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Home My WebLink About126 E RIDGEWAY AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE dll� 04104��6 04/27/2023 05/30/2023 1,1# 2023-00011209 $80.00 Customer#: 22946 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable YOUR PIE 715 Mulberry St 126 E RIDGEWAY AVE WATERLOO, IA 50703 WATERLOO,IA 50702 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION- 126 E RIDGEWAY AVE- 3-20-23 FOR BILLING INQUIRY: (319)291-4323 L Description Total Pric] INSPECTION 1 HH $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 22946 04/27/2023 05/30/2023 2023-00011209 $80.00 Less Prepayment $0.00 Total Due-* $80.00 City of Waterloo • kALP 4ptEgLQO WATERLOO FIRE RESCUE 4e„„„..,5C/ INSPECTION REPORT YOUR PIE,126 E RIDGEWAY AYE,BLDG 126 E RIDGEWAY AYE-STE C,WATERLOO/A S0702 DETAILS Inspection Date:03/20/2023 Inspection Type:Annual Inspection(1Yr) I Inspection Number:7720 I Shift: N/A Station: N/A Unit: N/A Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A I Fee:$80.00 STATUS CODE DESCRIPTION FALL 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 system inspection report with all discrepancies corrected.Contractor must upload report and frequency online to the compliance engine. GENERAL NOTES JEFF SIEBEL-03/21/2023 @ 09:23 annual inspection$80 REINSPECTION DATE 04/10/2023 CONTACT SIGNATURE James Kehl `/ 1 6 Signed on:03/21/2023 @ 09:27 INSPECTOR SIGNATURE JEFF SIEBEL Signed on:03/21/2023 @ 09:27 Printed on 03/21/2023 @ 09:28 Page 1 of 2 QUESTIONS ABOUT YOUR INSPECTION? JEFF SIEBEL Jeff.Siebel@Waterloo-ia.org 3192301224 Printed on 03/21/2023 @ 09:28 Page 2 of 2