E-Gov Services City of Lowell

HD - Residential Rental Inspection Request

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Purpose: Use this form to request a Residential Rental Inspection by a City of Lowell Health Department Code Enforcement Inspector. An Inspector will be assigned to contact you per the information you provide below.

Please note that all payments must be made at the Health Department, in order to receive a Residential Rental Permit; Inspectors are not allowed to receive payments or issue permits in the field.

When filling out this form, please submit each address/unit to be inspected separately so that the Inspectors may properly schedule their work! Due to the volume of requests we receive, a minimum lead time of 3 business days is appreciated.

* Information is required.

Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone:	() –

Location to be Inspected:

Please tell us the location to be inspected by entering the Address # and Street Name below; then click on 'Validate Address' to validate the address against our records.

If you are sure of the address, yet it can't be validated, please click on "Use the address I entered" in the pop-up box, which will transfer your entry to the "- Or Other Not Listed -" field below.

If you are reporting a non-specific area of the City, please indicate so in the 'Location Details' field below.

* Address:	- Or Other Not Listed -
Unit:

	Location Details: Please provide any additional information necessary to help us find the location to be inspected (e.g., floor #, apartment number, etc.).

Inspection Date Preference:

Inspection Time Preference:

AM (9:30AM - 11:30AM)

PM (1:30PM - 3:30PM)

* Please describe any additional information we should be aware of in advance of the inspection:

Check here to have email confirmation of this request sent.

* Information is required.

NOTES:

Once you submit this form, you will receive a Tracking Number allowing you to check on and/or update your request at your convenience.

Please be aware that any communication(s) made through this system by you or your agent(s), servant(s), or any other representative(s), whether authorized or unauthorized to the City of Lowell, Massachusetts, the Commonwealth of Massachusetts, the owner and/or operator of this web site, and/or any other web site operated by or pursuant to license or agreement by the City of Lowell, Massachusetts, its agencies, officers, employees, agents or representatives shall in no event be deemed to constitute notice for any purpose, whether legal, official, or other.

The submission of this form and/or assignment of a Tracking Number, indicates your acceptance of these terms and the City of Lowell's Terms of Use, and may subject your submission to disclosure.

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