Page 1 of 2 QUESTIONS ABOUT YOUR INSPECTION? JEFF SIEBEL Jeff.Siebel@Waterloo-ia.org 3192301224 Printed on 01/12/2024@ 14:56 Page 2of2