HomeMy WebLinkAbout624 SYCAMORE ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/�+';1�',►1.411•% 12/14/2022 01/20/2023 2023-00011108 $100.00
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Customer#: 22847 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
RODNEY'S KITCHEN 715 Mulberry St
626 SYCAMORE 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- 624 SYCAMORE ST- 11-23-22 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price
J
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
22847 12/14/2022 01/20/2023 2023-00011108 $100.00
Less Prepayment $0.00
Total Due-> $100.00
City of Waterloo
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WATERLOO FIRE RESCUE tI �P R�
INSPECTION REPORT
RODNEY`S KITCHEN,624 SYCAMORE ST,BLDG 624 SYCAMORE ST, WATERLOO/A 50703
4740
DETAILS
Inspection Date: 11/23/2022 I Inspection Type:Annual Inspection(1Yr) Inspection Number:8991 Shift: N/A i Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL Other Inspectors: N/A
STATUS CODE DESCRIPTION
609.3.3.3-Records Records for inspections shall state the individual and company performing the
inspection,a description of the inspection and when the inspection took place.
Records for cleanings shall state the individual and company performing the cleaning
and when the cleaning took place.Such records shall be completed after each
inspection or cleaning and maintained.
Inspector:JEFF SIEBEL-Comments:Provide current semi-annual kitchen hood
exhaust system cleaning inspection report with all discrepancies corrected.Currently
hood cleaning 584 days past due.Contractor must upload online to the compliance
engine.
GENERAL NOTES
JEFF SIEBEL-11/28/2022 @ 07:42 re-inspection fee$100
JEFF SIEBEL-11/28/2022 @ 07:42 Called Rodney 11/23/22 1:06 pm
REINSPECTION DATE
12/14/2022
CONTACT SIGNATURE
Rodney Lewis C.l /r1L di.
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Signed on: 11/28/2022 @ 07:42
Printed on 11/28/2022 @ 07:44
Page 1 of 2
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on: 11/28/2022 @ 07:43
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 1 1/28/2022 @ 07:44
Page 2 of 2