Electrical Inspection Request Form

Please enter your inspection information below for electrical inspections. An inspector from the Department of Codes & Regulations will contact you to schedule if necessary.
First Name *
Last Name *
Address *
City *
State *
Zip Code *
Contact Phone # ext: *
Email Address *
Permit number:
Permit address if different from above:
Contact name if different from above:
Contact number if different from above:
Inspection type (rough, final, etc.)
Other comments?