HomeMy WebLinkAbout1010 E MITCHELL AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
//+�
% III.
4'\r40:- 04/27/2023 05/30/2023 2023-00011204
$80.00
''terloo o
Customer#: 14592 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
HOMETOWN FOODS 715 Mulberry St
1010 E MITCHELL AV WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1010 E MITCHELL AVE- 3-14-23 FOR BILLING INQUIRY: (319)291-4323
L Description Total Pric]
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
14592 04/27/2023 05/30/2023 2023-00011204 $80.00
Less Prepayment $0.00
Total Due --4 $80.00
City of Waterloo
°4
WATERLOO FIRE RESCUE 1\ �pSER��O
INSPECTION REPORT
HOMETOWN FOODS,1010 E MITCHELL AVE,BLDG 1010 E MITCHELL AVE,WATERLOO/A 50702
DETAILS
Inspection Date:03/14/2023 Inspection Type:Annual Inspection(1Yr) j Inspection Number:7724 j Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: N/A I Fee:$80.00
VIOLATIONS
No Violations Found
GENERAL NOTES
JEFF SIEBEL-03/15/2023 @ 14:47 annual inspection$80
•
JEFF SIEBEL-03/15/2023 @ 14:48 Extension cords removed during inspection .Reminder to maintain a minimum of 36"
clear path for fire fighter access in basement area.On other violations noted at this
time.
NEXT INSPECTION DATE
03/14/2024
CONTACT SIGNATURE
Jill Eiderts e
Signed on:03/15/2023 @ 14:49
777/
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:03/15/2023 @ 14:49
Printed on 03/15/2023 @ 14:49
Page 1 of 2
QUESTIONS AMOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 03/15/2023 @ 14:49
Page 2 of 2