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HomeMy WebLinkAboutEPI-760 ANSBOROUGH AVE O* W A 7. INVOICE DATE DUE DATE INVOICE# TOTAL DUE -� '�t 10/02/2026 11/06/2026 2027-00000152 $80.00 ik u fair•.. a O • COI III II O • > Y T O 3 3's 7%10\3 Customer#: 11075 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable EPI 715 Mulberry St 760 ANSBOROUGH WATERLOO, IA 50703 WATERLOO, IA 50701 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL FIRE INSPECTION- 760 ANSBOROUGH AVE- FOR BILLING INQUIRY: (319)291-4323 09/30/26 Description Total Price INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 11075 10/02/2026 11/06/2026 2027-00000152 $80.00 Less Prepayment $0.00 Total Due — $80.00 City of Waterloo Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of Administrative Services Offset Program if not paid in full within ninety days. Waterloo Fire Rescue 4 CC, Inspection Report 425 E.3rd Street EPI Office-780 Ansborough AVE,BLDG 780 Ansborough Aye,Waterloo IA 50701 INSPECTION DETAILS Inspection Date I 07 /� �yt� P Inspection Type l✓"1 4� ),vv Inspection Number 0913012028 Annual Inspection(1Yr) l, 17929 Lead Inspector Shift Station Unit JEREMIAH VANDYKE N/A NIA N/A Other Inspectors N/A SUMMARY OF INSPECTION 0 47 0 0 'Si 26 Passed codes Failed codes N/A codes NEXT STEPS Please direct questions about your Inspection to: Reinspection Date JEREMIAH VANDYKE jeremiah.vandyke@waterloo-ia.org 1011012027 GENERAL NOTES JEREMIAH VANDYKE-10/01/2026 @ 12:20 Inspection fee:$80.00 to be mailed out by the City. JEREMIAH VANDYKE-10/0112026 @ 12:19 Fire extinguishers serviced by Proshield June 2026. JEREMIAH VANDYKE-10/01/2026 @ 12:19 Fire Alarm 8/5/2026 08/05/2027 Compliant JEREMIAH VANDYKE-10/01/2026 @ 12:18 Inspected main office building and maintenance garage. SIGNATURES Contact signature Inspector signature No signature VD Report completed post inspection Dan Brown Date: JEREMIAH VANDYKE 10/01/2026 GENERATED ON 10/1/26, 12:21 PM 1 OF 2 0 Statement of Fees FEE P Invoice Date Inspection Fee Date Paid Amount Paid NIA Invoice Number Check Number Transaction Number NIA NIA NIA 2OF 2 GENERATED ON 10/1/26, 12:21 PM