HomeMy WebLinkAbout707 BROADWAY ST 0 W A rF INVOICE DATE DUE DATE INVOICE# TOTAL DUE
06/23/2023 07/25/2023 2023-00011327 $80.00
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Customer#: 3323 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
KWIK STAR#723 715 Mulberry St
1626 OAK ST WATERLOO, IA 50703
LA CROSSE, WI 54602
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 707 BROADWAY ST- 6-5-23 FOR BILLING INQUIRY: (319)291-4323
C Description ( Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
3323 06/23/2023 07/25/2023 2023-00011327 $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 �PtERLao
INSPECTION REPORT
KWIK STAR#723,707 BROADWAY ST,BLDG 707 BROADWAY ST, WATERLOO/A 50703
DETAILS
Inspection Date:06/05/2023 I Inspection Type:Annual Inspection(1 Yr) I Inspection Number:8326 I Shift: N/A ; Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL j Other Inspectors: N/A Fee:$80.00
STATUS CODE DESCRIPTION
FAIL 1032.2-Reliability. Required exit accesses,exits and exit discharges shall be continuously maintained
free from obstructions or impediments to full instant use in the case of fire or other
emergency where the building area served by the means of egress is occupied.An
exit or exit passageway shall not be used for any purpose that interferes with a
means of egress.
Inspector:JEFF SIEBEL-Comments:Repair panic hardware.falls apart when pushed.
Location: Exit by restrooms
FAIL 1203.2.15-Means of egress Emergency power shall be provided for means of egress illumination in accordance
illumination. with Sections 1008.3 and 1104.5.1.
Inspector:JEFF SIEBEL-Comments:repair egress light
Location:above dock door
FAIL 606.3.3-Cleaning. Hoods,grease-removal devices,fans,ducts and other appurtenances shall be
cleaned at intervals as required by Sections 606.3.3.1 through 606.3.3.3.
Inspector:JEFF SIEBEL-Comments:Provide current semi-annual kitchen hood
exhaust system cleaning inspection with all discrepancies corrected.29 days past
due.Contractor must upload online to the compliance engine.
Location: Not Provided
GENERAL NOTES
JEFF SIEBEL-06/07/2023 @ 08:36 annual inspection$80
REINSPECTION DATE
06/26/2023
Printed on 06/07/2023 @ 08:37
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CONTACT SIGNATURE
MGR � �,'
Signed on:06/07/2023 @ 08:34
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:06/07/2023 @ 08:34
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 06/07/2023 @ 08:37
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