After Hours Inspection Request Form

City of Maple Grove
Fire Prevention Division, 12800 Arbor Lakes Parkway, Maple Grove MN 55369

Requested Date of Inspection*field type date
Requested Inspection Time*field type time
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Permit Number*field type single line
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Project Name*field type single line
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Project Address*field type single line
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Company / Organization Name*field type single line
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Contact Number*field type single line
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Email*field type single line
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Payee Contact Name*field type single line
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Payee Contact Number*field type single line
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Payee Contact Email*field type single line
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Inspection Type Requested*field type single line
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On-site Contractor Name*field type single line
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On-site Contractor Number*field type single line
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Contractor Email*field type single line
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I am requesting an afterhours inspection(s) for the above referenced permit. I understand the fee is $100.00 per hour, per inspector, with a two (2) hour minimum, payable upon inspection request approval. If the inspection exceeds the two (2) hour minimum, a further fee of $100 per hour will be charged in one (1) hour increments the next business day and after the inspection. AFTERHOURS INSPECTION APPROVAL IS SUBJECT TO INSPECTOR AVAILABILITY. Payment must be received before the permit will be finaled. If the inspection is disapproved, the re-inspection must be scheduled through a second “after Hours Inspection Request.”

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