HomeMy WebLinkAbout1501 E ORANGE RD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/4��;���,► ��.?. 12/14/2022 01/20/2023 2023-00011099 $80.00
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Customer#: 20998 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
HAWKEYE COMMUNITY COLLEGE 715 Mulberry St
CHILD DEVELOPMENT WATERLOO, IA 50703
PO BOX 8015
Waterloo, IA 50704
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1501 E ORANGE RD - 11-28-22 FOR BILLING INQUIRY: (319)291-4323
LDescription ( Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
20998 12/14/2022 01/20/2023 2023-00011099 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
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WATERLOO FIRE RESCUE
INSPECTION REPORT
HAWKEYE COMMUNITY CHILD CARE, 1501 E ORANGE RD,BLDG HAWKEYE CENTER
,
WATERLOO/A 50701 42%0
DETAILS
Inspection Date: 11/28/2022 i Inspection Type:Annual Inspection(1Yr) I Inspection Number:6778 I Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A I Fee:$80.00
VIOLATIONS
No Violations Found
GENERAL NOTES
JEFF SIEBEL-12/02/2022 @ 10:11 annual inspection fee$80
JEFF SIEBEL-12/02/2022 @ 10:25 fire Drills and dryer vent cleaning report.
JEFF SIEBEL-12/02/2022 @ 10:25 No violations noted at this time.
NEXT INSPECTION DATE
11/28/2023
CONTACT SIGNATURE
Penny Teisinger YC�-
Signed on: 12/02/2022 @ 10:25 1 _ , J
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:12/02/2022 @ 10:25
Printed on 12/02/2022 @ 10:26
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'QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 12/02/2022 @ 10:26
Page 2 of 2