Verification of Compliance (VOC) form

This VOC may be accepted (at Safety Codes Officer's discretion) instead of a follow-up site inspection for correction of deficiencies previously identified on a site inspection.
The permit holder, property owner or agent must complete this form as a record of compliance confirmation.

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Name of permit holder:

Phone number of permit holder:

Email of permit holder:

I am:

Permit holder (contact person)

Property owner

Agent acting on property owner's behalf

Type of permit:

Building

Electrical

Plumbing

Gas

Heating and ventilation

Water & sewer

Permit number:

Description of project (as on permit):

Date of inspection:

Address of project:

Deficiencies which were identified during inspection - Max 300 characters: (Or upload a copy of site inspection report)

Upload files and/or photos showing that deficiencies have been addressed (images, PDFs - max 5):

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