E-Gov Services Granite City

Request for Occupancy Inspection

WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.

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Purpose. Use this form to request an occupancy inspection. (Note: Along with your tracking number, you will be required to bring a copy of your lease agreement/rent receipt along with a valid picture ID for all occupants over the age of 16 before any occupancy permit will be considered or scheduled.

* Information is required.

Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone:	() –
Fax:	() –
Address:
City:
State:
ZIP:

* Date (Month/Day/Year):

* Location (address of property to be rented):

* Owner (First Name/Last Name):

* Manager (Name):

* Phone (number):

* Address of Owner (number/street/city/ZIP):

* Phone No. of Owner:

Cell:

* Renters and/or Occupants:
First/M.I./Last/Date of Birth

* Number of children under 16 years of age:

* Phone number where renter may be contacted if necessary prior to inspection:

Check here to have email confirmation of this request sent.

* Information is required.

Notes:

If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.