Inspection Report

Permit Number

Date & Time
Location

Type of Inspection

Comments

Attachments

Sketch
Pictures

Result

Notice of Violation

Violations

DAYS TO CORRECT VIOLATIONS FROM THE DATE OF THIS INSPECTION

PLEASE CALL FOR INSPECTION WHEN CORRECTIONS HAVE BEEN COMPLETED. APPROVAL IS REQUIRED.

This structure, system, equipment or portion thereof was inspected in accordance with the Pennsylvania Uniform Construction Code (PA-UCC)

Inspector

City of Pittston - 35 Broad Street, Pittston, PA 18640 - 570.654.0513 - code@cityofpittston.org

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.