Fire Inspection

3. 

6. **IF THE BUSINESS IS LOCATED INSIDE THE CITY OF CARROLLTON, THE CITY OF BREMEN, OR INSIDE FAIRFIELD PLANTATION THEN THE FIRE MARSHAL FOR THAT DISTRICT SHOULD BE CONTACTED**

8. BUSINESS NAME*

   Input the name of the business requesting an inspection.

9. BUSINESS PHONE NUMBER*
11. BUSINESS TYPE*
    -- Select One --ASSEMBLY / CHURCH / DAYCARE / SCHOOLRESTAURANT / FOOD SERVICE CONVIENCE STORE / GAS STATIONRETAIL STORE / DEPARTMENT STOREMANUFACTURING / STORAGE / INDUSTRIALBUSINESS OFFICEHEALTH CAREOTHER
13. OTHER BUSINESS TYPE
15. CONTACT NAME*

    Input the name of the Owner, Property Manager, or Construction Manager responsible for the inspection being completed.

16. CONTACT PHONE NUMBER*
18. CONTACT EMAIL ADDRESS*
20. BUSINESS STREET ADDRESS*
22. CITY*
23. ZIP CODE*
25. DATES AVAILABLE FOR INSPECTION*
    DATES AVAILABLE FOR INSPECTION Start Date

    —

    DATES AVAILABLE FOR INSPECTION End Date

    Input the dates that the Business can be inspected. Please request inspections 3-5 business days before the available dates.

26. INSPECTION TIME*

    1. 10:00am - 12:00pm
    2. 1:00pm - 4:00pm

    Please select a time slot for the inspection that is most convenient.

28. TYPE OF INSPECTION REQUESTED*
30. COMMENTS:

32. **PLEASE SUBMIT INSPECTION REQUESTS AT LEAST 5 DAYS IN ADVANCE TO ALLOW FOR SCHEDULING**

Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field