HomeMy WebLinkAbout109 JEFFERSON ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
41141rer4171
11/21/2022 12/26/2022 2023-00011079 $100.00
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Customer#: 5730 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
BURGER KING 715 Mulberry St
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- 11-21-22 FOR BILLING INQUIRY: (319)291-4323
Description I Total Price
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
5730 11/21/2022 12/26/2022 2023-00011079 $100.00
Less Prepayment $0.00
Total Due $100.00
City of Waterloo
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WATERLOO FIRE RESCUE �P�ER�oo
INSPECTION REPORT
BURGER KING, 109 JEFFERSON ST,BLDG 109 JEFFERSON ST, WATERLOO IA 50702 (\/
DETAILS '
Inspection Date: 11/21/2022 Inspection Type:Annual Inspection(1 Yr) Inspection Number:9028 Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEREMIAH VANDYKE I Other Inspectors: N/A Fee:$100.00
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-11/21/2022 @ 15:51 Re-inspection dates are automatically generated 30 days out from the initial
inspection. Normal operating hours for inspections&re-inspections are Monday-
Fridaey 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-11/21/2022 @ 15:51 Re inspection fees may be assessed for subsequent re-inspections. Re-inspection fees
s $ 01$at t 150,and$200 for all subsequent re-inspections.-
! ` --
JEREMIAH VANDYKE-11/21/2022 @ 15: '1 RE inspection fee:$100.00
Printed on 1/2022 @ 15:53
age 1 of 2
REINSPECT/ON DATE
12/21/2022
CONTACT SIGNATURE
Adana-assistant manager Contact Refused
Refusal Reason: N/A emailed.
INSPECTOR SIGNATURE
JEREMIAH VANDYKE
Signed on: 11/21/2022 @ 15:52
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QUESTIONS ABOUT YOUR INSPECTION?
JEREMIAH VANDYKE
jeremiah.vandyke@waterloo-ia.org
No phone number available
Printed on 11/21/2022 @ 15:53
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