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2. Greetings:

   Use this form to request your city business license inspection. Business License Inspections do not occur for renewals since an annual Fire and Life Safety Inspection occurs in its place. Please fill out this form, using any date/time, and select “Business License Renewal” as the Inspection type.

   ** We will call you to confirm your request within two business days **

4. Requestor Name:*
6. Requestor Email:*
8. Requestor Phone #:*
10. Site Contact (if different from above):
12. Site Contact Phone # (if different from above):
14. Desired Inspection Date(s):*
16. Desired Inspection Time(s):*
18. Business Name:*
20. Business Type:*
22. Site Address:*
24. City:*
    -- Select One --Federal WayDes Moines
26. Inspection Type:*
    -- Select One --New Business License Business License Renewal
28. If Des Moines, BUS#:
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field