Builder Information	Please provide as much information as possible.
Builder Name:
Company Name:
Billing Address:
City:
State, Zip:	State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY OTHER
Phone:
Cell Phone:*
Email:*:
Inspection Site Information
Builder-Assigned Project Number:
Project Address:
City:
County:
Other Legal Address:
Phase ready for inspection:	Foundation Footing Foundation Slab Pre-Cover final
Date ready for inspection:
Time ready for inspection:
Please include any additional information regarding the inspection site:
Notes/Comments: