HomeMy WebLinkAbout3201 W 4TH ST W A r INVOICE DATE DUE DATE INVOICE# TOTAL DUE
4)( 06/22/2023 07/25/2023 2023-00011323 $80.00
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Customer#: 4468 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
715 Mulberry St
METRO MART 3201 W 4TH ST WATERLOO, IA 50703
WATERLOO, IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION -3201 W 4TH ST- 6-13-23 I FOR BILLING INQUIRY: (319)291-4323
[Description 1 Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
4468 06/22/2023 07/25/2023 2023-00011323 $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 orttz•
INSPECTION REPORT
METRO 66,3201 W 4TH ST,BLDG 3201 W 4TH ST,WATERLOO/A 50701 4:40\01,
DETAILS
Inspection Date:06/13/2023 Inspection Type:Annual Inspection(1Yr) Inspection Number:7999 Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL j Other Inspectors: N/A i Fee:$80.00
VIOLATIONS
No Violations Found
GENERAL NOTES
JEFF SIEBEL-06/15/2023 @ 09:29 no violations noted at this time.
JEFF SIEBEL-06/15/2023 @ 09:29 annual inspection$80
NEXT INSPECTION DATE
06/13/2024
CONTACT SIGNATURE
Sam Annis k*C (1, l,O`
Signed on:06/15/2023 @ 09:28
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:06/15/2023 @ 09:28
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 06/15/2023 @ 09:30
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