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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. TYPE OF INSPECTION REQUESTED*
   -- Select One --NEW BUSINESS LICENSE INSPECTION / CERTIFICATE OF OCCUPANCYCONSTRUCTION 100%CONTRUCTION 80%SPRINKLER TEST/INSPECTIONFIRE ALARM TEST/INSPECTIONCOMMERCIAL HOOD TEST/INSPECTIONSPECIAL EXTINGUISHING SYSTEM TEST/INSPECTIONCONSULTATION INSPECTIONRE-INSPECTIONSHORT TERM RENTAL INSPECTIONOTHERFIREWORKS STAND PERMIT INSPECTION (SALES)
10. Fire Inspection Checklist
    Certificate of Occupancy Fire Inspection Checklist

    Please download the Fire Inspection Checklist before submitting this Inspection Request. The checklist contains items that are inspected during the Fire Inspection.

12. Temporary Consumer Fireworks Stand Fire Inspection Checklist
    Fireworks Stand Fire Inspection Checklist

    Please download the Fireworks Stand Fire Inspection Checklist to use as a reference for complying with all fire codes to be inspected. Fireworks stand must be ready for business before an inspection can occur.

14. CONTACT NAME*

    Name of contact for the inspection.

15. CONTACT PHONE NUMBER*
17. CONTACT EMAIL ADDRESS*

    An email address is required to electronically send the inspection report upon completion.

19. BUSINESS NAME*

    Input the name of the business requesting an inspection.

20. BUSINESS PHONE NUMBER*
22. BUSINESS TYPE*
    -- Select One --ASSEMBLY / CHURCH / DAYCARE / SCHOOLRESTAURANT / FOOD SERVICE CONVIENCE STORE / GAS STATIONRETAIL STORE / DEPARTMENT STOREMANUFACTURING / STORAGE / INDUSTRIALBUSINESS OFFICEHEALTH CAREOTHER
24. OTHER BUSINESS TYPE
26. BUSINESS STREET ADDRESS*
28. CITY*
29. ZIP CODE*
31. 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.

32. INSPECTION TIME*

    1. 10:00am - 12:00pm
    2. 1:00pm - 3:00pm

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

34. COMMENTS:

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

Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field