NOVA Fairfax Permits

Request for Final Inspection

(ALL Fields are required to process request)

Permittee Name:

Email Address:

Street Address of Work Site:

Permit Number : 947-

Inspector:

Contact Phone:

CERTIFICATION

I certify that all work required under the permit listed above has been completed. I understand that if the work is not completed I will be required to pay for the actual cost of all subsequent inspections.

Return of Surety

If the work is completed the surety will be released as follows:

All invoices for reviews and inspections, if applicable, must be paid in full. Allow 6-10 weeks for receipt of final invoice.
Surety Bonds will be mailed to the address and person listed below within 15-30 working days after the final inspection.
Letters of Credit (LOC) will be mailed to the bank holding the LOC within 15-30 working days after the final inspection.
Cash Sureties will be refunded via check to the permittee and to the address listed below. Allow six to eight weeks for receipt of check.

State below the name and address for return of the surety:

Name:

Mailing Address:

Street:

City:

State:

Zip Code:

Comments: (Explanation required if name and address do not match permit):

Page last modified: Oct. 14, 2012