TEXAS CITY FIRE DEPARTMENT
1725 25
TH
STREET NORTH, TEXAS CITY, TX 77590
Phone: 409-643-5700 FAX: 409-643-5719
Request for Inspection
Type of Inspection Requested:
CO Inspection, Plan Review, General Inspection,
Foster Care Inspection (also see Foster Care Inspection Check List
).
Business and/Applicant Name: ____________________________________________
Business Address: ______________________________________________________
Operation Location: _____________________________________________________
Phone: ______________________ Cell Phone: _____________________
Phone: ______________________ Cell Phone: ____________________
Please allow 2 weeks notice before request date:
Request date for inspection: __________________________
NOTES:
It is the applicant’s responsibility to ensure that conditions are in accordance with
applicable State and Local fire regulations. I understand that it is the sole discretion
of the Fire Official making inspection to approve or disapprove this request for
any reason.
_______________________________________ __________________________
Applicant Signature & Print Name Date
Email Address:_________________________________
______________________________________________________________________
**For Fire Department Use Only**
Notes regarding Inspection
Date Application Rcvd ____________
Tracking No. _________________
Occup. ID. _________________
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