HomeMy WebLinkAbout1105 CEDAR BEND ST F WA P INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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07/07/2023 08/10/2023 2024-00000004 $80.00
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Customer#: 5019
Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
KWIK STAR#724 715 Mulberry St
1626 OAK ST WATERLOO, IA 50703
LA CROSSE, WI 54602
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1105 CEDAR BEND ST- 6-6-23 I
FOR BILLING INQUIRY: (319)291-4323
L Description
Total Price
INSPECTION 2,000
OCCUPANCY FEE $70.00
$10.00
4 CUSTOMER# BILLING DATE I DUE DATE
INVOICE# CHARGES
5019 07/07/2023
08/10/2023 2024-00000004 $80.00
Less Prepayment $0.00
Total Due $80.00
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 60FI\
INSPECTION REPORT 4:0Z
RINK STAR#713,1105 CEDAR BEND ST,eLD611015 CEDAR BEND ST,WATERLOO/A 30703
DETAILS
Inspection Date:06/06/2023 I Inspection Type:Annual Inspection(1Yr) I Inspection Number:8310 f Shift: N/A j Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A j Fee:$80.00
VIOLATIONS
No Violations Found
GENERAL NOTES
JEFF SIEBEL-06/07/2023 @ 09:48 annual inspection fee$80
JEFF SIEBEL-06/07/2023 @ 09:49 Corrected during inspection:A.removed obstructions to electric panels. B.Cleared exit
path to back exit door of obstructions.
NEXT INSPECTION DATE
06/06/2024
CONTACT SIGNATURE
Service Dept
Signed on:06/07/2023 @ 09:47 F � � `�
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:06/07/2023 @ 09:49
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 06/07/2023 @ 09:50
Page 1 of 1
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WATERLOO FIRE RESCUECOZ
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INSPECTION REPORT 09
RS RECYCLING,110 COURT AVE,BLD6 110 COURT AVE,WATERLOO IA 50703
DETAILS
Inspection Date:06/06/2023 I Inspection Type:Annual Inspection(1Yr) Inspection Number:8332 I Shift: N/A Station: N/A
Unit: N/A I Lead Inspector:JEREMIAH VANDYKE I Other Inspectors: N/A I Fee:$80.00
VIOLATIONS
No Violations Found
GENERAL NOTES
JEREMIAH VANDYKE-06/09/2023 @ 16:01 Fire extinguishers serviced/compliant by Superior Fire in April 2023.
JEREMIAH VANDYKE-06/09/2023 @ 16:01 Discussed with owner on keeping the lanes open.
JEREMIAH VANDYKE-06/09/2023 @ 16:04 Inspection fee:$80.00
NEXT INSPECTION DATE
06/07/2024
CONTACT SIGNATURE
Randy Sanderson Reason for not collecting a signature: NA
INSPECTOR SIGNATURE
JEREMIAH VANDYKE
Signed on:06/09/2023 @ 16:04 9nVn?
Printed on 06/09/2023 @ 16:05
Page 1 of 2
QUESTIONS ABOUT YOUR INSPECTION?
JEREMIAH VANDYKE
jeremiah.vandyke@waterloo-ia.org
No phone number available
Printed on 06/09/2023 @ 16:05
Page 2 of 2