HomeMy WebLinkAbout1010 E MITCHELL AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
M41 TIr;� 03/23/2021 04/26/2021 2021-00000229 $80.00
Customer#: 14592 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
HOMETOWN FOODS 715 Mulberry St
1010 E MITCHELL AV WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1010 E MITCHELL AVE-3-17-21 FOR BILLING INQUIRY: (319)291-4323
L Description Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
14592 03/23/2021 04/26/2021 2021-00000229 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
WATERLOO FIRE RESCUE
INSPECTION REPORT " \4ir
HOMETOWN FOODS, 1010 E MITCHELL AVE,BLDG 1010 E MITCHELL AVE, WATERLOO IA 50702
DETAILS
Inspection Date:03/17/2021 I Inspection Type:Annual Inspection(1Yr) I Inspection Number:4366 I Shift: N/A Station: N/A
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-03/18/2021 @ 09:55 No violations noted at this time
JEFF SIEBEL-03/18/2021 @ 09:26 annual inspection$80
JEFF SIEBEL-03/18/2021 @ 09:27 Kitchen hood cleaning and fire suppression by Proshield 2/22/21
JEFF SIEBEL-03/18/2021 @ 09:28 Fire door testing due 3-20-21
NEXT INSPECTION DATE
05/29/2022
CONTACT SIGNATURE
Jill Eiderts n C�`7J L.
Signed on:03/18/2021 @ 09:22
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:03/18/2021 @ 09:22
Printed on 03/18/2021 @ 09:55
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