HomeMy WebLinkAbout126 E RIDGEWAY AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
��::� ip.
� 11�■\,':. 02/09/2021 03/15/2021 2021-00000214 $80.00
Customer#: 22946 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
YOUR PIE 715 Mulberry St
126 E RIDGEWAY AVE WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 126 E RIDGEWAY AVE- 1-29-21 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
22946 02/09/2021 03/15/2021 2021-00000214 $80.00
Less Prepayment $0.00
Total Due—÷ $80.00
City of Waterloo
Ci
3-Q
WA TERL FIRE RESCUE �P E
INSPECTION REPORT t
YOUR PIE, 126 E RIDGEWAY AVE,BLDG 126 E RIDGEWAYAVE-STE C, WATERLOO/A 50702
DETAILS
Inspection Date:01/29/2021 ; Inspection Type:Annual Inspection(1Yr) 1 Inspection Number:4115 1 Shift: N/A 1 Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL 1 Other Inspectors: N/A I Fee:$80.00
VIOLATIONS
No Violations Found
GENERAL NOTES
JEFF SIEBEL-02/01/2021 @ 10:10 annual inspections$80
JEFF SIEBEL-02/01/2021 @ 10:11 Fire extinguisher due in March.
NEXT INSPECTION DATE
02/11/2022
CONTACT SIGNATURE
James Kehl
Signed on:02/01/2021 @ 10:09 `
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:02/01/2021 @ 10:09
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 02/01/2021 @ 10:13
Page 1 of 1