Residential /Rental Property Safety Inspection Form

If you would rather download the form and fill it out and return to the city .

Date of Request?

Type of Inspection?

Landlord

Date of Last Inspection if Known

Inspected Unit Address:

Year Constructed

Owner Name

Owner Address

Owner Phone

Name of Lessee

Lessee Phone Number

Housing Type:

Single Family Detached

Duplex or Two Family

Row House or Town House

Low Rise: 3, 4 Stories

High Rise: 5 or more Stores

Shared Housing

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