HomeMy WebLinkAbout2026 BOPP ST (2) INVOICE DATE DUE DATE INVOICE# TOTAL DUE
I i `� 05/26/2021 06/30/2021 2021-00000281 $80.00
Customer#: 3390 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
SOUTHTOWN LOUNGE 715 Mulberry St
2026 BOPP ST WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed.
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2026 BOPP ST-4/20/21 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
3390 05/26/2021 06/30/2021 2021-00000281 $80.00
Less Prepayment $0.00
Total Due-p $80.00
City of Waterloo
WA ER L O0 FIRE RESCUE 44„E„,°°
INSPECTION REPORT t / \
SOUTHTOWN LOUNGE,2026 BOPP ST,BLDG 2026 BOPP ST, WATERLOO IA S0702 440)
DETAILS
Inspection Date:04/20/2021 I Inspection Type:Annual Inspection(1Yr) I Inspection Number:4364 Shift: N/A I Station: N/A I
Unit: N/A Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A I Fee:$80.00
STATUS CODE DESCRIPTION
FAI 609.3.3.1 -Inspection Hoods,grease-removal devices,fans,ducts and other appurtenances shall be
inspected at intervals specified in Table or as approved by the fire code official.
Inspections shall be completed by qualified individuals.
Inspector:JEFF SIEBEL-Comments: Provide current semi-annual kitchen hood
cleaning report with all deficiencies corrected.Contractor must upload online to the
compliance engine.
GENERAL NOTES
JEFF SIEBEL-04/21/2021 @ 08:12 annual inspection$80
REINSPECTION DATE
05/11/2021
CONTACT SIGNATURE
Deb Youngblut
Signed on:04/21/2021 @ 08:07
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:04/21/2021 @ 08:08
Printed on 04/21/2021 @ 08:13
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