HomeMy WebLinkAbout3610 ANSBOROUGH AVE * W A INVOICE DATE DUE DATE INVOICE# TOTAL DUE
11/15/2023 12/20/2023 2024-00000161 $100.00
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Customer#: 11638 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
COMMUNITY UNITED CHILD CARE CENTER 715 Mulberry St
3 610 ANSBOROUGH AV WATERLOO, IA 50703
WATERLOO, IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-3610 ANSBOROUGH AVE- 10-18-23 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price
INSPECTION 20,000 $90.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
11638 11/15/2023 12/20/2023 2024-00000161 $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.
WATERLOO FIRE RESCUE 4„p'[ER,00
INSPECTION REPORT
COMMUNITY UNITED CHILD CARE,3610 ANSBOROUGH AVE,BLDG 3610 ANSBOROUGH AVE,
WATERLOO IA 50701
DETAILS
Inspection Date: 10/18/2023 Inspection Type:Annual Inspection(1Yr) Inspection Number:9142 I Shift: N/A I Station: N/A
Unit: N/A ; Lead Inspector:JEFF SIEBEL ( Other Inspectors: N/A
VIOLATIONS
No Violations Found
GENERAL NOTES
JEFF SIEBEL-10/19/2023 @ 07:29 Annual Inspection Fee$100
JEFF SIEBEL-10/20/2023 @ 08:35 fire drills completed monthly. Last 10/9/23
JEFF SIEBEL-10/20/2023 @ 08:38 Dryer vent cleaning to the outside completed by Josh @ Air Pro Ducts 3/29/23.
JEFF SIEBEL-10/20/2023 @ 08:39 Slide bolt lock removed from outside of Seal Room exit door during inspection.
JEFF SIEBEL-10/20/2023 @ 08:39 No other violations noted.
NEXT INSPECTION DATE
10/18/2024
CONTACT SIGNATURE
AmyJunkin 11^
Signed on:10/20/2023 @ 08:39
Printed on 10/20/2023 @ 08:40
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on: 10/20/2023 @ 08:39
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 10/20/2023 @ 08:40
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