Inspection Requests (Electrical)

You can schedule electrical inspections online by completing this form. NOTE: Items marked with an asterisk (*) are required. If you omit the required information, an inspection cannot be scheduled by the Building Safety Department.

1

Please provide the Electric Permit Number:
(example: 16-0000000123)

 *

Please provide the Electric Permit Number: (example: 16-0000000123)

2

Type of inspection(s) requested: (Select as many as apply)

Type of inspection(s) requested: (Select as many as apply)

	Type	Check This Column if this is a Re-Inspection
Rough-In	Type of inspection(s) requested: (Select as many as apply)	Type of inspection(s) requested: (Select as many as apply)
Final	Type of inspection(s) requested: (Select as many as apply)	Type of inspection(s) requested: (Select as many as apply)
HVAC	Type of inspection(s) requested: (Select as many as apply)	Type of inspection(s) requested: (Select as many as apply)
Sign	Type of inspection(s) requested: (Select as many as apply)	Type of inspection(s) requested: (Select as many as apply)
Temporary Pole	Type of inspection(s) requested: (Select as many as apply)	Type of inspection(s) requested: (Select as many as apply)
Service Release	Type of inspection(s) requested: (Select as many as apply)	Type of inspection(s) requested: (Select as many as apply)
Occupancy	Type of inspection(s) requested: (Select as many as apply)	Type of inspection(s) requested: (Select as many as apply)
VAV	Type of inspection(s) requested: (Select as many as apply)	Type of inspection(s) requested: (Select as many as apply)
Miscellaneous	Type of inspection(s) requested: (Select as many as apply)	Type of inspection(s) requested: (Select as many as apply)
Other	Type of inspection(s) requested: (Select as many as apply)	Type of inspection(s) requested: (Select as many as apply)

3

If "other" is selected in the previous question, describe it here.

If "other" is selected in the previous question, describe it here.

4

Subdivision

 *

Subdivision(Select an Answer) Add. to Villages of Valley Green Adelaide Park Bankside Belmont Bentree Blair Farms Brookfield Burton Farms Cedar Forrest Davis Pk. Est. Forest Crossing Glenrose Meadows Greentree Hickory Trace Hidden Hills Highlands Hunters Point Jefferson Square John M. Johns Johnstown Lake Farm Estates Lake Hills Annex Lakeside Lee Crossing Lennox of Smyrna Living Springs Midway Townhomes Mill Springs Old Jones Mill Potts Crossing Richmond Place Seven Oaks St. John's Wood Summer Ridge Tarrytown The Oaks Thompson Woods Valley Green Woodcrest Woodmont Other

5

          If you selected "other" from the subdivision list, please describe here.

If you selected "other" from the subdivision list, please describe here.

6

 Lot Number or Street Address Must Be Provided

Lot Number or Street Address Must Be Provided

Lot Number

OR Street Address

7

General Information

 *

General Information

Name of Person Requesting the Inspection (First and Last Name)

Phone Numberext.

E-mail Address

Requested Date for the Inspection to be Conducted

Other Comments or Information Concerning This Inspection

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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