HomeMy WebLinkAbout4025 HAMMOND OF W 4 rF INVOICE DATE DUE DATE INVOICE# TOTAL DUE
t, 12/06/2023 01/10/2024 2024-00000208 $100.00
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Customer#: 7011 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
COUNTRY INN& SUITES 715 Mulberry St
4025 HAMMOND AVE WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL PROPERTY-4025 HAMMOND- 11-17-23 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price
INSPECTION 2,000 HH $90.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
7011 12/06/2023 01/10/2024 2024-00000208 $100.00
Less Prepayment $0.00
Total Due-* $100.00
City of Waterloo
Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent
late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of
America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of
Administrative Services Offset Program if not paid in full within ninety days.
PTERCO
WATERLOO FIRE RESCUE
INSPECTION REPORT \ ii
COMFORT INN&SUITES,2011 LA PORTE RD,BLDG 2011 LA PORTE RD,WATERLOO IA 50702
DETAILS
Inspection Date: 11/27/2023 ; Inspection Type:Annual Inspection(1Yr) j Inspection Number:9315 I Shift: N/A I Station: N/A
Unit: N/A Lead Inspector:JEREMIAH VANDYKE j Other Inspectors: N/A j Fee:$100.00
VIOLATIONS
No Violations Found
GENERAL NOTES
JEREMIAH VANDYKE-11/27/2023 @ 13:35 08/17/2023 S-(Annual)Fire Alarm HAWKEYE ALARM Reviewed Compliant
JEREMIAH VANDYKE-11/27/2023 @ 13:35 02/21/2023 S-(Annual)Fire Sprinkler BLACKHAWK AUTOMATIC SPRINKLERS,INC.
Reviewed Compliant
JEREMIAH VANDYKE-11/27/2023 @ 13:38 Inspection Fee=$100.00
JEREMIAH VANDYKE-11/27/2023 @ 13:38 Replacing Exit light located in Pool room.
JEREMIAH VANDYKE-11/27/2023 @ 13:37 Lt.Van Dyke-jeremiah.vandyke@waterloo-ia.org-Work:319-291-4460-Cell:319-883-
1615
JEREMIAH VANDYKE-11/27/2023 @ 13:37 Fire extinguishers serviced by Pro Shield on 11/24/2023.
NEXT INSPECTION DATE
11/27/2024
CONTACT SIGNATURE
Dharmendra Patel Reason for not collecting a signature: NA
Printed on 11/27/2023 @ 13:41
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INSPECTOR SIGNATURE
JEREMIAH VANDYKE
Signed on:11/27/2023 @ 13:39
QUESTIONS ABOUT YOUR INSPECTION?
JEREMIAH VANDYKE
jeremiah.vandyke@waterloo-ia.org
No phone number available
Printed on 11/27/2023 @ 13:41
Page 2 of 2