HomeMy WebLinkAbout2820 FALLS AVE F A INVOICE DATE DUE DATE INVOICE# TOTAL DUE
o 11/15/2023 12/20/2023 2024-00000173 $100.00
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Customer#: 22167 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
3 AMIGOS 715 Mulberry St
2820 FALLS AVE WATERLOO, IA 50703
WATERLOO, IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2820 FALLS AVE- 10-16-23 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
22167 11/15/2023 12/20/2023 2024-00000173 $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.
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WATERLOO FIRE RESCUE \�,
INSPECTION REPORT ,
THREE AMIGO'S,2820 FALLS AVE,BLDG 2820 FALLS AVE,WATERLOO/A 50701
DETAILS
Inspection Date: 10/16/2023 Inspection Type:Annual Inspection(1Yr) ; Inspection Number: 11158 Shift: N/A ( Station: N/A
Unit: N/A j Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A
STATUS CODE DESCRIPTION
FAIL 606.3.3.3-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 cleaning inspection report with all discrepancies corrected.Report from AKA
dated 2/19/23 AKA lists discrepancies(AKA report states hinge required and
" appliances not in proper protected place). Provide corrections.Contractor must
upload corrections online to the compliance engine.Provide current semi-annual
kitchen hood fire suppression inspection report with all discrepancies corrected.
Contractor must upload online to the compliance engine.
Location: Not Provided
GENERAL NOTES
JEFF SIEBEL-10/19/2023 @ 08:47 re-inspection fee$100
RE/MSPECTION DATE
11/13/2023
CONTACT SIGNATURE
Thomas Hernadus
Signed on: 10/19/2023 @ 08:47 ���
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Printed on 10/19/2023 @ 08:49
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:10/19/2023 @ 08:47
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 10/19/2023 @ 08:49
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