HomeMy WebLinkAbout1214 FRANKLIN ST INVOICE DATE DUE INVOICE# TOTAL DUE
DATE
ti AN a TF 06/22/2023 07/25/2023 2023-00011294
$800
0 R
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)b�s ��`�3 Check Payable and Remit To:
`� Make
• 70'75 Please
Customer#. City of Waterloo
ATTN: City c
Ierk/Accounts Receivable
715 Mulberry St 50703
WATERLOO, IA
KWIK STAR#722
1626 OAK ST Amount Enclosed:
LA CROSS,WI 54602
WITH YOUR PAYMENT
----------------------------------------
_ -------------
DETACH AND RETURN TOP PORTION
YOUR RECORDS
---- --- -- KEEP
-- INQUIRY: (3l9)291-432
------------------------------------- K THIS PORTION FOR BILLING INQ
----------- FOR
--- O - 1214 FRANKLIN ST -6-6-23
COMMERCIAL INSPECTION Total Price
COIVIM
$70.00
Description $1 0.00
INSPECTION 2,000
OCCUPANCY FEE
CHARGES
INVOICE# $80
DUE DATE 2023-00011294 $(
BILLING DATE 07/25/2023 Less Prepayment $0
CUSTOMER# 06/22/2023 Total Due —*
7075
City of waterloo
will result in an additional twenty-five pE
forwarded to Municipal Collections of
n ninety days of the due date wille result
Department o
balance. The delinquent account olleill btioo through the Iowa
a in full debts listed herein within Failure top f outstanding Bala subject to
late fee applied to any efforts. Debts shall also be
America for further collection Administrative Services Offset Program if not paid in full within ninety days.
tea/
SLUE 01A50103
RE ATER�0 FIRE �.�N ST•
D14FNATERLO°
�N REPORT N ST,e� Shift: NIA :.
INSPECTION
FRp'NKL� Number:8327 `�S
KWIK STAR,
DETAILS e:Annual Inspection(1Yr) , Inspection
Inspection' Other Inspectors: NIA
Inspection Date.
p6I0612023 ' SIEBE�
Insp A i Lead Inspector:JEFF Unit. NI
VIOLATIONS No Violations Found
GENERAL NOTES Annual inspectiong0
Ei--0610712023 @ 0937 JEFF S1EBfront of building
post Address on
JEFF 51EB
Ei-_06107/2023 @ 09 3$
NEXT INSPECTION DATE
06/05/2024
CONTACT Sj6NATURE
Zfr--)
Deanna Hafne07,2023 @ 09:36
Signed on:06/
INSPECTOR Sj6NATURE
JEFF SIEBEL 09.36
Signed on.06107/2023 @
QUESTIONS Ai
OUt YOUR INSPECTION;
JEFF SIEBEL Waterloo-ia.or$ 09.38
Jeff.Siebei@ printed on 06i0712023 @
3'192341224 Page °f 1