HomeMy WebLinkAbout278 CROSSROADS BLVD O w A INVOICE DATE DUE DATE INVOICE# TOTAL DUE
°04 -0 - o 11/15/2023 12/20/2023 2024-00000166 $200.00
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Customer#: 9993 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
APPLEBEE'S 715 Mulberry St
2780 CROSSSROADS BLVD WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2780 CROSSROADS BLVD - 11-7-23 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price
REINSPECTION 3 $200.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
9993 11/15/2023 12/20/2023 2024-00000166 $200.00
Less Prepayment $0.00
Total Due— $200.00
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.
CC3)
WATERLOO FIRE RESCUE .0TERL.00
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INSPECTION REPORT
APPLEBEE'S,2780 CROSSROADS BLVD,BLDG 2780 CROSSROADS BLVD,WATERLOO IA 50702 4740
DETAILS
Inspection Date: 11/07/2023 1 Inspection Type:Annual Inspection(1Yr) j Inspection Number: 11186 ; Shift: N/A j Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL 1 Other Inspectors: N/A
STATUS CODE DESCRIPTION
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:A.By restroom hall B.SE corner on south wall.C.
SE corner of bar.
Location: Entire Building-Test and repair all emergency egress lights.Random lights
out on each revisit. Provide documentation.
GENERAL NOTES
JEFF SIEBEL-11/08/2023 @ 08:21 re-inspection fee$200
JEFF SIEBEL-11/07/2023 @ 15:39 provide corrections to avoid progressive re-inspection fee of$200 on next re-inspect.
Lights were shown to kitchen manager
REINSPECTION DATE
12/07/2023
CONTACT SIGNATURE
Addison Hubkil
Signed on: 11/08/2023 @ 08:22 L '
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:11/08/2023 @ 08:22
Printed on 11/08/2023 @ 08:23
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QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 11/08/2023 @ 08:23
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