HomeMy WebLinkAbout106 BROOKERIDGE DR INVOICE DATE DUE DATE INVOICE# TOTAL DUE
Apai,3116: 04/26/2023 04/05/2023 2023-00011175 $80.00
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Customer#: 4469 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
GOLDEN CHINA 715 Mulberry St
106 BROOKERIDGE DR WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 106 BROOKERIDGE DR- 3-17-23 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
4469 04/26/2023 04/05/2023 2023-00011175 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
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WATERLOO FIRE RESCUE
INSPECTION REPORT
GOLDEN CHINA,106 BROOKERIDGE DR,BLDG 106 BROOKERIDGE DR,WATERLOO IA 50702
DETAILS
Inspection Date:03/17/2023 Inspection Type:Annual Inspection(1Yr) Inspection Number:7857 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-03/17/2023 @ 08:41 annual inspection$80
JEFF SIEBEL-03/17/2023 @ 08:45 corrected during inspection:extension cord removed from cameras and power strip
was utilized instead.Text 3/16/23 1510 319-830-7134
JEFF SIEBEL-03/17/2023 @ 08:45 no other violations corrected at this time.
NEXT INSPECTION DATE
03/16/2024
CONTACT SIGNATURE
Yeli Chiu
Signed on:03/17/2023 @ 09:10 c o
(A/A, VN'
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:03/17/2023 @ 09:10
)\71 /
Printed on 03/17/2023 @ 09:11
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QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 03/17/2023 @ 09:11
Page 2 of 2