Property Information
# of Bedrooms
Is this property vacant?
Property Type
Is this property tenant occupied?
Address 2
Begin typing address and select from the populated dropdown:
# of Units
Registration Type
{[PNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
www.bridgeville.delaware.gov
Address
Is this an owner occupied property?
  • Contacts Information
  • Tenants & Partners Information
  • Heating Information
  • Attachments & Certification
Business Name
Emergency contact same as?
Address
City, State, ZIP
City, State, ZIP
Applicant same as owner?
Name
Property Owner Information
City, State, ZIP
Applicant Information
Business Name
Emergency Contact Information
Name
Phone #
Name
Email
Address
Email
Phone #
Business Name
Address
Email
Phone #
Tenant(s) Information
Tenant(s) same as last year?
Partner(s) Information
If the property is owned by a rental business, partnership, LLC, Corporation or other business relationship, provide the names of all general partners.
Please provide the unit number, full legal name, and date occupied for all tenants residing in the premises. Alternatively, you may attach a rent roll that lists all tenants in the attachments section.
Heating Type
Phone #
Address
Heating Information
Oil Provider Name
Type Full Name :
Sign With Hand
If you have not listed the tenants in the tenant section previously, please attach a rent roll.
Click on the Select Files... button, select the appropriate file(s) and click Open to complete.
Fee Description Fee
Initial Inspection $95.00
Reinspection of corrections $55.00
Reschedule fee for aborted/no-show/no access $55.00
Fee per Bedroom $25.00
Attachments
Owner Signature
Certification
I certify that the information mentioned above is true to my knowledge.
Fee Schedule