Building Inspection Form

This form is utilized to request a building inspection from the City of Clever's Building Inspector. A sign with Builders Name, Lot Number, and Permit Number MUST be posted and visible from the street. Permit MUST be on site at time of inspection.

Permit Number*
Name of Subdivision*
Job Site Address*
Street Address Address Line 2 City State ZIP Code
Contact Name*
First Last

Inspection Requested By:*
First Last
Email*
Date*

Electronic Signature
The information contained herein is true, and correct and complete to the best of my knowledge and belief. If not being signed by the Applicant, I am authorized by the Applicant on their behalf and have read this application in its entirety.
Electronic Signature*
By checking the box below, you agree that the information contained within this application is completed to the best of your ability and that willfully falsifying statements on this application constitutes a crime in the State of Missouri.
- I agree to the above terms and wish to submit my application electronically to the City of Clever
Electronic Signature - Please Type Your Name*
First Last
CAPTCHA

Building Inspection Form

Building Inspection Form

Electronic Signature