HomeMy WebLinkAbout109 JEFFERSON ST � INVOICE DATE DUE DATE INVOICE# TOTAL DUE
f � . b. ��; 04/26/2023 04/05/2023 2023-00011193 $200.00
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Customer#: 5730 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
715 Mulberry St
BURGER KING 109 JEFFERSON 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 - 109 JEFFERSON ST - 3-3-23 1 FOR BILLING INQUIRY: (319)291-4323
Total Price J
[Description
REINSPECTION 3 $200.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
5730 04/26/2023 04/05/2023 2023-00011193 $200.00
Less Prepayment $0.00
Total Due --4 $200.00
City of Waterloo
(24)
FIRE RESCUE
P) 4",
WATERLOO
INSPECTION REPORT
BURGER KING,109 JEFFERSON ST,BLDG 109 JEFFERSON St WATERLOO IA 50702
DETAILS
Inspection Date:03/03/2023 1 Inspection Type:Annual Inspection(1Yr) 1 Inspection Number:9561 Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEREMIAH VANDYKE Other Inspectors: N/A I Fee:$200.00
STATUS CODE DESCRIPTION
FAIL 2015 IFC-Fire alarm testing Is the fire alarm system powered,operational and displaying normal operation(no
and maintenance troubles,supervisory,or alarms)?
Inspector:JEREMIAH VANDYKE-Comments:Fire alarm was recently serviced but
alarm is still in"Trouble mode".Must be serviced by licensed fire alarm contractor.
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GENERAL NOTES
JEREMIAH VANDYKE-01/27/2023 @ 11:45 Re-inspection dates are automatically generated 30 days out from the initial
inspection. Normal operating hours for inspections&re-inspections are Monday-
Friday,8:00 a.m.-5:00 p.m.If the automatically generated re-inspection date lands on
a weekend,the re-inspection will typically be performed the following Monday or
Tuesday. If all corrections are made before the 30 days,you can call to set up an earlier
re-inspection.
JEREMIAH VANDYKE-01/27/2023 @ 11:45 Re inspection fees may be assessed for subsequent re-inspections.Re-inspection fees
start at$100,then$150,and$200 for all subsequent re-inspections.-
JEREMIAH VANDYKE-01/27/2023 @ 11:45 RE inspection fee:$200.00
Printed on 03/03/2023 @ 14:39
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REINSPECTION DATE
04/02/2023
CONTACT SIGNATURE
Tequila-store manager Contact Refused
Refusal Reason:N/a emailed
INSPECTOR SIGNATURE
JEREMIAH VANDYKE
Signed on:03/03/2023 @ 09:09 C3
QUESTIONS ABOUT YOUR INSPECTION?
JEREMIAH VANDYKE
jeremiah.vandyke@waterloo-ia.org
No phone number available
Printed on 03/03/2023 @ 14:39
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