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Inspections Refund Request

  1. Instructions

    Please fill out this form as completely as possible.

    For questions, please contact 336-727-2624 or email

  2. Duplicate Permit

    Is this refund request because this is a duplicate permit?

  3. If yes, what is the valid permit number for this job?

  4. The applicant hereby certifies and agrees as follows:

    1. That he/she has read the above information and it is true and correct;
    2. If any information supplied by applicant is incorrect or missing, refund issuance may be delayed.
  5. Leave This Blank:

  6. This field is not part of the form submission.