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HomeMy WebLinkAbout21 W JEFFERSON ST (2) F W q T 0 INVOICE DATE DUE DATE INVOICE# TOTAL DUE tc op 0 06/21/2023 07/25/2023 2023-00011284 $80.00 3. 4 0 b O 44 ' 7v1) Customer#: 23840 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable SIDECAR COFFEE 715 Mulberry St 21 W JEFFERSON ST WATERLOO, IA 50703 WATERLOO, IA 50702 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION -21 W JEFFERSON ST- 5-23-23 FOR BILLING INQUIRY: (319)291-4323 LDescription I Total Price J INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 23840 06/21/2023 07/25/2023 2023-00011284 $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 P �pSERtoo �.� INSPECTION REPORT SIDECAR COFFEE,21 WJEFFERSON ST,BLDG 21 WJEFFERSON ST-STE 101,WATERLOO IA 50702 DETAILS Inspection Date:05/23/2023 Inspection Type:Annual Inspection(1Yr) ( Inspection Number:8459 I Shift: N/A j Station: N/A I Unit: N/A Lead Inspector:JEREMIAH VANDYKE Other Inspectors: N/A j Fee:$80.00 VIOLATIONS No Violations Found GENERAL NOTES JEREMIAH VANDYKE-05/23/2023 @ 16:13 Fire extinguishers serviced/compliant by Superior Fire in April 2023. JEREMIAH VANDYKE-05/23/2023 @ 16:14 02/01/2023 S-(Annual)Fire Alarm HAWKEYE ALARM Reviewed Compliant JEREMIAH VANDYKE-05/23/2023 @ 16:14 10/21/2022 S-(Annual)Fire Sprinkler BLACKHAWK AUTOMATIC SPRINKLERS,INC. Reviewed Compliant JEREMIAH VANDYKE-05/23/2023 @ 16:15 No violations found during inspection. JEREMIAH VANDYKE-05/23/2023 @ 16:15 Inspection Fee:$80.00 NEXT INSPECTION DATE 05/23/2024 CONTACT SIGNATURE Reagen Rowenhorst Reason for not collecting a signature: NA Printed on 05/23/2023 @ 16:16 Page 1 of 2 INSPECTOR SIGNATURE JEREMIAH VANDYKE Signed on:05/23/2023 @ 16:11 97\ iii0k,, QUESTIONS AIOUT YOUR INSPECTION? JEREMIAH VANDYKE jeremiah.vandyke@waterloo-ia.org No phone number available Printed on 05/23/2023 @ 16:16 Page 2of2