Fillable WILSON COUNTY HEALTH & PUBLIC SAFETY WILSON COUNTY (County of Wilson)

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WILSON COUNTY HEALTH & PUBLIC SAFETY WILSON COUNTY (County of Wilson)

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The WILSON COUNTY HEALTH & PUBLIC SAFETY WILSON COUNTY (County of Wilson) form is 1 page long and contains:

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  • 2 check-boxes
  • 22 other fields

Country of origin: US
File type: PDF

U.S.A. forms for County of Wilson

BROWSE COUNTY OF WILSON (TX) FORMS

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WILSON COUNTY HEALTH & PUBLIC SAFETY
WILSON COUNTY FIRE/HEALTH INSPECTION FORM
800 TENTH ST. BUILDING B, FLORESVILLE, TX 78114
OFFICE: (830) 393-8503 CELL: (830) 391-1713
EMAIL: firemarshal@wilsoncountytx.gov
Name of Organization/Business:
Physical Address:
Mailing Address:
City:
State:
TX
Zip Code:
County:
Wilson
Organization/Business Email:
Owner:
Contact:
Phone:
Phone:
Email:
Email:
Type of Business to be Inspected:
Days:
Hours:
VERIFICATION: I SWEAR OR AFFIRM THAT ALL INFORMATION IN THIS APPLICATION IS TRUE
AND CORRECT. I FUTHER CERTIFY BY SIGNATURE HEREON, THAT I AM AUTHORIZED TO EXECUTE
THIS DOCUMENT.
SIGNATURE: __________________________________________ DATE: __________________
PRINT NAME & TITLE: ____________________________________________________________
Office Use Only:
PAID
CHECK #
CASH
RECEIPT #
RECEIVED BY
$
$
FIRE INSPECTION
HEALTH INSPECTION
CHECK INSPECTIONS THAT APPLY
ie; Monday thru Friday
6 am to 6 pm
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WILSON COUNTY HEALTH & PUBLIC SAFETY WILSON COUNTY (County of Wilson)

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Completed 6 August 2020

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