HomeMy WebLinkAbout2060 CROSSROADS BLVD IN OICE PATE DUE DATE INVOICE# TOTAL DUE
ffir.1�■lf, 02/09/2018 03/15/2018 2018-00000143 $80.00
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Customer#: 13914 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
H&R BLOCK 715 Mulberry St
2060 CROSSROADS WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2060 CROSSROADS BLVD- 1-22-18 FOR BILLING INQUIRY: (319)291-4323
[Description Total Price j
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13914 02/09/2018 03/15/2018 2018-00000143 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
J Cum rcial Fire Inspection Report
pe
Inspection Number 1223
Prior Inspection Fill this field if it is available, it will auto-fill business name and address.
Number
Inspector* Chris Ferguson
Waterloo Fire Rescue
425 E 3rd Street Waterloo, IA 50703
Phone(319)493-1025
Email: chris.ferguson@waterloo-ia.org
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Address* 2060 Crossroads Blvd
Business name H&R Block
Inspection Date* 1/22/2018
Proprietor H&R Block
Business Phone 319-233-1989
Email* beverly.andorf@tax.hrblock.com
Email 2 frances.kaufman@tax.hrblock.com
Property Owner Crossroads Center
Emergency Contact
Information
Phone
Violations
Ref# CODE Violation &Location Corrected
1 2015 IFC: Section 1031.4- Exit Signs:An exit sign did not illuminate
when the test button was pushed. Corrective action: provide repair
or replacement of above item so the sign illuminates when test
button is pushed.
Comments: Please contact me with any questions or concerns you may have. Have above
items corrected or a plan of correction in place prior to the re-inspection date
below to avoid any additional fees.Thank you for your time and cooperation.
If violations noted during the inspection are not corrected by the given re-inspection date, additional fees
are as follows:
$100.00-First Re-inspection I$150.00 -Second Re-inspection I$200 -Third and subsequent Re-inspections
r +
Reports
Reports
Comment Fire extinguishers were tagged current for annual inspection (12/17)
Inspection Fee S 80,00
Occupancy Fee $ 10.00
Re-inspection Fee $ 6\-)
Total Fee* $ 9 00 (f )
Received By
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 2/19/2018 11:15am