Malta, IL · DeKalb County

No notary required

Plumbing Inspection Request Form

This form requests a plumbing inspection at a facility and is completed by the person or agency requesting the inspection.

What this form is

Use this form to request a plumbing inspection for a facility, including for new construction, an existing potential problem, expansion, reinspection, cross-connection inspection, or change of use. It asks for facility and owner or operator details, the plumber of record and license information, the reason for the request, and the requester’s name, title, and agency. The explanation describes inspection considerations for different facility situations.

Who needs it

A person or agency requesting a plumbing inspection for a facility can complete the form, which also asks for the plumber of record.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

The form has no notary block; the requester completes and dates it, with no sworn or notarized attachment identified.

How to submit this form

  1. 1

    Download The Form

    Download the Plumbing Inspection Request Form PDF.

  2. 2

    Complete The Request

    Fill in the facility, owner or operator, plumber of record, inspection reason, and requester details.

  3. 3

    Gather Attachments

    The form does not identify an attachment to gather.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Plumbing Inspection Request Form for?
It requests a plumbing inspection at a facility and identifies the reason for the request, such as new construction, expansion, reinspection, or a change of use.
Who completes the plumbing inspection request?
The form asks for the name, title, and agency of the requester, along with facility details and the plumber of record.
Do I need a notary for the Plumbing Inspection Request Form?
No. The form has no notary block; the requester completes and dates it, and it identifies no sworn or notarized attachment.
How do I submit the Plumbing Inspection Request Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Plumbing Inspection Request Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.