HomeMy WebLinkAbout607 SCYAMORE ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
ih„.,�a� .4; , 02/09/2021 03/15/2021 2021-00000205 $50.00
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Customer#: 9962 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
PATHWAYS BEHAVIORAL SERVICES INC 715 Mulberry St
3362 UNIVERSITY 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-607 SYCAMORE ST- 1-12-21 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price J
INSPECTION 1 $40.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
9962 02/09/2021 03/15/2021 2021-00000205 $50.00
Less Prepayment $0.00
Total Due- $50.00
City of Waterloo
WATERLOO FIRE RESCUE D
INSPECTION REPORT
PATHWAYS,607 SYCAMORE ST,BLDG 607 SYCAMORE FLOOR 3-STE 300, WATERLOO IA
50703 4440
DETAILS
Inspection Date:01/12/2021 I Inspection Type:Annual Inspection(1Yr) Inspection Number:2763 ; Shift: N/A Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A
VIOLATIONS0\\*
CNN
No Violations Found
GENERAL NOTES
JEFF SIEBEL-01/14/2021 @ 08:48 annual inspection fee$50
JEFF SIEBEL-01/14/2021 @ 08:48 No violations noted at this time.
JEFF SIEBEL-01/14/2021 @ 08:49 Annual fire sprinkler 5/15/20 Black Hawk
JEFF SIEBEL-01/14/2021 @ 08:49 annual fire alarm Primary 4/2/20
NEXT INSPECTION DATE
04/24/2021
CONTACT SIGNATURE
Jordan Dunn
Signed on:01/14/2021 @ 08:50
Printed on 01/14/2021 @ 08:51
Page 1 of 2
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:01/14/2021 @ 08:50
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 01/14/2021 @ 08:51
Page 2 of 2