HomeMy WebLinkAbout710 JEFFERSON ST /Ii1
^"�� INVOICE DATE DUE DATE INVOICE#
TOTAL DUE
'I,Iir 02/15/2023 03/20/2023 2023-00011130 $80.00
Customer#: 23382
Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
THE LOFT' 715 Mulberry St
710 JEFFERSON WATERLOO, IA 50703
WATERLOO, IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 710 JEFFERSON ST- 1-18-23
I FOR BILLING INQUIRY: (319)291-4323
I
LDescription
I Total Price i
INSPECTION 2,000
OCCUPANCY FEE $70.00
$10.00
CUSTOMER# BILLING DATE DUE DATE
23382 I 02/15/2023 03/20/2023 INVOICE# CHARGES
I 2023-0001113
0 $80.00
Less Prepayment $0.00
Total Due —± $80.00
City of Waterloo
WATERLOO FIRE RESCUE
INSPE
CTION REPORT �pSER�DO
THE LOFT,710 JEFFERSON ST,BLDG 710 JEFFERSON ST-STE UPPER FLOOR,WATERLOOt'\ #
S07014406
IA
DETAILS
Inspection Date:01/18/2023 Inspection Type:Annual Inspection(1Yr) I Inspection Number:7293 i Shift:
Unit: N/A ' Lead Inspector:JEFF SIEBEL ; Other Inspectors: N/A N/A ; Station: N/A
VIOLATIONS
No Violations Found
GENERAL NOTES
JEFF SIEBEL-01/22/2023 @ 15:27 no violations noted at this time.
JEFF SIEBEL-01/22/2023 @ 15:27
annual inspection$80
NEXT INSPECTION DATE
01/19/2024
CONTACT SIGNATURE
Christopher"Bud"Jones
741
Signed on:01/22/2023 @ 15:25
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:01/22/2023 @ 15:25
Printed on 01/22/2023 @ 15:29
Page 1 of 2
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 01/22/2023 @ 15:29
Page 2 of 2