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HomeMy WebLinkAbout845 W 4TH STINVOICE DATE DUE DATE INVOICE # TOTAL DUE 09/10/2025 10/15/2025 2026-00000122 $80.00 Customer #: 23763 HOUSE OF HOPE 845 W 4TH ST 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 - 845 W 4TH ST - 9-4-25 FOR BILLING INQUIRY: (319)291-4323 Description Total Price INSPECTION 2,000 OCCUPANCY FEE $70.00 $10.00 CUSTOMER # BILLING DATE DUE DATE INVOICE # CHARGES 23763 09/10/2025 10/15/2025 2026-00000122 $80.00 Less Prepayment Total Due —> City of Waterloo $0.00 S80.00 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 nspection Report House of Hope - Legacy Littles - 845 W 4th ST, BLDG 845 W 4th St, Waterloo IA 50702 INSPECTION DETAILS Inspection Date 09/04/2025 Lead Inspector Inspection Type Annual Inspection (1Yr) 425 E. 3rd Street inspection Number 15386 Shift Station Unit JEREMIAH VANDYKE NIA N/A N/A Other Inspectors N/A SUMMARY OF INSPECTION ® 67 Passed codes NEXT STEPS O 0 Failed codes Q 6 N/A codes Please direct questions about your Inspection to: JEREMIAH VANDYKE jeremiah.vandyke@waterloo-ia.org GENERAL NOTES JEREMIAH VANDYKE - 09/05/2025 @ 08:44 Last fire drill completed and recorded 5/25. Advised that these need to be done monthly. JEREMIAH VANDYKE - 0910512025 @ 08:44 Fire extinguishers serviced by Pro Shield Dec. 2024. JEREMIAH VANDYKE - 09/05/2025 @ 08:47 No violations found during inspection. JEREMIAH VANDYKE - 09/05/2025 @ 08:47 Inspection Fee = $80.00 (To be mailed out by City via snail mail.) SIGNATURES Contact signature Inspector signature No signature Report completed post inspection Shawna McConaughy - Office Manager Date: JEREMIAH VANDYKE Reinspection Date 10/17/2026 09/05/2025 GENERATED ON 9/5/25, 8:48 AM 1 OF 2 Statement of Fees FEE Invoice Date Inspection Fee N/A $80.00 Invoice Number N/A Date Paid Amount Paid Check Number Transaction Number N/A N/A GENERATED ON 9/5/25, 8:48 AM 2 OF 2