HomeMy WebLinkAbout1918 HAWTHRONE AVE -r+! INVOICE DATE DUE DATE INVOICE# TOTAL DUE
it
� ��,1�■�,�;,; 12/14/2022 01/20/2023 2023-00011094 $80.00
eterloo \o
Customer#: 5230 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
LOCKER ROOM 715 Mulberry St
1918 HAWTHORNE 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- 1918 HAWTHORNE AVE- 11-22-22 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
5230 12/14/2022 01/20/2023 2023-00011094 $80.00
Less Prepayment $0.00
Total Due -* $80.00
City of Waterloo
C'D:4-3C
WATERLOO FIRE RESCUE
INSPECTION REPORT It
LOCKER ROOM LOUNGE, 1918 HAWTHORNEAVE,BLDG 1918 HAWTHORNEAVE, WATERLOO
IA 50702 4410
DETAILS
Inspection Date: 11/22/2022 I Inspection Type:Annual Inspection(1 Yr) Inspection Number:7152 Shift: N/A I Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL Other Inspectors: N/A Fee:$80.00
STATUS CODE DESCRIPTION
FAIL. 1025.2.6-Doors within the Doors through which occupants must pass in order to complete the exit path shall
exit path be provided with markings complying with Sections.1 through .3.
Inspector:JEFF SIEBEL-Comments: Install reflective EXIT sign on gate of beer garden.
GENERAL NOTES
JEFF SIEBEL-11/23/2022 @ 09:56 annual inspection fee$80
JEFF SIEBEL-11/23/2022 @ 09:57 call if completed early
REINSPECTION DATE
12/07/2022
CONTACT SIGNATURE
Andrew Martin �G��
Signed on: 11/23/2022 @ 09:56
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on: 11/23/2022 @ 09:57
Printed on 11/23/2022 @ 09:59
Page 1 of 2
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 1 1/23/2022 @ 09:59
Page 2of2