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2. Date*
3. First Name*
4. Last Name*
6. Email Address*
8. Call Back Number*
9. Stafford Business Name*
11. Permit Number (If none, type "none")*
12. Stafford Business Address*
14. Type of Inspection
    -- Select One --Access Control FinalCertificate Of Occupancy (yellow card)Certificate of Completion (Orange Card)Child Care Inspection Code Enforcement ComplaintFire Pump Final InspectionFoster Care Home InspectionKitchen Hood System Final (Submitted by fire protection company) Mobile Food Truck InspectionSpray Booth System Final (Submitted by fire protection company)Sprinkler System Final (Submitted by fire protection companyVisual Inspection Prior to Cover-Up Underground and Aboveground (Submitted by fire protection company)Fire Alarm System Final (Submitted by fire protection company)System Flush Final (submitted by fire protection company)
15. Occupancy
    -- Select One --ABEFHIMRSU
17. Person meeting inspector at site:
19. Contact Name*

     

20. Contact Number **
21. Contact Email **
23. Preferred Date and Time for Inspection (48 Hours Minimum Required to Establish Inspection) *
    Preferred Date and Time for Inspection (48 Hours Minimum Required to Establish Inspection) *

    Preferred Date and Time for Inspection (48 Hours Minimum Required to Establish Inspection) *

25. Due to staff shortage, inspection dates will be limited, and you may experience longer wait times for scheduling. Thank you for your patience and understanding.

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field