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BLANFORD, TERRY J.-560 ARCHER AVE
f W.4 p INVOICE DATE DUE DATE INVOICE# TOTAL DUE O F x ea 10/05/2026 11/09/2026 2027-00000064 $100.00 v . �- u.,riarr,s ,,. ,' O _ 3 At 71,0'4 Customer#: 25095 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable BLANFORD, TERRY J. 715 Mulberry St 560 ARCHER AVENUE WATERLOO, IA 50703 WATERLOO, IA 50703 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS RENTAL PROP INSPECTION- 560 ARCHER AVE-09/29/26 FOR BILLING INQUIRY: (319)291-4323 Description Total Price FAILURE TO OBTAIN PERMIT $100.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 25095 10/05/2026 11/09/2026 2027-00000064 $100.00 Less Prepayment $0.00 Total Due —> S100.00 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 Inspection Report 425 E.3rd Street BLDG 560 Archer Avenue-560 Archer AVE,Waterloo IA 50703-5120 INSPECTION DETAILS Inspection Date Inspection Type V Inspection Number 09/29/2026 2015 IPMC Rental Inspection tf9S-1)435 ''i100, 24445 Lead inspector Shift Station Unit NATE BEUSELING NIA NIA NIA Other Inspectors NIA SUMMARY OF INSPECTION 06 043 ® 33 Passed codes Failed codes N/A codes NEXT STEPS Please direct questions about your Inspection to: Reinspection Date NATE BEUSELING 10/30/2026 nate.beu sell ng@waterloo-i a.o rg GENERAL NOTES NATE BEUSELING-09/3012026©10:29 100.00 fee for non registered rental unit NATE BEUSELING-09/3012026 @ 10:22 Outlet reads as open ground,repair or replace with 2 pronged outlet,GFCI outlet,GFCI Breaker in Panel NATE BEUSELING-09/3012026 @ 10:21 Iowa Administrative Code 661-210.3(7)d.After June 30,2021,a battery-powered smoke alarm listed in accordance with UL 217 that is newly installed or replaces an existing battery-powered smoke alarm must be powered by a nonremovable,non-replaceable battery that powers the alarm for at least ten years.The battery requirements of this subrule do not apply to a fire alarm,smoke detector,smoke alarm,or ancillary component that is electronically connected as a part of a centrally monitored or supervised alarm system;that uses a low-power,radio frequency wireless communication signal NATE BEUSELING-0913012026 @ 10:21 Property Safety Inspector-nate.beuseling@waterloo-ia.org-Work:319-291-4319(#8)-Cell:319-464-5605 NATE BEUSELING-09/30/2026 @ 10:21 All structural repairs,water heater replacement,furnace replacement and major electrical repairs require appropriate permits and inspections. NATE BEUSELING-09/3012026 @ 10:21 Re-inspection date is as posted on the inspection report The rental unit's responsible person/s shall contact prior to inspection date to set up time of re- inspection.If all corrections are made before scheduled inspection,you can call to set up an earlier re-inspection.Please give the appropriate notices to occupants of the unit/s.Owner or owner's agent must be present during the re-inspections.Failure to schedule a time on the date given or failure to keep the scheduled inspection will result in a 5100.00 fee.Re-inspection fees may be assessed for re-inspections.Re-inspection fees start at$50,then$150, and$250 for all subsequent re-inspections.All appropriate keys to gain entry to locked units shall be readily available during re-inspections. SIGNATURES Contact signature Inspector signature GENERATED ON 9/30/26, 10:30 AN 1 OF 20 po Statement of Fees FEE invoice Date Inspection Fee Date Paid Amount Paid WA $100.00 Invoice Number Check Number Transaction Number NIA NIA NIA S toi 1°% 3/4"4 epz ikok- kleacy -SW° 315— Ldq, 9is-et GENERATED ON 9/30/26, 10:24 AM 20 OF 20