HomeMy WebLinkAbout808 DEARBORN AVE ♦
INVOICE DATE DUE DATE INVOICE# TOTAL,DUE
A` i\��`, 06/15/2021 07/30/2021 2021-00000285 $100.00
0111V. 11111 ,.. d„-
`�terl000 ..F
Customer#: 12022 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
A-LINE EDS 715 Mulberry St
808 DEARBORN AV WATERLOO, IA 50703
WATERLOO,IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 808 DEARBORN AVE-5-12-21 FOR BILLING INQUIRY: (319)291-4323
L Description 1 Total Price J
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
12022 06/15/2021 07/30/2021 2021-00000285 $100.00
Less Prepayment $0.00
Total Due $100.00
City of Waterloo
WATERLOO FIRE RESCUE "1/-
44. oo
INSPECTION REPORT r2 ()
A-LINE EDS,808 DEARBORN AVE, BLDG 808 DEARBORN AVE, WATERLOO IA 50703
DETAILS
t/
Inspection Date:05/12/2021 I Inspection Type:Annual Inspection(1Yr) Inspection Number:5962 I Shift: N/A Station: N/A
Unit: N/A I Lead Inspector:BARRY STRATTON I Other Inspectors: N/A Fee:$100.00
VIOLATIONS
No Violations Found
GENERAL NOTES
BARRY STRATTON-05/12/2021 @ 12:02 Alarm testing 11/4/21 Private Hydrant 6/25/21 Fire Doors 6/2020
NEXT INSPECTION DATE
05/12/2022
CONTACT SIGNATURE
Gabe Oldfather
Signed on:05/12/2021 @ 12:00
INSPECTOR SIGNATURE
BARRY STRATTON
3 ,
Signed on:05/12/2021 @ 12:01
QUESTIONS ABOUT YOUR INSPECTION?
BARRY STRATTON
barry.stratton@waterloo-ia.org
(319)231-9147
•
P-,nted or 051'2,2021 I:02
Page 1 of 1