CITY OF BLACK JACK INSPECTION FORM

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BLACK JACK, MO 63033
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PLEASE READ THE FOLLOWING: FIRST INSPECTION FEE IS $125.00. THE SECOND INSPECTION FEE IS $30.00. THIRD AND FOURTH INSPECTIONS ARE $50.00 EACH. MISSED INSPECTION FEE IS $50. ACCEPTED FORMS OF PAYMENT ARE CASH, MONEY ORDER, CASHIER’S CHECK OR CREDIT CARD (ADDITIONAL USER FEE IS ASSESSED FOR CARD TRANSACTIONS), NO PERSONAL OR COMPANY CHECKS ARE ACCEPTED. ALL INSPECTION FEES ARE NON-REFUNDABLE. IF THE INSPECTION FAILS FOUR TIMES, A $125.00 FEE AND NEW APPLICATION ARE REQUIRED. CANCELLATIONS REQUIRE A 24 HOUR NOTICE. TO CANCEL, CONTACT THE PERMIT CLERK AT 314-355-7406 OR LEAVE A VOICE MESSAGE. FAILURE TO DO SO WILL RESULT IN A FAILED INSPECTION AND AN ADDITIONAL $50.00 MISSED INSPECTION FEE. ALL UTILITIES (GAS, ELECTRIC & WATER) MUST BE TURNED ON AT THE TIME OF INSPECTION. INSPECTION APPLICATIONS ARE VALID FOR SIX MONTHS FROM DATE OF SUBMISSION AND PAYMENT. BY SIGNING BELOW, YOU AGREE TO THE ABOVE TERMS AND CONDITIONS.
FOR OFFICE USE ONLY DO NOT WRITE BELOW THIS AREA
 
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