HomeMy WebLinkAbout2780 CROSSROADS BLVD (2) INVOICE DATE DUE DATE INVOICE# TOTAL,DUE
���, in.-ow, 06/15/2021 07/30/2021 2021-00000287 $200.00
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. -4-23-21 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price J
REINSPECTION 3 $200.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
9993 06/15/2021 07/30/2021 2021-00000287 $200.00
Less Prepayment $0.00
Total Due--; $200.00
City of Waterloo
P
gqq3
ATERLOO FIRE RESCUE as n.°
INSPECTION REPORT it I
APPLEBEE'S,2780 CROSSROADS BLVD,BLDG 2780 CROSSROADS BLVD, WATERLOO IA 50702 4410
DETAILS
Inspect' n Date:04/23/2021 Inspection Type:Annual Inspection(1Yr) , In pection Number:5702 Shift: N/A Station: N/A I
Unit: N/\ I Lead Inspector:JEFF SIEBEL 1 Other Inspectors: N/A 1 Fee:$ .00
f
STATUS CODE DESCRIPTION
FAIL 609.3.3.3-Records Records for inspections shall state the individual and company performing the
inspection,a description of the inspection and when the inspection took place.
Records for cleanings shall state the individual and company performing the cleaning
and when the cleaning took place.Such records shall be completed after each
inspection or cleaning and maintained.
Inspector:JEFF SIEBEL-Comments:provide current semi-annual kitchen hood
exhaust cleaning report with all discrepancies corrected.Contractor must submit
online to the compliance engine.Currently showing 525 days out of compliance.
FAIL Chapter 14-Inspection, Fire alarm system tested at least annually by licensed contractor
testing,and maintenance
Inspector:JEFF SIEBEL-Comments:provide current annual fire alarm inspection
report with all discrepancies corrected.Contractor must submit online to the
compliance engine.Currently 319 days overdue.
GENERAL NOTES 7,,,,,,—'—'`�
t
JEFF SIEBEL-04/23/2021 @ 11:29 t RE-inspection fee$200
JEFF SIEBEL-06/03/2021 @ 07:56 Called and talked to Alex. He will check on this.
REINSPECTION DATE
06/02/2021
CONTACT SIGNATURE
Ashley W ���
Signed on:06/03/2021 @ 07:56 /
Printed on 06/03/2021 @ 07:56
Page 1 of 2
- C.
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:04/23/2021 @ 11:30
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
JeffSiebel@Waterloo-ia.org
3192301224
Printed on 06/03/2021 @ 07:56
Page 2 of 2