HomeMy WebLinkAbout1915 BOURLAND AVE W A T INVOICE DATE DUE DATE INVOICE# TOTAL DUE
11/15/2023 12/20/2023 2024-00000164 $80.00
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Customer#: 23343 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
FUSION BAR 715 Mulberry St
1915 BOURLAND WATERLOO, IA 50 703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 1915 BOURLAND AVE- 10-17-23 FOR BILLING INQUIRY: (319)291-4323
L Description Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
23343 11/15/2023 12/20/2023 2024-00000164 $80.00
Less Prepayment $0.00
Total Due —* $80.00
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.
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WATERLOO FIRE RESCUE 4iP1Eq`00
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INSPECTION REPORT
FUSION BAR,1915 BOURLAND AVE,BLDG 1915 BOURLAND AVE,WATERLOO IA 50702
DETAILS
Inspection Date: 10/17/2023 1 Inspection Type:Annual Inspection(1Yr) I Inspection Number:9296 I Shift: N/A I Station: N/A I
Unit: N/A I Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A I Fee:$80.00
VIOLATIONS
No Violations Found
GENERAL NOTES
JEFF SIEBEL-10/18/2023 @ 14:31 Annual inspection fee$80
JEFF SIEBEL-10/18/2023 @ 14:32 Fire extinguishers due for service 10/27/23
JEFF SIEBEL-10/18/2023 @ 14:32 multiplug adapter removed on south wall by ID machine removed during inspection.
NEXT INSPECTION DATE
10/17/2024
CONTACT SIGNATURE
Hassan Puric
Signed on: 10/18/2023 @ 14:32
INSPECTOR SIGNATURE
JEFF SIEBEL 1. /
Signed on:10/18/2023 @ 14:32
Printed on 10/18/2023 @ 14:33
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QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebei@Waterloo-ia.org
3192301224
Printed on 10/18/2023 @ 14:33
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