Online version Inspection Application Form
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Email *
DATE:
MM
/
DD
/
YYYY
Address of Rental Property:
Owner's Name:
Owner's Address:  
Phone - Home and Work/Cell
Agent's Name:  
Agent's Address:
Agent's Phone - Home and Work/Cell
Initial Permit  
Number of Rooming/Housing Units
Approx. Age of Bldg
Brief Description of Building (Wood/Duplex; 1-1/2 Story/Wood, etc.):
Length of Ownership:
Fee:
I, the undersigned, hereby certify I am the owner of record and agree to conform to applicable laws of this jurisdiction.                                                 Please return application fee to:                                                                               City of Arnold                                                                                                                 1829 Fifth Avenue                                                                                                      Arnold, PA 15068
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