HomeMy WebLinkAbout110 E 11TH ST Q W i 7' INVOICE DATE DUE DATE INVOICE# TOTAL DUE
07/18/2023 08/20/2023 2024-00000048 $150.00
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Customer#: 22278 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
EDO'S 715 Mulberry St
110 EAST 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- 110 E 11TH ST- 6-27-23 FOR BILLING INQUIRY: (319)291-4323
L Description
Total Price J
REINSPECTION 2 $150.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
22278 07/18/2023 08/20/2023 2024-00000048 $150.00
Less Prepayment $0.00
Total Due-+ $150.00
City of Waterloo
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 * P\
EDO'S,110 E 11TH ST,BLDG 110 E 11TH ST,WATERLOO IA S0703
DETAILS
Inspection Date:06/27/2023 I Inspection Type:Annual Inspection(1Yr) j Inspection Number: 10421 I Shift: N/A j Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: N/A
STATUS CODE DESCRIPTION
FAIL 606.3.3.3-Records. Records for inspections shall state the individual and company performing the
inspection,a description of the inspection and when the inspection took place.
Records for cleanings shall state the individual and company performing the cleaning
and when the cleaning took place.Such records shall be completed after each
inspection or cleaning and maintained.
Inspector:JEFF SIEBEL-Comments: Provide current semi-annual kitchen hood
exhaust cleaning with all discrepancies corrected.Hood cleaning report is overdue
and report from Cody's 8/10/23 lists deficiencies(Fan needs hinges and missing
grease box)Contractor must upload corrections and current report online to the
compliance engine.
Location: Not Provided
GENERAL NOTES
JEFF SIEBEL-07/12/2023 @ 08:59 Re-inspection fee$150
REINSPECTION DATE
08/10/2023
CONTACT SIGNATURE
Edin Sahinovic
Signed on:07/12/2023 @ 09:00 - l
icy
Printed on 07/12/2023 @ 09:01
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:07/12/2023 @ 08:59
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 07/12/2023 @ 09:01
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