City of El Mirage
Fire Department
Request for Inspection

_______________________________________________________________________________________

Date Submitted:*

Requested Date of Inspection:*

Requestor's Name:*

Requestor's Title:*

E-Mail Address:

Contact Phone Number:*

Cell Phone:

Property Address:*

Business License / Permit Number:*

Building Type:*

a b

c d

Inspection Type*

Sprinkler Pressure Test Sprinkler Building Shell Sprinkler Final (Tenant Improvement)

Fire Alarm Monitoring System Fire Final

ALLOW 2 BUSINESS DAYS FOR INSPECTION SCHEDULING CONFIRMATION