FOR
THE FOLLOWING TOWNSHIPS:
BLENDON,
FILMORE, LAKETOWN, OLIVE, PARK, PORT SHELDON, SAUGATUCK
AND CITY OF ZEELAND
|
TO: JERRY HOLWERDA FAX/PHONE (616) 554-0325 DATE: __________________ |
|
FROM: COMPANY NAME
_______________________________________________________ FAX
# _________________ OFFICE PH# _________________CELL PH#__________________ |
|
OWNER
/ BUILDER:
___________________________________________________________ PROPERTY
ADDRESS: _________________________________________________________ CROSS
STREETS / PROJECT NAME:
_______________________________________________ |
|
TOWNSHIP: ____________________________ PERMIT #
_____________________________ |
|
TYPE
OF INSPECTION: (CHECK ONE) MECHANICAL ROUGH-IN _____________ FINAL
_________________ MECHANICAL
FIREPLACE ROUGH-IN _____________
FINAL ________________ MECHANICAL
REPLACEMENT
__________________________________________________ OTHER
_______________________________________________________________________ |
|
PREFERRED
DATE ________________(CHECK ONE) _______AM ______PM_____ANYTIME SPECIAL
INSTRUCTIONS: _______________________________________________________ KEY
LOCATION OR METHOD OF ACCESS: _________________________________________ |
|
NAME
OF PERSON REQUSTING INSPECTION: ______________________________________ |
Due
to other inspections it is possible that an inspection request may be
delayed. Indicate if you wish to
be
notified of any delays. Every effort
will be made to make all inspections in a timely manner. Fax your
request
to the number above, at least one working day notice, before you need an
inspection. Thank you
for
your cooperation. If a fax machine is
not available for your use, I can be contacted on my
Cell
Ph # 292-8658.
Avoid
re-inspection fees by being prepared for the inspection and access to area for
inspection.