Contractors:
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General Information

   Region #: Time Block:

Note from inspector:
1. If this is a commercial job please list business name, floor, and unit number. 2. Did you TELL the homeowner the inspector is coming?

Person Responsible for Electrical Work

* Contractor Name:

* Phone: (include area code)
- Electrician's cell or homeowner's cell

- Home or Primary

- Office

Contact name:

* E-Mail:

Inspection Site

* Address:

          Business Name:
          Suite #:
*City:

Permit number:

* Access information (choose one):
Lockbox
Garage
Hidden Key
Open Door or No indoor access required
   If all outside, enter 'Outside' for which door
Contractor/Owner will be here
Call for Access
* Additional information:
Code/Combination:

Location:

Which door:

Phone (w/ area code):

* You will be phoned at least 30 mins in advance of the inspection.
* Only use this option if you will be available from 1PM-5PM on the day of the inspection.

Notes for inspector:

* - required field